00001053057LEVEL I PHOTOCHEMOTHERAPY
00002053053FINE NEEDLE BIOPSY/ASPIRATION
00003053053BONE MARROW BIOPSY/ASPIRATION
00004053061LEVEL I NEEDLE BIOPSY/ ASPIRATION EXCEPT BONE MARROW
00005053061LEVEL II NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00006053061LEVEL I INCISION & DRAINAGE
00007053061LEVEL II INCISION & DRAINAGE
00008053061LEVEL III INCISION AND DRAINAGE
00012053061LEVEL I DEBRIDEMENT & DESTRUCTION
00013053057LEVEL II DEBRIDEMENT & DESTRUCTION
00015053057LEVEL III DEBRIDEMENT & DESTRUCTION
00015058061LEVEL II DEBRIDEMENT & DESTRUCTION
00016053057LEVEL IV DEBRIDEMENT & DESTRUCTION
00016058061LEVEL III DEBRIDEMENT & DESTRUCTION
00017053057LEVEL V DEBRIDEMENT & DESTRUCTION
00017058061LEVEL IV DEBRIDEMENT & DESTRUCTION
00019053061LEVEL I EXCISION/ BIOPSY
00020053061LEVEL II EXCISION/ BIOPSY
00021053061LEVEL III EXCISION/ BIOPSY
00022053061LEVEL IV EXCISION/ BIOPSY
00028053053LEVEL I BREAST SURGERY
00028054061LEVEL I BREAST AND SKIN SURGERY
00029053053LEVEL II BREAST SURGERY
00029054061LEVEL II BREAST AND SKIN SURGERY
00030053053LEVEL III BREAST SURGERY
00030054061LEVEL III BREAST AND SKIN SURGERY
00031053061LEVEL I HEALTH AND BEHAVIOR SERVICES
00034053061MENTAL HEALTH SERVICES COMPOSITE
00035053057VASCULAR PUNCTURE AND MINOR DIAGNOSTIC PROCEDURES
00037053057LEVEL IV NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00039053057LEVEL I IMPLANTATION OF NEUROSTIMULATOR GENERATOR
00039058061LEVEL III NEUROSTIMULATOR & RELATED PROCEDURES
00040053057LEVEL I IMPLANTATION/REVISION/REPLACEMENT OF NEUROSTIMULATOR ELECTRODES
00041053061LEVEL I ARTHROSCOPY
00042053061LEVEL II ARTHROSCOPY
00045053061BONE/JOINT MANIPULATION UNDER ANESTHESIA
00047053057ARTHROPLASTY WITHOUT PROSTHESIS
00047058061ARTHROPLASTY
00048053057LEVEL I ARTHROPLASTY OR IMPLANTATION WITH PROSTHESIS
00049053061LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00050053061LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00051053061LEVEL III MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00052053061LEVEL IV MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00053053061LEVEL I HAND MUSCULOSKELETAL PROCEDURES
00054053061LEVEL II HAND MUSCULOSKELETAL PROCEDURES
00055053061LEVEL I FOOT MUSCULOSKELETAL PROCEDURES
00056053061LEVEL II FOOT MUSCULOSKELETAL PROCEDURES
00057053061BUNION PROCEDURES
00058053057LEVEL I CAST APPLICATION
00058058061LEVEL II STRAPPING AND CAST APPLICATION
00059053057LEVEL I STRAPPING
00059058061LEVEL I STRAPPING AND CAST APPLICATION
00060053061MANIPULATION THERAPY
00061053057LEVEL II IMPLANTATION/REVISION/REPLACEMENT OF NEUROSTIMULATOR ELECTRODES
00061058061LEVEL II NEUROSTIMULATOR & RELATED PROCEDURES
00062053061LEVEL I TREATMENT FRACTURE/DISLOCATION
00063053061LEVEL II TREATMENT FRACTURE/DISLOCATION
00064053061LEVEL III TREATMENT FRACTURE/DISLOCATION
00065053053LEVEL I STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00065054057IORT, MRGFUS, AND MEG
00066053053LEVEL II STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00066054057LEVEL I STEREOTACTIC RADIOSURGERY
00066058061LEVEL V RADIATION THERAPY
00067053053LEVEL III STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00067054057LEVEL II STEREOTACTIC RADIOSURGERY
00067058061SINGLE SESSION CRANIAL STEREOTACTIC RADIOSURGERY
00069053061THORACOSCOPY
00070053061THORACENTESIS/LAVAGE PROCEDURES
00071053061LEVEL I ENDOSCOPY UPPER AIRWAY
00072053061LEVEL II ENDOSCOPY UPPER AIRWAY
00073053061LEVEL III ENDOSCOPY UPPER AIRWAY
00074053061LEVEL IV ENDOSCOPY UPPER AIRWAY
00075053061LEVEL V ENDOSCOPY UPPER AIRWAY
00076053061LEVEL I ENDOSCOPY LOWER AIRWAY
00077053057LEVEL I PULMONARY TREATMENT
00077058061PULMONARY TREATMENT
00078053057LEVEL III PULMONARY TREATMENT
00079053061VENTILATION INITIATION AND MANAGEMENT
00080053061DIAGNOSTIC CARDIAC CATHETERIZATION
00082053057CORONARY OR NON-CORONARY ATHERECTOMY
00083053057CORONARY ANGIOPLASTY, VALVULOPLASTY, AND LEVEL I ENDOVASCULAR REVASCULARIZATION OF THE LOWER EXTREMITY
00083058061LEVEL I ENDOVASCULAR PROCEDURES
00084053061LEVEL I ELECTROPHYSIOLOGIC PROCEDURES
00085053061LEVEL II ELECTROPHYSIOLOGIC PROCEDURES
00086058061LEVEL III ELECTROPHYSIOLOGIC PROCEDURES
00088053061THROMBECTOMY
00089053057INSERTION/REPLACEMENT OF PERMANENT PACEMAKER AND ELECTRODES
00089058061LEVEL III PACEMAKER AND SIMILAR PROCEDURES
00090053057LEVEL I INSERTION/REPLACEMENT OF PERMANENT PACEMAKER
00090058061LEVEL II PACEMAKER AND SIMILAR PROCEDURES
00091053053LEVEL II VASCULAR LIGATION
00092053053LEVEL I VASCULAR LIGATION
00093053053VASCULAR RECONSTRUCTION/FISTULA REPAIR WITHOUT DEVICE
00093054061VASCULAR RECONSTRUCTION/FISTULA REPAIR
00094053057LEVEL I RESUSCITATION AND CARDIOVERSION
00094058061RESUSCITATION AND CARDIOVERSION
00095053061CARDIAC REHABILITATION
00096053061LEVEL II NONINVASIVE PHYSIOLOGIC STUDIES
00097053061LEVEL I NONINVASIVE PHYSIOLOGIC STUDIES
00099053061ELECTROCARDIOGRAMS/CARDIOGRAPHY
00100053061CARDIAC STRESS TESTS
00101053057TILT TABLE EVALUATION
00102053057LEVEL II PULMONARY TREATMENT
00103053061MISCELLANEOUS VASCULAR PROCEDURES
00104053057TRANSCATHETER PLACEMENT OF INTRACORONARY STENTS
00105053057REPAIR/REVISION/REMOVAL OF PACEMAKERS, AICDS, OR VASCULAR DEVICES
00105058061LEVEL I PACEMAKER & SIMILAR PROCEDURES
00106053053INSERTION/REPLACEMENT OF PACEMAKER LEADS AND/OR ELECTRODES
00106054057INSERTION/REPLACEMENT/REPAIR OF PACEMAKER GENERATOR, LEADS, AND/OR ELECTRODES
00107053057LEVEL I IMPLANTATION OF CARDIOVERTER-DEFIBRILLATORS (ICDS)
00107058061LEVEL I ICD AND SIMILAR PROCEDURES
00108053057LEVEL II IMPLANTATION OF CARDIOVERTER-DEFIBRILLATORS (ICDS)
00108058061LEVEL II ICD AND SIMILAR PROCEDURES
00110053061TRANSFUSION
00111053061BLOOD PRODUCT EXCHANGE
00112053061APHERESIS AND STEM CELL PROCEDURES
00113053061EXCISION LYMPHATIC SYSTEM
00114053061THYROID/LYMPHADENECTOMY PROCEDURES
00115053057CANNULA/ACCESS DEVICE PROCEDURES
00121053061LEVEL I TUBE OR CATHETER CHANGES OR REPOSITIONING
00126053061LEVEL I URINARY AND ANAL PROCEDURES
00127053053LEVEL IV STEREOTACTIC RADIOSURGERY, MRGFUS, AND MEG
00129053061LEVEL I CLOSED TREATMENT FRACTURE
00130053061LEVEL I LAPAROSCOPY
00131053061LEVEL II LAPAROSCOPY
00132053061LEVEL III LAPAROSCOPY
00133053053LEVEL I SKIN REPAIR
00134053053LEVEL II SKIN REPAIR
00135053053LEVEL III SKIN REPAIR
00136053053LEVEL IV SKIN REPAIR
00137053053LEVEL V SKIN REPAIR
00138053061LEVEL II CLOSED TREATMENT FRACTURE
00139053061LEVEL III CLOSED TREATMENT FRACTURE
00140053053ESOPHAGEAL DILATION WITHOUT ENDOSCOPY
00141053061LEVEL I UPPER GI PROCEDURES
00142053061LEVEL I SMALL INTESTINE ENDOSCOPY
00143053061LOWER GI ENDOSCOPY
00146053061LEVEL I SIGMOIDOSCOPY AND ANOSCOPY
00147053061LEVEL II SIGMOIDOSCOPY AND ANOSCOPY
00148053061LEVEL I ANAL/RECTAL PROCEDURES
00149053061LEVEL III ANAL/RECTAL PROCEDURES
00150053061LEVEL IV ANAL/RECTAL PROCEDURES
00151053061ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP)
00152053061LEVEL I PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES
00153053061PERITONEAL AND ABDOMINAL PROCEDURES
00154053061HERNIA/HYDROCELE PROCEDURES
00155053061LEVEL II ANAL/RECTAL PROCEDURES
00156053061LEVEL III URINARY AND ANAL PROCEDURES
00157053061COLORECTAL CANCER SCREENING: BARIUM ENEMA
00158053061COLORECTAL CANCER SCREENING: COLONOSCOPY
00159053061COLORECTAL CANCER SCREENING: FLEXIBLE SIGMOIDOSCOPY
00160053061LEVEL I CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00161053061LEVEL II CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00162053061LEVEL III CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00163053061LEVEL IV CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00164053061LEVEL II URINARY AND ANAL PROCEDURES
00165053061LEVEL IV URINARY AND ANAL PROCEDURES
00166053061LEVEL I URETHRAL PROCEDURES
00168053061LEVEL II URETHRAL PROCEDURES
00169053057LITHOTRIPSY
00170053061DIALYSIS
00172053061LEVEL I PARTIAL HOSPITALIZATION (3 SERVICES) FOR CMHCS
00173053061LEVEL II PARTIAL HOSPITALIZATION (4 OR MORE SERVICES) FOR CMHCS
00174053061LEVEL IV LAPAROSCOPY
00175053061LEVEL I PARTIAL HOSPITALIZATION (3 SERVICES) FOR HOSPITAL-BASED PHPS
00176053061LEVEL II PARTIAL HOSPITALIZATION (4 OR MORE SERVICES) FOR HOSPITAL-BASED PHPS
00177053061LEVEL I ECHOCARDIOGRAM WITH CONTRAST
00178053061LEVEL II ECHOCARDIOGRAM WITH CONTRAST
00181053061LEVEL II MALE GENITAL PROCEDURES
00183053061LEVEL I MALE GENITAL PROCEDURES
00184053061PROSTATE BIOPSY
00188053057LEVEL II FEMALE REPRODUCTIVE PROC
00188058061LEVEL I GYNECOLOGIC PROCEDURES
00189053057LEVEL III FEMALE REPRODUCTIVE PROC
00189058061LEVEL II GYNECOLOGIC PROCEDURES
00190053057LEVEL I HYSTEROSCOPY
00191053057LEVEL I FEMALE REPRODUCTIVE PROC
00192053057LEVEL IV FEMALE REPRODUCTIVE PROC
00192058061LEVEL III GYNECOLOGIC PROCEDURES
00193053057LEVEL V FEMALE REPRODUCTIVE PROC
00193058061LEVEL IV GYNECOLOGIC PROCEDURES
00195053057LEVEL VI FEMALE REPRODUCTIVE PROCEDURES
00202053057LEVEL VII FEMALE REPRODUCTIVE PROCEDURES
00202058061LEVEL V GYNECOLOGIC PROCEDURES
00203053061LEVEL IV NERVE INJECTIONS
00204053061LEVEL I NERVE INJECTIONS
00205054061LEVEL III MALE GENITAL PROCEDURES
00206053061LEVEL II NERVE INJECTIONS
00207053061LEVEL III NERVE INJECTIONS
00208053061LAMINOTOMIES AND LAMINECTOMIES
00209053061LEVEL II EXTENDED EEG, SLEEP, AND CARDIOVASCULAR STUDIES
00213053061LEVEL I EXTENDED EEG, SLEEP, AND CARDIOVASCULAR STUDIES
00215053061LEVEL I NERVE AND MUSCLE SERVICES
00216053061LEVEL III NERVE AND MUSCLE SERVICES
00218053061LEVEL II NERVE AND MUSCLE SERVICES
00219054061VASCULAR LIGATION
00220053061LEVEL I NERVE PROCEDURES
00221053061LEVEL II NERVE PROCEDURES
00224053061IMPLANTATION OF CATHETER/RESERVOIR/SHUNT
00227053061IMPLANTATION OF DRUG INFUSION DEVICE
00229053057LEVEL II ENDOVASCULAR REVASCULARIZATION OF THE LOWER EXTREMITY
00229058061LEVEL II ENDOVASCULAR PROCEDURES
00230053061LEVEL I EYE TESTS & TREATMENTS
00231053061LEVEL III EYE TESTS & TREATMENTS
00232053057LEVEL I ANTERIOR SEGMENT EYE PROCEDURES
00233053057LEVEL III ANTERIOR SEGMENT EYE PROCEDURES
00233058061LEVEL II INTRAOCULAR PROCEDURES
00234053057LEVEL IV ANTERIOR SEGMENT EYE PROCEDURES
00235053057LEVEL I POSTERIOR SEGMENT EYE PROCEDURES
00237053057LEVEL II POSTERIOR SEGMENT EYE PROCEDURES
00238053057LEVEL I REPAIR AND PLASTIC EYE PROCEDURES
00238058061LEVEL I EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
00239053057LEVEL II REPAIR AND PLASTIC EYE PROCEDURES
00239058061LEVEL II EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
00240053057LEVEL III REPAIR AND PLASTIC EYE PROCEDURES
00240058061LEVEL III EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
00241053057LEVEL IV REPAIR AND PLASTIC EYE PROCEDURES
00242053057LEVEL V REPAIR AND PLASTIC EYE PROCEDURES
00242058061LEVEL IV EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
00243053057STRABISMUS/MUSCLE PROCEDURES
00244053057CORNEAL AND AMNIOTIC MEMBRANE TRANSPLANT
00246053057CATARACT PROCEDURES WITH IOL INSERT
00247053061LASER EYE PROCEDURES
00249053057CATARACT PROCEDURES WITHOUT IOL INSERT
00250053061LEVEL I ENT PROCEDURES
00251053061LEVEL II ENT PROCEDURES
00252053061LEVEL III ENT PROCEDURES
00253053061LEVEL IV ENT PROCEDURES
00254053061LEVEL V ENT PROCEDURES
00255053057LEVEL II ANTERIOR SEGMENT EYE PROCEDURES
00255058061LEVEL I INTRAOCULAR PROCEDURES
00256053061LEVEL VI ENT PROCEDURES
00259053061LEVEL VII ENT PROCEDURES
00260053057LEVEL I PLAIN FILM EXCEPT TEETH
00260058061LEVEL I PLAIN FILM INCLUDING BONE DENSITY MEASUREMENT
00261053057LEVEL II PLAIN FILM EXCEPT TEETH INCLUDING BONE DENSITY MEASUREMENT
00261058061LEVEL II PLAIN FILM INCLUDING BONE DENSITY MEASUREMENT
00262053057PLAIN FILM OF TEETH
00263053061LEVEL I MISCELLANEOUS RADIOLOGY PROCEDURES
00265053061LEVEL I DIAGNOSTIC AND SCREENING ULTRASOUND
00266053061LEVEL II DIAGNOSTIC AND SCREENING ULTRASOUND
00267053061LEVEL III DIAGNOSTIC AND SCREENING ULTRASOUND
00269053057LEVEL II ECHOCARDIOGRAM WITHOUT CONTRAST
00269058061LEVEL I ECHOCARDIOGRAM WITHOUT CONTRAST
00270053057LEVEL III ECHOCARDIOGRAM WITHOUT CONTRAST
00270058061LEVEL II ECHOCARDIOGRAM WITHOUT CONTRAST
00272053057FLUOROSCOPY
00272058061FLUOROSCOPY AND OTHER RADIOLOGY SERVICES
00274053061MYELOGRAPHY
00275053061ARTHROGRAPHY
00276053061LEVEL I DIGESTIVE RADIOLOGY
00277053061LEVEL II DIGESTIVE RADIOLOGY
00278053061DIAGNOSTIC UROGRAPHY
00279053061LEVEL II ANGIOGRAPHY AND VENOGRAPHY
00280053061LEVEL III ANGIOGRAPHY AND VENOGRAPHY
00282053057MISCELLANEOUS COMPUTED AXIAL TOMOGRAPHY
00283053061COMPUTED TOMOGRAPHY WITH CONTRAST
00284053061MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST
00288053057BONE DENSITY:AXIAL SKELETON
00293053057LEVEL VI ANTERIOR SEGMENT EYE PROCEDURES
00293058061LEVEL IV INTRAOCULAR PROCEDURES
00299053057HYPERTHERMIA AND RADIATION TREATMENT PROCEDURES
00300053061LEVEL I RADIATION THERAPY
00301053061LEVEL II RADIATION THERAPY
00303053061TREATMENT DEVICE CONSTRUCTION
00304053061LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION
00305053061LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION
00308053061POSITRON EMISSION TOMOGRAPHY (PET) IMAGING
00310053061LEVEL III THERAPEUTIC RADIATION TREATMENT PREPARATION
00312053061RADIOELEMENT APPLICATIONS
00313053061BRACHYTHERAPY
00315053057LEVEL II IMPLANTATION OF NEUROSTIMULATOR GENERATOR
00317053061LEVEL II MISCELLANEOUS RADIOLOGY PROCEDURES
00318053057IMPLANTATION OF NEUROSTIMULATOR PULSE GENERATOR AND ELECTRODE
00318058061LEVEL IV NEUROSTIMULATOR & RELATED PROCEDURES
00319053057LEVEL III ENDOVASCULAR REVASCULARIZATION OF THE LOWER EXTREMITY
00319058061LEVEL III ENDOVASCULAR PROCEDURES
00320053061ELECTROCONVULSIVE THERAPY
00322053061BRIEF INDIVIDUAL PSYCHOTHERAPY
00323053061EXTENDED INDIVIDUAL PSYCHOTHERAPY
00324053061FAMILY PSYCHOTHERAPY
00325053061GROUP PSYCHOTHERAPY
00326054057LEVEL I SKIN REPAIR
00326058061LEVEL I SKIN PROCEDURES
00327054057LEVEL II SKIN REPAIR
00327058061LEVEL II SKIN PROCEDURES
00328054057LEVEL III SKIN REPAIR
00328058061LEVEL III SKIN PROCEDURES
00329054057LEVEL IV SKIN REPAIR
00329058061LEVEL IV SKIN PROCEDURES
00330053061DENTAL PROCEDURES
00331053061COMBINED ABDOMEN AND PELVIS CT WITHOUT CONTRAST
00332053061COMPUTED TOMOGRAPHY WITHOUT CONTRAST
00333053061COMPUTED TOMOGRAPHY WITHOUT CONTRAST FOLLOWED BY CONTRAST
00334053061COMBINED ABDOMEN AND PELVIS CT WITH CONTRAST
00336053061MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST
00337053061MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY CONTRAST
00340053053MINOR ANCILLARY PROCEDURES
00340054057LEVEL I MINOR PROCEDURES
00340058061LEVEL II MINOR PROCEDURES
00341053057SKIN TESTS
00342053061LEVEL I PATHOLOGY
00343053057LEVEL III PATHOLOGY
00344053057LEVEL IV PATHOLOGY
00345053061LEVEL I TRANSFUSION LABORATORY PROCEDURES
00346053061LEVEL II TRANSFUSION LABORATORY PROCEDURES
00347053057LEVEL III TRANSFUSION LABORATORY PROCEDURES
00350053053ADMINISTRATION OF FLU AND PPV VACCINE
00351054057LEVEL VII ANTERIOR SEGMENT EYE PROCEDURES
00351058061LEVEL V INTRAOCULAR PROCEDURES
00360053061LEVEL I ALIMENTARY TESTS
00361053061LEVEL II ALIMENTARY TESTS
00363053057LEVEL I OTORHINOLARYNGOLOGIC FUNCTION TESTS
00363058061OTORHINOLARYNGOLOGIC AND RELATED TESTS
00364053061LEVEL I AUDIOMETRY
00365053061LEVEL II AUDIOMETRY
00366053057LEVEL III AUDIOMETRY
00367053057LEVEL I PULMONARY TEST
00367058061LEVEL I PULMONARY TESTS
00368053057LEVEL II PULMONARY TESTS
00369053057LEVEL III PULMONARY TESTS
00369058061LEVEL II PULMONARY TESTS
00370053057MULTIPLE ALLERGY TESTS
00373053057LEVEL I NEUROPSYCHOLOGICAL TESTING
00373058061NEUROPSYCHOLOGICAL TESTING
00375053061ANCILLARY OUTPATIENT SERVICES WHEN PATIENT EXPIRES
00377053061LEVEL II CARDIAC IMAGING
00378053061LEVEL II PULMONARY IMAGING
00381053057SINGLE ALLERGY TESTS
00382053057LEVEL II NEUROPSYCHOLOGICAL TESTING
00383053061CARDIAC COMPUTED TOMOGRAPHIC IMAGING
00384053061GI PROCEDURES WITH STENTS
00385053057LEVEL I PROSTHETIC UROLOGICAL PROCEDURES
00385058061LEVEL I UROGENITAL PROCEDURES
00386053057LEVEL II PROSTHETIC UROLOGICAL PROCEDURES
00386058061LEVEL II UROGENITAL PROCEDURES
00387053057LEVEL II HYSTEROSCOPY
00388053061DISCOGRAPHY
00389053061LEVEL I NON-IMAGING NUCLEAR MEDICINE
00390053061LEVEL I ENDOCRINE IMAGING
00391053061LEVEL II ENDOCRINE IMAGING
00392053061LEVEL II NON-IMAGING NUCLEAR MEDICINE
00393053061HEMATOLOGIC PROCESSING & STUDIES
00394053061HEPATOBILIARY IMAGING
00395053061GI TRACT IMAGING
00396053061BONE IMAGING
00397053053VASCULAR IMAGING
00398053061LEVEL I CARDIAC IMAGING
00400053061HEMATOPOIETIC IMAGING
00401053061LEVEL I PULMONARY IMAGING
00402053061LEVEL II NERVOUS SYSTEM IMAGING
00403053061LEVEL I NERVOUS SYSTEM IMAGING
00404053061RENAL AND GENITOURINARY STUDIES
00406053061LEVEL I TUMOR/INFECTION IMAGING
00407053057LEVEL I RADIONUCLIDE THERAPY
00407058061RADIONUCLIDE THERAPY
00408053061LEVEL III TUMOR/INFECTION IMAGING
00409053053RED BLOOD CELL TESTS
00412053061LEVEL III RADIATION THERAPY
00413053057LEVEL II RADIONUCLIDE THERAPY
00414053061LEVEL II TUMOR/INFECTION IMAGING
00415053061LEVEL II ENDOSCOPY LOWER AIRWAY
00419053061LEVEL II UPPER GI PROCEDURES
00420054057LEVEL II MINOR PROCEDURES
00420058061LEVEL III MINOR PROCEDURES
00422053061LEVEL III UPPER GI PROCEDURES
00423053061LEVEL II PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES
00424053061LEVEL II SMALL INTESTINE ENDOSCOPY
00425053057LEVEL II ARTHROPLASTY OR IMPLANTATION WITH PROSTHESIS
00425058061LEVEL V MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00426053057LEVEL II STRAPPING AND CAST APPLICATION
00427053061LEVEL II TUBE OR CATHETER CHANGES OR REPOSITIONING
00428053061LEVEL III SIGMOIDOSCOPY AND ANOSCOPY
00429053057LEVEL V CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00431054061LEVEL IV CLOSED TREATMENT FRACTURE
00432053061LEVEL II HEALTH AND BEHAVIOR SERVICES
00433053061LEVEL II PATHOLOGY
00434053057CARDIAC DEFECT REPAIR
00435054061LEVEL III EXTENDED EEG, SLEEP, AND CARDIOVASCULAR STUDIES
00436053061LEVEL I DRUG ADMINISTRATION
00437053061LEVEL II DRUG ADMINISTRATION
00438053061LEVEL III DRUG ADMINISTRATION
00439053061LEVEL IV DRUG ADMINISTRATION
00440053061LEVEL V DRUG ADMINISTRATION
00442053061DOSIMETRIC DRUG ADMINISTRATION
00446058061LEVEL IV NERVE AND MUSCLE SERVICES
00450058061LEVEL I MINOR PROCEDURES
00604053053LEVEL 1 HOSPITAL CLINIC VISITS
00605053053LEVEL 2 HOSPITAL CLINIC VISITS
00606053053LEVEL 3 HOSPITAL CLINIC VISITS
00607053053LEVEL 4 HOSPITAL CLINIC VISITS
00608053053LEVEL 5 HOSPITAL CLINIC VISITS
00609053061LEVEL 1 TYPE A EMERGENCY VISITS
00613053061LEVEL 2 TYPE A EMERGENCY VISITS
00614053061LEVEL 3 TYPE A EMERGENCY VISITS
00615053061LEVEL 4 TYPE A EMERGENCY VISITS
00616053061LEVEL 5 TYPE A EMERGENCY VISITS
00617053061CRITICAL CARE
00618053061TRAUMA RESPONSE WITH CRITICAL CARE
00621053061LEVEL I VASCULAR ACCESS PROCEDURES
00622053061LEVEL II VASCULAR ACCESS PROCEDURES
00623053057LEVEL III VASCULAR ACCESS PROCEDURES
00624053061PHLEBOTOMY AND MINOR VASCULAR ACCESS DEVICE PROCEDURES
00626053061LEVEL 1 TYPE B EMERGENCY VISITS
00627053061LEVEL 2 TYPE B EMERGENCY VISITS
00628053061LEVEL 3 TYPE B EMERGENCY VISITS
00629053061LEVEL 4 TYPE B EMERGENCY VISITS
00630053061LEVEL 5 TYPE B EMERGENCY VISITS
00631054061LEVEL 1 EXAMINATIONS & RELATED SERVICES
00632054061LEVEL 2 EXAMINATIONS & RELATED SERVICES
00633054061LEVEL 3 EXAMINATIONS & RELATED SERVICES
00634054061HOSPITAL CLINIC VISITS
00648053053LEVEL IV BREAST SURGERY
00648054061LEVEL IV BREAST AND SKIN SURGERY
00651053061COMPLEX INTERSTITIAL RADIATION SOURCE APPLICATION
00652053061INSERTION OF INTRAPERITONEAL AND PLEURAL CATHETERS
00653053057VASCULAR RECONSTRUCTION/FISTULA REPAIR WITH DEVICE
00654053057LEVEL II INSERTION/REPLACEMENT OF PERMANENT PACEMAKER
00655053057INSERTION/REPLACEMENT/CONVERSION OF A PERMANENT DUAL CHAMBER PACEMAKER OR PACING ELECTRODE
00655058061LEVEL IV PACEMAKER AND SIMILAR PROCEDURES
00656053057TRANSCATHETER PLACEMENT OF INTRACORONARY DRUG-ELUTING STENTS
00659053061HYPERBARIC OXYGEN
00660053057LEVEL II OTORHINOLARYNGOLOGIC FUNCTION TESTS
00661053057LEVEL V PATHOLOGY
00661058061LEVEL III PATHOLOGY
00662053061CT ANGIOGRAPHY
00664053057LEVEL I PROTON BEAM RADIATION THERAPY
00665053057BONE DENSITY:APPENDICULARSKELETON
00667053057LEVEL II PROTON BEAM RADIATION THERAPY
00667058061LEVEL IV RADIATION THERAPY
00668053061LEVEL I ANGIOGRAPHY AND VENOGRAPHY
00672053057LEVEL III POSTERIOR SEGMENT EYE PROCEDURES
00673053057LEVEL V ANTERIOR SEGMENT EYE PROCEDURES
00673058061LEVEL III INTRAOCULAR PROCEDURES
00674053057PROSTATE CRYOABLATION
00676053061THROMBOLYSIS AND OTHER DEVICE REVISIONS
00678053057EXTERNAL COUNTERPULSATION
00679053057LEVEL II RESUSCITATION AND CARDIOVERSION
00680053057INSERTION OF PATIENT ACTIVATED EVENT RECORDERS
00683053057LEVEL II PHOTOCHEMOTHERAPY
00685053057LEVEL III NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW
00687053057REVISION/REMOVAL OF NEUROSTIMULATOR ELECTRODES
00688053057REVISION/REMOVAL OF NEUROSTIMULATOR PULSE GENERATOR RECEIVER
00688058061LEVEL I NEUROSTIMULATOR & RELATED PROCEDURES
00690053061LEVEL I ELECTRONIC ANALYSIS OF DEVICES
00691053061LEVEL III ELECTRONIC ANALYSIS OF DEVICES
00692053061LEVEL II ELECTRONIC ANALYSIS OF DEVICES
00694053057MOHS SURGERY
00697053057LEVEL I ECHOCARDIOGRAM WITHOUT CONTRAST
00698053061LEVEL II EYE TESTS & TREATMENTS
00699053057LEVEL IV EYE TESTS & TREATMENTS
00701053080SR89 STRONTIUM
00726053080DEXRAZOXANE HCL INJECTION
00728053053FILGRASTIM 300 MCG INJECTION
00731053080SARGRAMOSTIM INJECTION
00735053053AMPHO B CHOLESTERYL SULFATE
00736053080AMPHOTERICIN B LIPOSOME INJ
00738053080RASBURICASE
00747053069CHLOROTHIAZIDE SODIUM INJ
00751053080MECHLORETHAMINE HCL INJ
00752053080DACTINOMYCIN INJECTION
00759053080NALTREXONE, DEPOT FORM
00800053080LEUPROLIDE ACETATE
00802053080ETOPOSIDE ORAL
00807053080ALDESLEUKIN INJECTION
00809053075BCG LIVE INTRAVESICAL VAC
00810053080GOSERELIN ACETATE IMPLANT
00812053080CARMUSTINE INJECTION
00814053061ASPARAGINASE, NOS
00820053080DAUNORUBICIN INJECTION
00821053069DAUNORUBICIN CITRATE INJ
00823053080DOCETAXEL INJECTION
00825053080NELARABINE INJECTION
00827053069FLOXURIDINE INJECTION
00828053053GEMCITABINE HCL INJECTION
00831053069IFOSFAMIDE INJECTION
00832053073IDARUBICIN HCL INJECTION
00835053065COSYNTROPIN INJECTION NOS
00836053080INTERFERON ALFA-2B INJ
00838053071INTERFERON GAMMA 1-B INJ
00840053079INJ MELPHALAN HYDROCHL
00840080080INJ MELPHA HYDROCH NOS 50 MG
00842053061FLUDARABINE PHOSPHATE INJ
00843053080PEGASPARGASE INJECTION
00844053080PENTOSTATIN INJECTION
00849053073RITUXIMAB INJECTION
00850053080STREPTOZOCIN INJECTION
00851053080THIOTEPA INJECTION
00856053080PORFIMER SODIUM INJECTION
00858053080INJ CLADRIBINE
00861053057LEUPROLIDE ACETATE INJECITON
00864053080MITOXANTRONE HYDROCHL
00868053073ORAL APREPITANT
00873053069HYALGAN/SUPARTZ INJ PER DOSE
00873070077HYALGAN SUPARTZ VISCO-3 DOSE
00874053080SYNVISC OR SYNVISC-ONE
00875053080EUFLEXXA INJ PER DOSE
00877053080ORTHOVISC INJ PER DOSE
00884053053RHO D IMMUNE GLOBULIN INJ
00887053080AZATHIOPRINE PARENTERAL
00890053080LYMPHOCYTE IMMUNE GLOBULIN
00900053053ALGLUCERASE INJECTION
00901053080ALPHA 1 PROTEINASE INHIBITOR
00902053080INJECTION,ONABOTULINUMTOXINA
00903053080CYTOMEGALOVIRUS IMM IV /VIAL
00910053080INTERFERON BETA-1B / .25 MG
00913053069GANCICLOVIR LONG ACT IMPLANT
00917053053ADENOSINE INJECTION
00925053080FACTOR VIII
00927053080FACTOR VIII RECOMBINANT
00928053080FACTOR IX COMPLEX
00929053080ANTI-INHIBITOR
00931053080FACTOR IX NON-RECOMBINANT
00932053057FACTOR IX RECOMBINANT
00932058080FACTOR IX RECOMBINANT NOS
00933053057GAMMA GLOBULIN > 10 CC INJ
00934053065CAPECITABINE, ORAL
00943053080OCTAGAM INJECTION
00944053080GAMMAGARD LIQUID INJECTION
00945053061RHOPHYLAC INJECTION
00946053080HEPAGAM B IM INJECTION
00947053080FLEBOGAMMA INJECTION
00948053080GAMUNEX-C/GAMMAKED
00949053061FROZEN PLASMA, POOLED, SD
00950053061WHOLE BLOOD FOR TRANSFUSION
00952053061CRYOPRECIPITATE EACH UNIT
00954053061RBC LEUKOCYTES REDUCED
00955053061PLASMA, FRZ BETWEEN 8-24HOUR
00956053061PLASMA PROTEIN FRACT,5%,50ML
00957053061PLATELETS, EACH UNIT
00958053061PLAELET RICH PLASMA UNIT
00959053061RED BLOOD CELLS UNIT
00960053061WASHED RED BLOOD CELLS UNIT
00961053080ALBUMIN (HUMAN),5%, 50ML
00963053080ALBUMIN (HUMAN), 5%, 250 ML
00964053080ALBUMIN (HUMAN), 25%, 20 ML
00965053080ALBUMIN (HUMAN), 25%, 50ML
00966053061PLASMAPROTEIN FRACT,5%,250ML
00967053061BLOOD SPLIT UNIT
00968053061PLATELETS LEUKOREDUCED IRRAD
00969053061RBC LEUKOREDUCED IRRADIATED
01009053061CRYOPRECIPITATEREDUCEDPLASMA
01010053061BLOOD, L/R, CMV-NEG
01011053061PLATELETS, HLA-M, L/R, UNIT
01013053061PLATELETS LEUKOCYTES REDUCED
01015053080INJECTION GLATIRAMER ACETATE
01016053061BLOOD, L/R, FROZ/DEGLY/WASH
01017053061PLT, APH/PHER, L/R, CMV-NEG
01018053061BLOOD, L/R, IRRADIATED
01019053061PLATE PHERES LEUKOREDU IRRAD
01020053061PLT, PHER, L/R CMV-NEG, IRR
01021053061RBC, FRZ/DEG/WSH, L/R, IRRAD
01022053061RBC, L/R, CMV-NEG, IRRAD
01023053061PRALIDOXIME CHLORIDE INJ
01052053073INJECTION, VORICONAZOLE
01064053080I131 IODIDE CAP, RX
01083053080ADALIMUMAB INJECTION
01084053056DENILEUKIN DIFTITOX INJ
01086053069TEMOZOLOMIDE
01138053080HEPAGAM B INTRAVENOUS, INJ
01139053080PROTEIN C CONCENTRATE
01142053080SUPPRELIN LA IMPLANT
01150053080I131 IODIDE SOL, RX
01166053080CYTARABINE LIPOSOME INJ
01167053053INJ, EPIRUBICIN HCL
01168053080INJ, TEMSIROLIMUS
01178053080BUSULFAN INJECTION
01203053080VERTEPORFIN INJECTION
01207053080OCTREOTIDE INJECTION, DEPOT
01213053080ANTIHEMOPHILIC VIII/VWF COMP
01214053080INJ IVIG PRIVIGEN 500 MG
01221053053DIMETHYL SULFOXIDE 50%
01232053080MITOMYCIN INJECTION
01235053080VALRUBICIN INJECTION
01236053076LEVOLEUCOVORIN INJECTION
01236077080INJ LEVOLEUCOVORIN NOS 0.5MG
01237053080INJ IRON DEXTRAN
01238053073TOPOTECAN ORAL
01239053053ROTAVIRUS VACC 2 DOSE ORAL
01240053053APLIGRAF SKIN SUB
01241053053OASIS WOUND MATRIX SKIN SUB
01242053053OASIS BURN MATRIX SKIN SUB
01243053053INTEGRA BMWD SKIN SUB
01244053053INTEGRA DRT
01245053053DERMAGRAFT SKIN SUB
01246053053GRAFTJACKET SKIN SUB
01247053053INTEGRA MATRIX SKIN SUB
01248053053PRIMATRIX SKIN SUB
01249053053CYMETRA ALLOGRAFT
01250053053GRAFTJACKET EXPRESS ALLOGRAF
01251053053INTEGRA FLOWABLE WOUND MATRI
01252053053GAMMAGRAFT SKIN SUB
01253053077TRIAMCINOLONE A INJ PRS-FREE
01263053080ANTITHROMBIN III INJECTION
01268053080XYNTHA INJ
01270053053ALLODERM SKIN SUB
01272053065ACETYLCYSTEINE INJECTION
01274053080EDETATE CALCIUM DISODIUM INJ
01275053053VIVAGLOBIN, INJ
01280053073CORTICOTROPIN INJECTION
01281053080BEVACIZUMAB INJECTION
01287053053ALLOSKIN SKIN SUB
01289053080ABOBOTULINUMTOXINA
01291053073RILONACEPT INJECTION
01295053080SM 153 LEXIDRONAM
01296053080DEGARELIX INJECTION
01297053080FERUMOXYTOL, NON-ESRD
01307053053ORAL BUSULFAN
01311053080CANAKINUMAB INJECTION
01312053080HIZENTRA INJECTION
01327053080IMIGLUCERASE INJECTION
01331053069OLANZAPINE LONG-ACTING INJ
01332053069ANTITHROMBIN RECOMBINANT
01338053069METHYL AMINOLEVULINATE, TOP
01339053053ORAL FLUDARABINE PHOSPHATE
01340053080COLLAGENASE, CLOST HIST INJ
01341053080AMOBARBITAL 125 MG INJ
01342053053MATRISTEM MICROMATRIX
01343053057GANCICLOVIR SODIUM INJECTION
01344053053GONADORELIN HYDROCH/ 100 MCG
01345053053THERASKIN
01347053053OXACILLIN SODIUM INJECITON
01349053053ANIDULAFUNGIN INJECTION
01350053061TOPOTECAN INJECTION
01351053053MATRISTEM WOUND MATRIX
01352053080WILATE INJECTION
01353053080BELIMUMAB INJECTION
01354053067HYDROXYPROGESTERONE CAPROATE
01355053053ITRACONAZOLE INJECTION
01356053053ZOLDEDRONIC ACID 1MG
01356054065ZOLEDRONIC ACID 1MG
01357053053INJ PROTIRELIN PER 250 MCG
01361053069ENFUVIRTIDE INJECTION
01408053080CYCLOPHOSPHAMIDE 100 MG INJ
01413053080LUMIZYME INJECTION
01414053053HUMAN FIBRINOGEN CONC INJ
01415053080GLASSIA INJECTION
01416053057FACTOR XIII ANTI-HEM FACTOR
01416058080FACTOR XIII ANTI-HEM FACTOR
01417053080GEL-ONE
01419053061DERMACELL
01420053080AFLIBERCEPT INJECTION
01421053071IMPORTED LIPODOX INJ
01421074080IMPORTED LIPODOX INJ
01422053061ANTHRAX VACCINE SC OR IM
01423053053MINOCYCLINE HYDROCHLORIDE
01424053069NABILONE ORAL
01426053080ERIBULIN MESYLATE INJECTION
01427053053ALLOSKIN
01428053053ARTHROFLEX
01429053053FLEXHD/ALLOPATCHHD/MATRIXHD
01431053080CENTRUROIDES IMMUNE F(AB)
01432053053ARBUTAMINE HCL INJECTION
01433053080CALCITONIN SALMON INJECTION
01434053053TESTOSTERONE ENANTHATE INJ
01435053053INJECTION ESTRONE PER 1 MG
01437053053GATIFLOXACIN INJECTION
01438053053DIAZOXIDE INJECTION
01439053058APROTONIN, 10,000 KIU
01440053080INJ DESMOPRESSIN ACETATE
01441053053INTRAOCULAR FOMIVIRSEN NA
01442053080NON-HEU TC-99M ADD-ON/DOSE
01443053080ICATIBANT INJECTION
01444053053ORAL EVEROLIMUS
01445053057METHYLNALTREXONE INJECTION
01446053053VISUALIZATION ADJUNCT
01446058080VISUALIZATION ADJUNCT
01447053053INTERFERON ALFACON-1 INJ
01448053061OPTHALMIC MITOMYCIN
01449053061TALYMED
01452053053MEMODERM/DERMA/TRANZ/INTEGUP
01453053053HMATRIX
01454054057MUMPS VACCINE SC
01455054057FOSCARNET SODIUM INJECTION
01456054061PENTOBARBITAL SODIUM INJ
01457054069TOTAZOLINE HCL INJECTION
01458054080PHENTOLAINE MESYLATE INJ
01459054061UREA INJECTION
01460054069INTERFERON ALFA-2A INJ
01461053053MEDISKIN
01462053053EZDERM
01463053053TC 99M TILMANOCEPT
01463054061TC99 TILMANOCEPT DIAG 0.5MCI
01464054069FACTOR VIII (PORCINE)
01465054061TACROLIMUS EX REL ORAL 0.1MG
01465062065TACROL ASTAGRAF EX REL ORAL
01466054080INJ, VINCRISTINE SUL LIP 1MG
01467054057FACTOR IX RECOMBINANT
01467058080FACTOR IX RECOMBINAN RIXUBIS
01468054080INJ ARIPIPRAZOLE EXT REL 1MG
01469054061INJ, FILGRASTIM G-CSF 1MCG
01469062080INJ FILGRASTIM EXCL BIOSIMIL
01471054080INJECTION, PERTUZUMAB, 1 MG
01472054080INJ BETA INTERFERON IM 1 MCG
01473054057INTERFERON ALFA-N3 INJ
01474054080CERTOLIZUMAB PEGOL INJ 1MG
01475054080GOLIMUMAB FOR IV USE 1MG
01476055057INJECTION, OBINUTUZUMAB
01476058080OBINUTUZUMAB INJ
01477054061INJ, TBO-FILGRASTIM, 5 MCG
01478054073HUMAN FIBRINOGEN CONC INJ
01478074080INJ HUMAN FIBRINOGEN CON NOS
01479055065THERASKIN
01480056057INJECTION, ELOSULFASE ALFA
01480058080ELOSULFASE ALFA, INJECTION
01481056057FACTOR XIII A-SUBUNIT RECOMB
01482058080DARBEPOETIN ALFA, ESRD USE
01484058073PENTAZOCINE INJECTION
01485058080FERUMOXYTOL, ESRD USE
01486057057FACTOR IX (ALPROLIX)
01486058080FACTOR IX FC FUSION RECOMB
01487057057INJ TESTOSTERONE UNDECANOATE
01487058065TESTOSTERONE UNDECANOATE 1MG
01488057080INJECTION, RAMUCIRUMAB
01489057080INJECTION, VEDOLIZUMAB
01490058061INJECTION, PEMBROLIZUMAB
01490062080INJ PEMBROLIZUMAB
01491053059NEW TECHNOLOGY  - LEVEL IA ($0-$10)
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01526053061NEW TECHNOLOGY - LEVEL XXVI ($4000-$4500)
01526062065NEW TECHNOLOGY - LEVEL 26 ($4000-$4500)
01526066080NEW TECHNOLOGY - LEVEL 26 ($4001-$4500)
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01527062065NEW TECHNOLOGY - LEVEL 27 ($4500-$5000)
01527066080NEW TECHNOLOGY - LEVEL 27 ($4501-$5000)
01528053061NEW TECHNOLOGY - LEVEL XXVIII ($5000-$5500)
01528062065NEW TECHNOLOGY - LEVEL 28 ($5000-$5500)
01528066080NEW TECHNOLOGY - LEVEL 28 ($5001-$5500)
01529053061NEW TECHNOLOGY - LEVEL XXIX ($5500-$6000)
01529062065NEW TECHNOLOGY - LEVEL 29 ($5500-$6000)
01529066080NEW TECHNOLOGY - LEVEL 29 ($5501-$6000)
01530053061NEW TECHNOLOGY - LEVEL XXX ($6000-$6500)
01530062065NEW TECHNOLOGY - LEVEL 30 ($6000-$6500)
01530066080NEW TECHNOLOGY - LEVEL 30 ($6001-$6500)
01531053061NEW TECHNOLOGY - LEVEL XXXI ($6500-$7000)
01531062065NEW TECHNOLOGY - LEVEL 31 ($6500-$7000)
01531066080NEW TECHNOLOGY - LEVEL 31 ($6501-$7000)
01532053061NEW TECHNOLOGY - LEVEL XXXII ($7000-$7500)
01532062065NEW TECHNOLOGY - LEVEL 32 ($7000-$7500)
01532066080NEW TECHNOLOGY - LEVEL 32 ($7001-$7500)
01533053061NEW TECHNOLOGY - LEVEL XXXIII ($7500-$8000)
01533062065NEW TECHNOLOGY - LEVEL 33 ($7500-$8000)
01533066080NEW TECHNOLOGY - LEVEL 33 ($7501-$8000)
01534053061NEW TECHNOLOGY - LEVEL XXXIV ($8000-$8500)
01534062065NEW TECHNOLOGY - LEVEL 34 ($8000-$8500)
01534066080NEW TECHNOLOGY - LEVEL 34 ($8001-$8500)
01535053061NEW TECHNOLOGY - LEVEL XXXV ($8500-$9000)
01535062065NEW TECHNOLOGY - LEVEL 35 ($8500-$9000)
01535066080NEW TECHNOLOGY - LEVEL 35 ($8501-$9000)
01536053061NEW TECHNOLOGY - LEVEL XXXVI ($9000-$9500)
01536062065NEW TECHNOLOGY - LEVEL 36 ($9000-$9500)
01536066080NEW TECHNOLOGY - LEVEL 36 ($9001-$9500)
01537053061NEW TECHNOLOGY - LEVEL XXXVII ($9500-$10000)
01537062065NEW TECHNOLOGY - LEVEL 37 ($9500-$10000)
01537066080NEW TECHNOLOGY - LEVEL 37 ($9501-$10000)
01539053061NEW TECHNOLOGY - LEVEL II   ($50 - $100)
01539062065NEW TECHNOLOGY - LEVEL 2 ($50 - $100)
01539066080NEW TECHNOLOGY - LEVEL 2 ($51 - $100)
01540053061NEW TECHNOLOGY - LEVEL III   ($100 - $200)
01540062065NEW TECHNOLOGY - LEVEL 3 ($100 - $200)
01540066080NEW TECHNOLOGY - LEVEL 3 ($101 - $200)
01541053061NEW TECHNOLOGY - LEVEL IV  ($200 - $300)
01541062065NEW TECHNOLOGY - LEVEL 4 ($200 - $300)
01541066080NEW TECHNOLOGY - LEVEL 4 ($201 - $300)
01542053061NEW TECHNOLOGY - LEVEL V   ($300 - $400)
01542062065NEW TECHNOLOGY - LEVEL 5 ($300 - $400)
01542066080NEW TECHNOLOGY - LEVEL 5 ($301 - $400)
01543053061NEW TECHNOLOGY - LEVEL VI  ($400 - $500)
01543062065NEW TECHNOLOGY - LEVEL 6 ($400 - $500)
01543066080NEW TECHNOLOGY - LEVEL 6 ($401 - $500)
01544053061NEW TECHNOLOGY - LEVEL VII  ($500 - $600)
01544062065NEW TECHNOLOGY - LEVEL 7 ($500 - $600)
01544066080NEW TECHNOLOGY - LEVEL 7 ($501 - $600)
01545053061NEW TECHNOLOGY - LEVEL VIII ($600 - $700)
01545062065NEW TECHNOLOGY - LEVEL 8 ($600 - $700)
01545066080NEW TECHNOLOGY - LEVEL 8 ($601 - $700)
01546053061NEW TECHNOLOGY - LEVEL IX   ($700 - $800)
01546062065NEW TECHNOLOGY - LEVEL 9 ($700 - $800)
01546066080NEW TECHNOLOGY - LEVEL 9 ($701 - $800)
01547053061NEW TECHNOLOGY - LEVEL X    ($800 - $900)
01547062065NEW TECHNOLOGY - LEVEL 10 ($800 - $900)
01547066080NEW TECHNOLOGY - LEVEL 10 ($801 - $900)
01548053061NEW TECHNOLOGY - LEVEL XI   ($900 - $1000)
01548062065NEW TECHNOLOGY - LEVEL 11 ($900 - $1000)
01548066080NEW TECHNOLOGY - LEVEL 11 ($901 - $1000)
01549053061NEW TECHNOLOGY - LEVEL XII  ($1000 - $1100)
01549062065NEW TECHNOLOGY - LEVEL 12 ($1000 - $1100)
01549066080NEW TECHNOLOGY - LEVEL 12 ($1001 - $1100)
01550053061NEW TECHNOLOGY - LEVEL XIII  ($1100 - $1200)
01550062065NEW TECHNOLOGY - LEVEL 13 ($1100 - $1200)
01550066080NEW TECHNOLOGY - LEVEL 13 ($1101 - $1200)
01551053061NEW TECHNOLOGY - LEVEL XIV ($1200- $1300)
01551062065NEW TECHNOLOGY - LEVEL 14 ($1200- $1300)
01551066080NEW TECHNOLOGY - LEVEL 14 ($1201- $1300)
01552053061NEW TECHNOLOGY - LEVEL XV ($1300 - $1400)
01552062065NEW TECHNOLOGY - LEVEL 15 ($1300 - $1400)
01552066080NEW TECHNOLOGY - LEVEL 15 ($1301 - $1400)
01553053061NEW TECHNOLOGY - LEVEL XVI  ($1400 - $1500)
01553062065NEW TECHNOLOGY - LEVEL 16 ($1400 - $1500)
01553066080NEW TECHNOLOGY - LEVEL 16 ($1401 - $1500)
01554053061NEW TECHNOLOGY - LEVEL XVII ($1500-$1600)
01554062065NEW TECHNOLOGY - LEVEL 17 ($1500-$1600)
01554066080NEW TECHNOLOGY - LEVEL 17 ($1501-$1600)
01555053061NEW TECHNOLOGY - LEVEL XVIII ($1600-$1700)
01555062065NEW TECHNOLOGY - LEVEL 18 ($1600-$1700)
01555066080NEW TECHNOLOGY - LEVEL 18 ($1601-$1700)
01556053061NEW TECHNOLOGY - LEVEL XIX ($1700-$1800)
01556062065NEW TECHNOLOGY - LEVEL 19 ($1700-$1800)
01556066080NEW TECHNOLOGY - LEVEL 19 ($1701-$1800)
01557053061NEW TECHNOLOGY - LEVEL XX ($1800-$1900)
01557062065NEW TECHNOLOGY - LEVEL 20 ($1800-$1900)
01557066080NEW TECHNOLOGY - LEVEL 20 ($1801-$1900)
01558053061NEW TECHNOLOGY - LEVEL XXI ($1900-$2000)
01558062065NEW TECHNOLOGY - LEVEL 21 ($1900-$2000)
01558066080NEW TECHNOLOGY - LEVEL 21 ($1901-$2000)
01559053061NEW TECHNOLOGY - LEVEL XXII ($2000-$2500)
01559062065NEW TECHNOLOGY - LEVEL 22 ($2000-$2500)
01559066080NEW TECHNOLOGY - LEVEL 22 ($2001-$2500)
01560053061NEW TECHNOLOGY - LEVEL XXIII ($2500-$3000)
01560062065NEW TECHNOLOGY - LEVEL 23 ($2500-$3000)
01560066080NEW TECHNOLOGY - LEVEL 23 ($2501-$3000)
01561053061NEW TECHNOLOGY - LEVEL XXIV ($3000-$3500)
01561062065NEW TECHNOLOGY - LEVEL 24 ($3000-$3500)
01561066080NEW TECHNOLOGY - LEVEL 24 ($3001-$3500)
01562053061NEW TECHNOLOGY - LEVEL XXV ($3500-$4000)
01562062065NEW TECHNOLOGY - LEVEL 25 ($3500-$4000)
01562066080NEW TECHNOLOGY - LEVEL 25 ($3501-$4000)
01563053061NEW TECHNOLOGY - LEVEL XXVI ($4000-$4500)
01563062065NEW TECHNOLOGY - LEVEL 26 ($4000-$4500)
01563066080NEW TECHNOLOGY - LEVEL 26 ($4001-$4500)
01564053061NEW TECHNOLOGY - LEVEL XXVII ($4500-$5000)
01564062065NEW TECHNOLOGY - LEVEL 27 ($4500-$5000)
01564066080NEW TECHNOLOGY - LEVEL 27 ($4501-$5000)
01565053061NEW TECHNOLOGY - LEVEL XXVIII ($5000-$5500)
01565062065NEW TECHNOLOGY - LEVEL 28 ($5000-$5500)
01565066080NEW TECHNOLOGY - LEVEL 28 ($5001-$5500)
01566053061NEW TECHNOLOGY - LEVEL XXIX ($5500-$6000)
01566062065NEW TECHNOLOGY - LEVEL 29 ($5500-$6000)
01566066080NEW TECHNOLOGY - LEVEL 29 ($5501-$6000)
01567053061NEW TECHNOLOGY - LEVEL XXX ($6000-$6500)
01567062065NEW TECHNOLOGY - LEVEL 30 ($6000-$6500)
01567066080NEW TECHNOLOGY - LEVEL 30 ($6001-$6500)
01568053061NEW TECHNOLOGY - LEVEL XXXI ($6500-$7000)
01568062065NEW TECHNOLOGY - LEVEL 31 ($6500-$7000)
01568066080NEW TECHNOLOGY - LEVEL 31 ($6501-$7000)
01569053061NEW TECHNOLOGY - LEVEL XXXII ($7000-$7500)
01569062065NEW TECHNOLOGY - LEVEL 32 ($7000-$7500)
01569066080NEW TECHNOLOGY - LEVEL 32 ($7001-$7500)
01570053061NEW TECHNOLOGY - LEVEL XXXIII ($7500-$8000)
01570062065NEW TECHNOLOGY - LEVEL 33 ($7500-$8000)
01570066080NEW TECHNOLOGY - LEVEL 33 ($7501-$8000)
01571053061NEW TECHNOLOGY - LEVEL XXXIV ($8000-$8500)
01571062065NEW TECHNOLOGY - LEVEL 34 ($8000-$8500)
01571066080NEW TECHNOLOGY - LEVEL 34 ($8001-$8500)
01572053061NEW TECHNOLOGY - LEVEL XXXV ($8500-$9000)
01572062065NEW TECHNOLOGY - LEVEL 35 ($8500-$9000)
01572066080NEW TECHNOLOGY - LEVEL 35 ($8501-$9000)
01573053061NEW TECHNOLOGY - LEVEL XXXVI ($9000-$9500)
01573062065NEW TECHNOLOGY - LEVEL 36 ($9000-$9500)
01573066080NEW TECHNOLOGY - LEVEL 36 ($9001-$9500)
01574053061NEW TECHNOLOGY - LEVEL XXXVII ($9500-$10000)
01574062065NEW TECHNOLOGY - LEVEL 37 ($9500-$10000)
01574066080NEW TECHNOLOGY - LEVEL 37 ($9501-$10000)
01575062065NEW TECHNOLOGY - LEVEL 38 ($10,000-$15,000)
01575066080NEW TECHNOLOGY - LEVEL 38 ($10,001-$15,000)
01576062065NEW TECHNOLOGY - LEVEL 39 ($15,000-$20,000)
01576066080NEW TECHNOLOGY - LEVEL 39 ($15,001-$20,000)
01577062065NEW TECHNOLOGY - LEVEL 40 ($20,000-$25,000)
01577066080NEW TECHNOLOGY - LEVEL 40 ($20,001-$25,000)
01578062065NEW TECHNOLOGY - LEVEL 41 ($25,000-$30,000)
01578066080NEW TECHNOLOGY - LEVEL 41 ($25,001-$30,000)
01579062065NEW TECHNOLOGY - LEVEL 42 ($30,000-$40,000)
01579066080NEW TECHNOLOGY - LEVEL 42 ($30,001-$40,000)
01580062065NEW TECHNOLOGY - LEVEL 43 ($40,000-$50,000)
01580066080NEW TECHNOLOGY - LEVEL 43 ($40,001-$50,000)
01581062065NEW TECHNOLOGY - LEVEL 44 ($50,000-$60,000)
01581066080NEW TECHNOLOGY - LEVEL 44 ($50,001-$60,000)
01582062065NEW TECHNOLOGY - LEVEL 45 ($60,000-$70,000)
01582066080NEW TECHNOLOGY - LEVEL 45 ($60,001-$70,000)
01583062065NEW TECHNOLOGY - LEVEL 46 ($70,000-$80,000)
01583066080NEW TECHNOLOGY - LEVEL 46 ($70,001-$80,000)
01584062065NEW TECHNOLOGY - LEVEL 47 ($80,000-$90,000)
01584066080NEW TECHNOLOGY - LEVEL 47 ($80,001-$90,000)
01585062065NEW TECHNOLOGY - LEVEL 48 ($90,000-$100,000)
01585066080NEW TECHNOLOGY - LEVEL 48 ($90,001-$100,000)
01589062065NEW TECHNOLOGY - LEVEL 38 ($10,000-$15,000)
01589066080NEW TECHNOLOGY - LEVEL 38 ($10,001-$15,000)
01590062065NEW TECHNOLOGY - LEVEL 39 ($15,000-$20,000)
01590066080NEW TECHNOLOGY - LEVEL 39 ($15,001-$20,000)
01591062065NEW TECHNOLOGY - LEVEL 40 ($20,000-$25,000)
01591066080NEW TECHNOLOGY - LEVEL 40 ($20,001-$25,000)
01592062065NEW TECHNOLOGY - LEVEL 41 ($25,000-$30,000)
01592066080NEW TECHNOLOGY - LEVEL 41 ($25,001-$30,000)
01593062065NEW TECHNOLOGY - LEVEL 42 ($30,000-$40,000)
01593066080NEW TECHNOLOGY - LEVEL 42 ($30,001-$40,000)
01594062065NEW TECHNOLOGY - LEVEL 43 ($40,000-$50,000)
01594066080NEW TECHNOLOGY - LEVEL 43 ($40,001-$50,000)
01595062065NEW TECHNOLOGY - LEVEL 44 ($50,000-$60,000)
01595066080NEW TECHNOLOGY - LEVEL 44 ($50,001-$60,000)
01596062065NEW TECHNOLOGY - LEVEL 45 ($60,000-$70,000)
01596066080NEW TECHNOLOGY - LEVEL 45 ($60,001-$70,000)
01597062065NEW TECHNOLOGY - LEVEL 46 ($70,000-$80,000)
01597066080NEW TECHNOLOGY - LEVEL 46 ($70,001-$80,000)
01598062065NEW TECHNOLOGY - LEVEL 47 ($80,000-$90,000)
01598066080NEW TECHNOLOGY - LEVEL 47 ($80,001-$90,000)
01599062065NEW TECHNOLOGY - LEVEL 48 ($90,000-$100,000)
01599066080NEW TECHNOLOGY - LEVEL 48 ($90,001-$100,000)
01605053061ABCIXIMAB INJECTION
01605066069ABCIXIMAB INJECTION
01607053080EPTIFIBATIDE INJECTION
01608053080ETANERCEPT INJECTION
01609053080RHO(D) IMMUNE GLOBULIN H, SD
01612053069DACLIZUMAB, PARENTERAL
01613053080TRASTUZUMAB INJECTION
01630053080HEP B IG, IM
01631053073BACLOFEN INTRATHECAL TRIAL
01633053069ALEFACEPT
01643053080Y90 IBRITUMOMAB, RX
01645053054I131 TOSITUMOMAB, RX
01656058058FACTOR VIII (ELOCTATE)
01656059061FACTOR VIII FC FUSION RECOMB
01656062080FACTOR VIII FC FUSION RECOMB
01657058058FORTADERM, FORTADERM ANTIMIC
01657059059FORTADERM, FORTADERM ANTIMIC
01657060061PURAPLY, PURAPLY ANTIMIC
01657062065PURAPLY, PURAPLY ANTIMIC
01657066069PURAPLY OR PURAPLY AM
01658058061INJECTION, BELINOSTAT
01658062080INJECTION, BELINOSTAT, 10MG
01659058061INJECTION, DALBAVANCIN
01660058080INJECTION, ORITAVANCIN
01661062069GEN, NEURO, HF, RECHG BAT
01662058061INJ, TEDIZOLID PHOSPHATE
01662062080INJ TEDIZOLID PHOSPHATE
01663058069INJ, PHENYLEPHRINE KETOROLAC
01664058069FLORBETAPIR F18
01665058065CAPSAICIN 8% PATCH
01666058069TETRACYCLIN INJECTION
01667058061ALATROFLOXACIN MESYLATE
01668058065CHORIONIC GONADOTROPIN/1000U
01669058077ERYTHRO LACTOBIONATE /500 MG
01670053080TETANUS IMMUNE GLOBULIN INJ
01675053080P32 NA PHOSPHATE
01676053069P32 CHROMIC PHOSPHATE
01683053080BASILIXIMAB
01684053080CORTICORELIN OVINE TRIFLUTAL
01685053080DARBEPOETIN ALFA, NON-ESRD
01686053080EPOETIN ALFA, NON-ESRD
01687053080DIGOXIN IMMUNE FAB (OVINE)
01688053080ETHANOLAMINE OLEATE
01689053080FOMEPIZOLE
01690053080HEMIN
01693053069LEPIRUDIN
01694053080ZICONOTIDE INJECTION
01695053080NESIRITIDE INJECTION
01696053080PALIFERMIN INJECTION
01697053073PEGAPTANIB SODIUM INJECTION
01700053080INJ SECRETIN SYNTHETIC HUMAN
01701053080TREPROSTINIL INJECTION
01704053080HUMATE-P, INJ
01705053080FACTOR VIIA
01709053080AZACITIDINE INJECTION
01710053080CLOFARABINE INJECTION
01711053080VANTAS IMPLANT
01712053080PACLITAXEL PROTEIN BOUND
01716053061BRACHYTX, NON-STR, GOLD-198
01717053061BRACHYTX, NON-STR, HDR IR-192
01719053061BRACHYTX, NS, NON-HDRIR-192
01738053069OXALIPLATIN
01739053080PEGADEMASE BOVINE, 25 IU
01741053069UROFOLLITROPIN, 75 IU
01742058061GOLD SODIUM THIOMALEATE INJ
01743058077NANDROLONE DECANOATE 50 MG
01744058061ZIDOVUDINE
01745058058RADIUM RA223 DICHLORIDE THER
01745059080RADIUM RA223 DICHLORIDE THER
01746058058FACTOR XIII RECOMB A-SUBUNIT
01746059080FACTOR XIII RECOMB A-SUBUNIT
01747058080MONOVISC INJ PER DOSE
01748062080INJ TBO FILGRASTIM 1 MICROG
01761064080ROLAPITANT, ORAL, 1MG
01807058065MENB PR W/OMV VACCINE IM
01808057065MENB RLP VACCINE IM
01809061061INJECTION, ALEMTUZUMAB
01809062080INJECTION, ALEMTUZUMAB
01822060061INJ FILGRASTIM G-CSF BIOSIM
01822062070INJ FILGRASTIM GCSF BIOSIMIL
01822071080INJECTION, ZARXIO
01823062080INJECTION, DALBAVANCIN
01824062080CEFTAROLINE FOSAMIL INJ
01825062080CEFTAZIDIME AND AVIBACTAM
01826062080HYQVIA 100MG IMMUNEGLOBULIN
01827062080FACTOR VIII RECOMB OBIZUR
01828062065CARBIDOPA LEVODOPA ENTERAL
01828066073CARBIDOPA LEVODOPA ENT 100ML
01829062080PENICILLIN G BENZATHINE INJ
01830053053POWER BONE MARROW BX NEEDLE
01831062065CHLORAMPHENICOL SODIUM INJEC
01832062080DIMETHYL SULFOXIDE 50% 50 ML
01833062065EPOETIN BETA ESRD USE
01834062065DIGOXIN INJECTION
01835062065ERGONOVINE MALEATE INJECTION
01836062069PENICILLIN G PROCAINE INJ
01837062065METHOCARBAMOL INJECTION
01838062069UROKINASE 250,000 IU INJ
01839062069ORAL BUSULFAN
01840053053TELESCOPIC INTRAOCULAR LENS
01841053061RETINAL PROSTH INT/EXT COMP
01842062069LEUPROLIDE ACETATE IMPLANT
01843062065MENACWY VACCINE IM
01844063065ADYNOVATE FACTOR VIII RECOM
01844066080FACTOR VIII PEGYLATED RECOMB
01845063073TACROL ENVARSUS EX REL ORAL
01846063065NUWIQ FACTOR VIII RECOMB
01846066080FACTOR VIII NUWIQ RECOMB 1IU
01847063063INJ., INFLIXIMAB BIOSIMILAR
01847066070INJ., INFLIXIMAB BIOSIMILAR
01847071080INJECTION, INFLECTRA
01848066080ARTISS FIBRIN SEALANT
01849066080FOSCARNET SODIUM INJECTION
01850066080GAMMA GLOBULIN 1 CC INJ
01851066080GAMMA GLOBULIN > 10 CC INJ
01852066080INTERFERON BETA-1A INJ
01853066080MINOCYCLINE HYDROCHLORIDE
01854066080PENTOBARBITAL SODIUM INJ
01855066069PRALIDOXIME CHLORIDE INJ
01856066080FACTOR VIII RECOMB NOVOEIGHT
01857066080INJ, FACTOR X, (HUMAN), 1IU
01858066073LEUPROLIDE ACETATE INJECITON
01859066080ARGATROBAN NONESRD USE 1MG
01860066073MONOCLONAL ANTIBODIES
01861066080INJ., BENDEKA 1 MG
01862067069GEL-SYN INJECTION 0.1 MG
01862070080GELSYN-3 INJECTION 0.1 MG
01863066073INJ DICLOFENAC SODIUM 0.5MG
01886053053CATHETER, ABLATION
01901066069NEW TECHNOLOGY - LEVEL 49 ($100,001-$120,000)
01901070080NEW TECHNOLOGY - LEVEL 49 ($100,001-$115,000)
01902066069NEW TECHNOLOGY - LEVEL 49 ($100,001-$120,000)
01902070080NEW TECHNOLOGY - LEVEL 49 ($100,001-$115,000)
01903066069NEW TECHNOLOGY - LEVEL 50 ($120,001-$140,000)
01903070080NEW TECHNOLOGY - LEVEL 50 ($115,001-$130,000)
01904066069NEW TECHNOLOGY - LEVEL 50 ($120,001-$140,000)
01904070080NEW TECHNOLOGY - LEVEL 50 ($115,001-$130,000)
01905066069NEW TECHNOLOGY - LEVEL 51 ($140,001-$160,000)
01905070080NEW TECHNOLOGY - LEVEL 51 ($130,001-$145,000)
01906066069NEW TECHNOLOGY - LEVEL 51 ($140,001-$160,000)
01906070080NEW TECHNOLOGY - LEVEL 51 ($130,001-$145,000)
01907070080NEW TECHNOLOGY - LEVEL 52 ($145,001-$160,000)
01908070080NEW TECHNOLOGY - LEVEL 52 ($145,001-$160,000)
02024078080GENERATOR, CCM, IMPLANT
02025078080CATH, PRESSURE,VALVE-OCCLU
02026078080ORTH/DEVIC/DRUG BN/BN,TIS/BN
02027078080PROBE, ROBOTIC, WATER-JET
02028078080IRIS PROSTHESIS
02029080080ENDOSCOPE, SINGLE, UGI
02210053053METHYLDOPATE HCL INJECTION
02613060069LUNG BX PLUG W/DEL SYS
02616053080BRACHYTX, NON-STR,YTTRIUM-90
02623059069CATH, TRANSLUMIN, DRUG-COAT
02624058065WIRELESS PRESSURE SENSOR
02632053080IODINE I-125 SODIUM IODIDE
02634053080BRACHYTX, NON-STR, HA, I-125
02635053080BRACHYTX, NON-STR, HA, P-103
02636053080BRACHY LINEAR, NON-STR,P-103
02638053080BRACHYTX, STRANDED, I-125
02639053080BRACHYTX, NON-STRANDED,I-125
02640053080BRACHYTX, STRANDED, P-103
02641053080BRACHYTX, NON-STRANDED,P-103
02642053080BRACHYTX, STRANDED, C-131
02643053080BRACHYTX, NON-STRANDED,C-131
02644056065BRACHYTX CESIUM-131 CHLORIDE
02644070073BRACHYTX CESIUM-131 CHLORIDE
02645062080BRACHYTX, NON-STR, GOLD-198
02646062080BRACHYTX, NON-STR, HDR IR-192
02647062080BRACHYTX, NS, NON-HDRIR-192
02648062080BRACHYTX PLANAR, P-103
02698053080BRACHYTX, STRANDED, NOS
02699053080BRACHYTX, NON-STRANDED, NOS
02731053080IMMUNE GLOBULIN, POWDER
02770053080QUINUPRISTIN/DALFOPRISTIN
02993074080GEN, NEURO, TRANS SEN/STIM
03041053061BIVALIRUDIN
03041066069BIVALIRUDIN
03043053057GAMMA GLOBULIN 1 CC INJ
03050053053SERMORELIN ACETATE INJECTION
04001066080ECHO GUIDANCE RADIOTHERAPY
04002066080STEREOSCOPIC X-RAY GUIDANCE
04003066080RADIATION TREATMENT DELIVERY, MEV <= 5; SIMPLE
04004066080RADIATION TREATMENT DELIVERY, 6-10 MEV; SIMPLE
04005066080RADIATION TREATMENT DELIVERY, 11-19 MEV; SIMPLE
04006066080RADIATION TREATMENT DELIVERY, MEV>=20; SIMPLE
04007066080RADIATION TREATMENT DELIVERY, MEV<=5; INTERMEDIATE
04008066080RADIATION TREATMENT DELIVERY, 6-10 MEV; INTERMEDIATE
04009066080RADIATION TREATMENT DELIVERY, 11-19 MEV; INTERMEDIATE
04010066080RADIATION TREATMENT DELIVERY, MEV >=20; INTERMEDIATE
04011066080RADIATION TREATMENT DELIVERY, MEV<=5; COMPLEX
04012066080RADIATION TREATMENT DELIVERY, 6-10 MEV; COMPLEX
04013066080RADIATION TREATMENT DELIVERY, 11-19 MEV; COMPLEX
04014066080RADIATION TREATMENT DELIVERY, MEV >=20; COMPLEX
04015070080RADIATION TX DELIVERY IMRT
04016070080DELIVERY COMP IMRT
05011062065LEVEL 1 EXAMINATIONS AND RELATED SERVICES
05012062065LEVEL 2 EXAMINATIONS AND RELATED SERVICES
05012066080CLINIC VISITS AND RELATED SERVICES
05013062065LEVEL 3 EXAMINATIONS AND RELATED SERVICES
05021062080LEVEL 1 TYPE A ED VISITS
05022062080LEVEL 2 TYPE A ED VISITS
05023062080LEVEL 3 TYPE A ED VISITS
05024062080LEVEL 4 TYPE A ED VISITS
05025062080LEVEL 5 TYPE A ED VISITS
05031062080LEVEL 1 TYPE B ED VISITS
05032062080LEVEL 2 TYPE B ED VISITS
05033062080LEVEL 3 TYPE B ED VISITS
05034062080LEVEL 4 TYPE B ED VISITS
05035062080LEVEL 5 TYPE B ED VISITS
05041062080CRITICAL CARE
05045062080TRAUMA RESPONSE WITH CRITICAL CARE
05051062080LEVEL 1 SKIN PROCEDURES
05052062080LEVEL 2 SKIN PROCEDURES
05053062080LEVEL 3 SKIN PROCEDURES
05054062080LEVEL 4 SKIN PROCEDURES
05055062080LEVEL 5 SKIN PROCEDURES
05061062080HYPERBARIC OXYGEN
05071062080LEVEL 1 EXCISION/ BIOPSY/ INCISION AND DRAINAGE
05072062080LEVEL 2 EXCISION/ BIOPSY/ INCISION AND DRAINAGE
05073062080LEVEL 3 EXCISION/ BIOPSY/ INCISION AND DRAINAGE
05074062065LEVEL 4 EXCISION/ BIOPSY/ INCISION AND DRAINAGE
05091062080LEVEL 1 BREAST/LYMPHATIC SURGERY AND RELATED PROCEDURES
05092062080LEVEL 2 BREAST/LYMPHATIC SURGERY AND RELATED PROCEDURES
05093062080LEVEL 3 BREAST/LYMPHATIC SURGERY AND RELATED PROCEDURES
05094066080LEVEL 4 BREAST/LYMPHATIC SURGERY AND RELATED PROCEDURES
05101062080LEVEL 1 STRAPPING AND CAST APPLICATION
05102062080LEVEL 2 STRAPPING AND CAST APPLICATION
05111062065LEVEL 1 CLOSED TREATMENT FRACTURE AND RELATED SERVICES
05111066080LEVEL 1 MUSCULOSKELETAL PROCEDURES
05112062065LEVEL 2 CLOSED TREATMENT FRACTURE AND RELATED SERVICES
05112066080LEVEL 2 MUSCULOSKELETAL PROCEDURES
05113062065LEVEL 3 CLOSED TREATMENT FRACTURE AND RELATED SERVICES
05113066080LEVEL 3 MUSCULOSKELETAL PROCEDURES
05114066080LEVEL 4 MUSCULOSKELETAL PROCEDURES
05115066080LEVEL 5 MUSCULOSKELETAL PROCEDURES
05116066080LEVEL 6 MUSCULOSKELETAL PROCEDURES
05121062065LEVEL1 MUSCULOSKELETAL PROCEDURES
05122062065LEVEL 2 MUSCULOSKELETAL PROCEDURES
05123062065LEVEL 3 MUSCULOSKELETAL PROCEDURES
05124062065LEVEL 4 MUSCULOSKELETAL PROCEDURES
05125062065LEVEL 5 MUSCULOSKELETAL PROCEDURES
05141062065THORACOSCOPY
05151062080LEVEL 1 AIRWAY ENDOSCOPY
05152062080LEVEL 2 AIRWAY ENDOSCOPY
05153062080LEVEL 3 AIRWAY ENDOSCOPY
05154062080LEVEL 4 AIRWAY ENDOSCOPY
05155062080LEVEL 5 AIRWAY ENDOSCOPY
05161062080LEVEL 1 ENT PROCEDURES
05162062080LEVEL 2 ENT PROCEDURES
05163062080LEVEL 3 ENT PROCEDURES
05164062080LEVEL 4 ENT PROCEDURES
05165062080LEVEL 5 ENT PROCEDURES
05166062065LEVEL 6 ENT PROCEDURES
05166066080COCHLEAR IMPLANT PROCEDURE
05181062080LEVEL 1 VASCULAR PROCEDURES
05182062080LEVEL 2 VASCULAR PROCEDURES
05183062080LEVEL 3 VASCULAR PROCEDURES
05184070080LEVEL 4 VASCULAR PROCEDURES
05188062065DIAGNOSTIC CARDIAC CATHETERIZATION
05191062080LEVEL 1 ENDOVASCULAR PROCEDURES
05192062080LEVEL 2 ENDOVASCULAR PROCEDURES
05193062080LEVEL 3 ENDOVASCULAR PROCEDURES
05194066080LEVEL 4 ENDOVASCULAR PROCEDURES
05200066080IMPLANTATION WIRELESS PA PRESSURE MONITOR
05211062080LEVEL 1 ELECTROPHYSIOLOGIC PROCEDURES
05212062080LEVEL 2 ELECTROPHYSIOLOGIC PROCEDURES
05213062080LEVEL 3 ELECTROPHYSIOLOGIC PROCEDURES
05221062080LEVEL1 PACEMAKER AND SIMILAR PROCEDURES
05222062080LEVEL 2 PACEMAKER AND SIMILAR PROCEDURES
05223062080LEVEL 3 PACEMAKER AND SIMILAR PROCEDURES
05224062080LEVEL 4 PACEMAKER AND SIMILAR PROCEDURES
05231062080LEVEL 1 ICD AND SIMILAR PROCEDURES
05232062080LEVEL 2 ICD AND SIMILAR PROCEDURES
05241062065TRANSFUSION
05241066080LEVEL 1 BLOOD PRODUCT EXCHANGE AND RELATED SERVICES
05242066080LEVEL 2 BLOOD PRODUCT EXCHANGE AND RELATED SERVICES
05243066080LEVEL 3 BLOOD PRODUCT EXCHANGE AND RELATED SERVICES
05244066080LEVEL 4 BLOOD PRODUCT EXCHANGE AND RELATED SERVICES
05271062065BLOOD PRODUCT EXCHANGE AND RELATED SERVICES
05281062065APHERESIS/STEM CELL AND RELATED SERVICES
05291062065THROMBOLYSIS AND OTHER DEVICE REVISIONS
05301062080LEVEL 1 UPPER GI PROCEDURES
05302062080LEVEL 2 UPPER GI PROCEDURES
05303062080LEVEL 3 UPPER GI PROCEDURES
05311062080LEVEL 1 LOWER GI PROCEDURES
05312062080LEVEL 2 LOWER GI PROCEDURES
05313062080LEVEL 3 LOWER GI PROCEDURES
05314062065LEVEL 4 LOWER GI PROCEDURES
05331062080COMPLEX GI PROCEDURES
05341062065PERITONEAL AND ABDOMINAL PROCEDURES
05341066080ABDOMINAL/PERITONEAL/BILIARY AND RELATED PROCEDURES
05351062065LEVEL 1 PERCUTANEOUS ABDOMINAL/BILIARY PROCEDURES AND RELATED PROCEDURES
05352062065LEVEL 2 PERCUTANEOUS ABDOMINAL/BILIARY PROCEDURES AND RELATED PROCEDURES
05361062065LEVEL 1 LAPAROSCOPY
05361066080LEVEL 1 LAPAROSCOPY AND RELATED SERVICES
05362062065LEVEL 2 LAPAROSCOPY
05362066080LEVEL 2 LAPAROSCOPY AND RELATED SERVICES
05371062080LEVEL 1 UROLOGY AND RELATED SERVICES
05372062080LEVEL 2 UROLOGY AND RELATED SERVICES
05373062080LEVEL 3 UROLOGY AND RELATED SERVICES
05374062080LEVEL 4 UROLOGY AND RELATED SERVICES
05375062080LEVEL 5 UROLOGY AND RELATED SERVICES
05376062080LEVEL 6 UROLOGY AND RELATED SERVICES
05377062080LEVEL 7 UROLOGY AND RELATED SERVICES
05391062065LEVEL 1 TUBE/CATHETER CHANGES/THORACENTESIS/LAVAGE
05392062065LEVEL 2 TUBE/CATHETER CHANGES/THORACENTESIS/LAVAGE
05401062080DIALYSIS
05411062080LEVEL 1 GYNECOLOGIC PROCEDURES
05412062080LEVEL 2 GYNECOLOGIC PROCEDURES
05413062080LEVEL 3 GYNECOLOGIC PROCEDURES
05414062080LEVEL 4 GYNECOLOGIC PROCEDURES
05415062080LEVEL 5 GYNECOLOGIC PROCEDURES
05416062080LEVEL 6 GYNECOLOGIC PROCEDURES
05431062080LEVEL 1 NERVE PROCEDURES
05432062080LEVEL 2 NERVE PROCEDURES
05441062080LEVEL 1 NERVE INJECTIONS
05442062080LEVEL 2 NERVE INJECTIONS
05443062080LEVEL 3 NERVE INJECTIONS
05461062080LEVEL 1 NEUROSTIMULATOR AND RELATED PROCEDURES
05462062080LEVEL 2 NEUROSTIMULATOR AND RELATED PROCEDURES
05463062080LEVEL 3 NEUROSTIMULATOR AND RELATED PROCEDURES
05464062080LEVEL 4 NEUROSTIMULATOR AND RELATED PROCEDURES
05471062080IMPLANTATION OF DRUG INFUSION DEVICE
05481062080LASER EYE PROCEDURES
05491062080LEVEL 1 INTRAOCULAR PROCEDURES
05492062080LEVEL 2 INTRAOCULAR PROCEDURES
05493062080LEVEL 3 INTRAOCULAR PROCEDURES
05494062080LEVEL 4 INTRAOCULAR PROCEDURES
05495066073LEVEL 5 INTRAOCULAR PROCEDURES
05495078080LEVEL 5 INTRAOCULAR PROCEDURES
05501062080LEVEL 1 EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
05502062080LEVEL 2 EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
05503062080LEVEL 3 EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
05504062080LEVEL 4 EXTRAOCULAR, REPAIR, AND PLASTIC EYE PROCEDURES
05521062065LEVEL 1 X-RAY AND RELATED SERVICES
05521066080LEVEL 1 IMAGING WITHOUT CONTRAST
05522062065LEVEL 2 X-RAY AND RELATED SERVICES
05522066080LEVEL 2 IMAGING WITHOUT CONTRAST
05523062065LEVEL 3 X-RAY AND RELATED SERVICES
05523066080LEVEL 3 IMAGING WITHOUT CONTRAST
05524062065LEVEL 4 X-RAY AND RELATED SERVICES
05524066080LEVEL 4 IMAGING WITHOUT CONTRAST
05525062065LEVEL 5 X-RAY AND RELATED SERVICES
05526062065LEVEL 6 X-RAY AND RELATED SERVICES
05531062065LEVEL 1 ULTRASOUND AND RELATED SERVICES
05532062065LEVEL 2 ULTRASOUND AND RELATED SERVICES
05533062065LEVEL 3 ULTRASOUND AND RELATED SERVICES
05534062065LEVEL 4 ULTRASOUND AND RELATED SERVICES
05561062065LEVEL 1 ECHOCARDIOGRAM WITH CONTRAST
05562062065LEVEL 2 ECHOCARDIOGRAM WITH CONTRAST
05570062065COMPUTED TOMOGRAPHY WITHOUT CONTRAST
05571062065LEVEL 1 COMPUTED TOMOGRAPHY WITH CONTRAST AND COMPUTED TOMOGRAPHY ANGIOGRAPHY
05571066080LEVEL 1 IMAGING WITH CONTRAST
05572062065LEVEL 2 COMPUTED TOMOGRAPHY WITH CONTRAST AND COMPUTED TOMOGRAPHY ANGIOGRAPHY
05572066080LEVEL 2 IMAGING WITH CONTRAST
05573066080LEVEL 3 IMAGING WITH CONTRAST
05581062065MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST
05582062065MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST
05591062080LEVEL 1 NUCLEAR MEDICINE AND RELATED SERVICES
05592062080LEVEL 2 NUCLEAR MEDICINE AND RELATED SERVICES
05593062080LEVEL 3 NUCLEAR MEDICINE AND RELATED SERVICES
05594062080LEVEL 4 NUCLEAR MEDICINE AND RELATED SERVICES
05611062080LEVEL 1 THERAPEUTIC RADIATION TREATMENT PREPARATION
05612062080LEVEL 2 THERAPEUTIC RADIATION TREATMENT PREPARATION
05613062080LEVEL 3 THERAPEUTIC RADIATION TREATMENT PREPARATION
05614062065LEVEL 4 THERAPEUTIC RADIATION TREATMENT PREPARATION
05621062080LEVEL 1 RADIATION THERAPY
05622062080LEVEL 2 RADIATION THERAPY
05623062080LEVEL 3 RADIATION THERAPY
05624062080LEVEL 4 RADIATION THERAPY
05625062080LEVEL 5 RADIATION THERAPY
05626062080LEVEL 6 RADIATION THERAPY
05627062080LEVEL 7 RADIATION THERAPY
05661062080THERAPEUTIC NUCLEAR MEDICINE
05671062080LEVEL 1 PATHOLOGY
05672062080LEVEL 2 PATHOLOGY
05673062080LEVEL 3 PATHOLOGY
05674062080LEVEL 4 PATHOLOGY
05681062065TRANSFUSION LABORATORY PROCEDURES
05691062080LEVEL 1 DRUG ADMINISTRATION
05692062080LEVEL 2 DRUG ADMINISTRATION
05693062080LEVEL 3 DRUG ADMINISTRATION
05694062080LEVEL 4 DRUG ADMINISTRATION
05695062065LEVEL 5 DRUG ADMINISTRATION
05701062065DOSIMETRIC DRUG ADMINISTRATION
05721062079LEVEL1 DIAGNOSTIC TESTS AND RELATED SERVICES
05721080080LEVEL 1 DIAGNOSTIC TESTS AND RELATED SERVICES
05722062080LEVEL 2 DIAGNOSTIC TESTS AND RELATED SERVICES
05723062080LEVEL 3 DIAGNOSTIC TESTS AND RELATED SERVICES
05724062080LEVEL 4 DIAGNOSTIC TESTS AND RELATED SERVICES
05731062080LEVEL 1 MINOR PROCEDURES
05732062080LEVEL 2 MINOR PROCEDURES
05733062080LEVEL 3 MINOR PROCEDURES
05734062080LEVEL 4 MINOR PROCEDURES
05735066080LEVEL 5 MINOR PROCEDURES
05741062080LEVEL 1 ELECTRONIC ANALYSIS OF DEVICES
05742062080LEVEL 2 ELECTRONIC ANALYSIS OF DEVICES
05743062080LEVEL 3 ELECTRONIC ANALYSIS OF DEVICES
05771062080CARDIAC REHABILITATION
05781062080RESUSCITATION AND CARDIOVERSION
05791062080PULMONARY TREATMENT
05801062080VENTILATION INITIATION AND MANAGEMENT
05811062080MANIPULATION THERAPY
05821062080LEVEL 1 HEALTH AND BEHAVIOR SERVICES
05822062080LEVEL 2 HEALTH AND BEHAVIOR SERVICES
05823066080LEVEL 3 HEALTH AND BEHAVIOR SERVICES
05841062065PSYCHOTHERAPY
05851062065LEVEL 1 PARTIAL HOSPITALIZATION (3 SERVICES) FOR CMHCS
05852062065LEVEL 2 PARTIAL HOSPITALIZATION (4 OR MORE SERVICES) FOR CMHCS
05853066080PARTIAL HOSPITALIZATION (3 OR MORE SERVICES) FOR CMHCS
05861062065LEVEL 1 PARTIAL HOSPITALIZATION (3 SERVICES) FOR HOSPITAL-BASED PHPS
05862062065LEVEL 2 PARTIAL HOSPITALIZATION (4 OR MORE SERVICES) FOR HOSPITAL-BASED PHPS
05863066080PARTIAL HOSPITALIZATION (3 OR MORE SERVICES) FOR HOSPITAL-BASED PHPS
05871062080DENTAL PROCEDURES
05881062080ANCILLARY OUTPATIENT SERVICES WHEN PATIENT DIES
06073080080PAYER ONLY APC FOR TESTING
06075080080PAYER ONLY APC FOR TESTING
06077080080PAYER ONLY APC FOR TESTING
06079080080PAYER ONLY APC FOR TESTING
06081080080PAYER ONLY APC FOR TESTING
06083080080PAYER ONLY APC FOR TESTING
06085080080PAYER ONLY APC FOR TESTING
06087080080PAYER ONLY APC FOR TESTING
06089080080PAYER ONLY APC FOR TESTING
06091080080PAYER ONLY APC FOR TESTING
06093080080PAYER ONLY APC FOR TESTING
06095080080PAYER ONLY APC FOR TESTING
06097080080PAYER ONLY APC FOR TESTING
06099080080PAYER ONLY APC FOR TESTING
06101080080PAYER ONLY APC FOR TESTING
06103080080PAYER ONLY APC FOR TESTING
06105080080PAYER ONLY APC FOR TESTING
07000053080AMIFOSTINE
07011053080OPRELVEKIN INJECTION
07034053053SOMATROPIN INJECTION
07034058073SOMATROPIN INJECTION
07035053080TENIPOSIDE
07036053053UROKINASE 250,000 IU INJ
07038053057MONOCLONAL ANTIBODIES
07041053080TIROFIBAN HCL
07042053065CAPECITABINE, ORAL
07043053065INFLIXIMAB INJECTION
07043066080INFLIXIMAB NOT BIOSIMIL 10MG
07046053080DOXORUBICIN INJ 10MG
07048053080ALTEPLASE RECOMBINANT
07049053053FILGRASTIM 480 MCG INJECTION
07051053053LEUPROLIDE ACETATE IMPLANT
07308053080AMINOLEVULINIC ACID HCL TOP
08000053057CARDIAC ELECTROPHYSIOLOGIC EVALUATION AND ABLATION COMPOSITE
08001053069LDR PROSTATE BRACHYTHERAPY COMPOSITE
08002053053LEVEL I EXTENDED ASSESSMENT & MANAGEMENT COMPOSITE
08003053053LEVEL II EXTENDED ASSESSMENT & MANAGEMENT COMPOSITE
08004053080ULTRASOUND COMPOSITE
08005053080CT AND CTA WITHOUT CONTRAST COMPOSITE
08006053080CT AND CTA WITH CONTRAST COMPOSITE
08007053080MRI AND MRA WITHOUT CONTRAST COMPOSITE
08008053080MRI AND MRA WITH CONTRAST COMPOSITE
08009054061EXTENDED ASSESSMENT & MANAGEMENT COMPOSITE
08010062080MENTAL HEALTH SERVICES COMPOSITE
08011062080COMPREHENSIVE OBSERVATION SERVICES
09001053065LINEZOLID INJECTION
09002053080TENECTEPLASE INJECTION
09003053080PALIVIZUMAB
09004053056GEMTUZUMAB OZOGAMICIN INJ
09005053077RETEPLASE INJECTION
09006053080TACROLIMUS INJECTION
09012053080ARSENIC TRIOXIDE INJECTION
09014070073INJECTION, CERLIPONASE ALFA
09014074080INJ., CERLIPONASE ALFA 1 MG
09015070073C-1 ESTERASE, HAEGARDA
09015074080INJ., HAEGARDA 10 UNITS
09016070073INJ, TRIPTORELIN EXT REL
09016074080INJ., TRIPTORELIN XR 3.75 MG
09018053080INJ, RIMABOTULINUMTOXINB
09019053077CASPOFUNGIN ACETATE
09022053053IM INJ INTERFERON BETA 1-A
09023053053RHO D IMMUNE GLOBULIN
09024053080AMPHOTERICIN B LIPID COMPLEX
09028070073INJ. INOTUZUMAB OZOGAMICIN
09028074080INJ INOTUZUMAB OZOGAM 0.1 MG
09029070073INJECTION, GUSELKUMAB
09029074080INJ., GUSELKUMAB, 1 MG
09030072073INJ COPANLISIB
09030074080INJ., COPANLISIB, 1 MG
09031070080INJ, ETELCALCETIDE, 0.1 MG
09032053080BACLOFEN 10 MG INJECTION
09033053080CIDOFOVIR INJECTION
09034070080INJ CUVITRU, 100 MG
09035071080AXICABTAGENE CILOLEUCEL CAR+
09036071080INJECTION, RENFLEXIS
09038053080INJ ESTROGEN CONJUGATE
09042053080GLUCAGON HYDROCHLORIDE
09043066069AFSTYLA FACTOR VIII RECOMB
09043070080INJ, AFSTYLA, 1 I.U.
09044053080IBUTILIDE FUMARATE INJECTION
09052066077FLUCICIOVINE F-18
09056066077GALLIUM GA-68
09058066080BUPRENORPHINE IMPLANT 74.2MG
09059066080VONVENDI INJ 1 IU VWF:RCO
09060066069DIAZOXIDE INJECTION
09061066069INJ MILRINONE LACTATE / 5 MG
09062066069TOPOTECAN INJECTION
09064070073ARIPIPRAZOLE INJECTION
09065070080ARGATROBAN ESRD DIALYSIS 1MG
09066070073INJ DIHYDROERGOTAMINE MESYLT
09067072073LUTETIUM LU 177 DOTATATE, TX
09067074080LUTETIUM LU 177 DOTATAT THER
09070072072VORETIGNE NEPARVOVEC-RZYL
09070073073VORETIGENE NEPARVOVEC-RZYL
09070074080INJ LUXTURNA 1 BILLION VEC G
09071070080CAPSAICIN 8% PATCH
09072070073FOSPHENYTOIN INJ PE
09073072080BUPRENORPH XR 100 MG OR LESS
09074068069INJ, MAKENA
09074070080MAKENA, 10 MG
09075070077INJ, KOVALTRY, 1 I.U.
09076070073DIMECAPROL INJECTION
09077070073EPOETIN BETA NON ESRD
09078070080TESTOSTERONE UNDECANOATE 1MG
09079070080GENVISC 850, INJ, 1MG
09080070073FLUDARABINE PHOSPHATE INJ
09081070073TISAGENLECLEUCEL CAR-POS T
09082073073PURAPLY OR PURAPLY AM
09083073076INJ, PHENYLEPHRINE KETOROLAC
09084073080FLORBETAPIR F18
09085073080INJ SULF HEXA LIPID MICROSPH
09086074077HEPA VACC PED/ADOL 3 DOSE
09087074077INJ, CLEVIDIPINE BUTYRATE
09088074080PENG BENZATHINE/PROCAINE INJ
09089074077ORAL FLUDARABINE PHOSPHATE
09090074077MELPHALAN ORAL 2 MG
09091074077DAUNORUBICIN CITRATE INJ
09092074080INTERFERON ALFA-2A INJ
09093074077PLICAMYCIN (MITHRAMYCIN) INJ
09094074080RADIESSE INJECTION
09095074080INJ, SCULPTRA, 0.5MG
09096072073INJ RETACRIT ESRD ON DIALYSI
09096074080INJ RETACRIT ESRD ON DIALYSI
09097072073INJ RETACRIT NON-ESRD USE
09097074080INJ RETACRIT NON-ESRD USE
09098074077CHORIONIC GONADOTROPIN/1000U
09099073073INJ, AKYNZEO
09099074080INJ FOSNETUPITANT, PALONOSET
09104053080ANTITHYMOCYTE GLOBULN RABBIT
09108053080THYROTROPIN INJECTION
09110053057ALEMTUZUMAB INJECTION
09119053080INJECTION, PEGFILGRASTIM 6MG
09120053080INJECTION, FULVESTRANT
09121053065INJECTION, ARGATROBAN
09122053080TRIPTORELIN PAMOATE
09124053080DAPTOMYCIN INJECTION
09125053076RISPERIDONE, LONG ACTING
09125077077INJ., RISPERDAL CONSTA, 0.5 MG
09125078080RISPERIDONE, LONG ACTING
09126053080NATALIZUMAB INJECTION
09130053053INJECTION, IVIG BIVIGAM
09130054077INJ, IMM GLOB BIVIGAM, 500MG
09131053053IN ADO-TRASTUZUMAB EMTANSINE
09131054080INJ, ADO-TRASTUZUMAB EMT 1MG
09132053080KCENTRA, PER I.U.
09133053080RABIES IG, IM/SC
09134053080RABIES IG, HEAT TREATED
09135053080VARICELLA-ZOSTER IG, IM
09137053065BCG VACCINE, PERCUT
09139053080RABIES VACCINE, IM
09140053080RABIES VACCINE, ID
09143053065MENINGOCOCCAL VACCINE, SC
09144053061ENCEPHALITIS VACCINE, SC
09145053057MENINGOCOCCAL VACCINE, IM
09171065065IDELVION, 1 I.U.
09171066080FACTOR IX IDELVION INJ
09172073080INJECTION, DEXAMETHASONE 9%
09173072080INJECTION, FULPHILA
09174074080INJ, DUROLANE 1 MG
09175074080PURAPLY 1 SQ CM
09176074080PURAPLY AM 1 SQ CM
09177074080ANTITHROMBIN RECOMBINANT
09178074080INJ., MEROPENEM, VABORBACTAM
09179074076INJECTION, ARISTADA INITIO
09179077077INJ., ARISTADA INITIO, 1 MG
09179078080INJECTION, ARISTADA INITIO
09180074076INJECTION, PATISIRAN
09180077080INJ., PATISIRAN, 0.1 MG
09181074076INJECTION, RISPERIDONE
09181077080INJ., PERSERIS, 0.5 MG
09182074076INJ MOGAMULIZUMAB-KPKC
09182077077INJ, MOGAMULIZUMAB-KPKC, 1 MG
09182078080INJ MOGAMULIZUMAB-KPKC, 1 MG
09183074076INJECTION, PLAZOMICIN
09183077080INJ., PLAZOMICIN, 5 MG
09184074077IODINE I-131 IOBENGUANE, DX
09185074077IODINE I-131 IOBENGUANE, TX
09186074080INJ., RITUXIMAB, 10 MG
09187074080INJECTION, BUROSUMAB-TWZA 1M
09188074080INJ CROTALIDAE IM F(AB')2 EQ
09189074080INJ., IBALIZUMAB-UIYK, 10 MG
09190074080INJ., VESTRONIDASE ALFA-VJBK
09191074080INJ., FIBRYGA, 1 MG
09192074080INJ, BORTEZOMIB, NOS, 0.1 MG
09193073080NIVESTYM
09194074080TISAGENLECLEUCEL CAR-POS T
09195074080INJECTION, UDENYCA 0.5 MG
09196074080INJ, TRIVISC 1 MG
09197075076INJECTION, FREMANEZUMAB-VFRM
09197077080INJ., FREMANEZUMAB-VFRM 1 MG
09198075079INJ, COAGULATION FACTOR XA
09198080080INJ ANDEXXA, 10 MG
09199076080INJECTION, CAPLACIZUMAB-YHDP
09207053073BORTEZOMIB INJECTION
09207074080INJ., VELCADE 0.1 MG
09208053080AGALSIDASE BETA INJECTION
09209053080LARONIDASE INJECTION
09210053077PALONOSETRON HCL
09213053080PEMETREXED INJECTION
09214053080BEVACIZUMAB INJECTION
09215053080CETUXIMAB INJECTION
09217053080LEUPROLIDE ACETATE SUSPNSION
09224053080GALSULFASE INJECTION
09225053076FLUOCINOLONE ACETONIDE IMPLT
09225077077INJ., RETISERT, 0.01 MG
09225078080FLUOCINOLONE ACETONIDE IMPLT
09227053061MICAFUNGIN SODIUM INJECTION
09228053080TIGECYCLINE INJECTION
09229053080IBANDRONATE SODIUM INJECTION
09230053080ABATACEPT INJECTION
09231053080DECITABINE INJECTION
09232053080IDURSULFASE INJECTION
09233053080RANIBIZUMAB INJECTION
09234053080ALGLUCOSIDASE ALFA INJECTION
09235053080PANITUMUMAB INJECTION
09236053080ECULIZUMAB INJECTION
09237053080INJ, LANREOTIDE ACETATE
09239072080BUPRENORPHINE XR OVER 100 MG
09240053080INJECTION, IXABEPILONE
09242053080INJECTION, FOSAPREPITANT
09243053065BENDAMUSTINE INJECTION
09243066080INJ., TREANDA 1 MG
09244053053REGADENOSON INJECTION
09245053080ROMIPLOSTIM INJECTION
09248053053INJ, CLEVIDIPINE BUTYRATE
09248058069INJ, CLEVIDIPINE BUTYRATE
09249053053CERTOLIZUMAB PEGOL INJ
09250053057ARTISS FIBRIN SEALANT
09251053080C1 ESTERASE INHIBITOR INJ
09252053080PLERIXAFOR INJECTION
09253053080TEMOZOLOMIDE INJECTION
09255053080PALIPERIDONE PALMITATE INJ
09256053080DEXAMETHASONE INTRA IMPLANT
09257072073INJ. EMICIZUMAB-KXWH, 0.5 MG
09257074080INJ., EMICIZUMAB-KXWH 0.5 MG
09258053080TELAVANCIN INJECTION
09259053080PRALATREXATE INJECTION
09260053080OFATUMUMAB INJECTION
09261053065USTEKINUMAB INJECTION
09261066080USTEKINUMAB SUB CU INJ, 1 MG
09263053080ECALLANTIDE INJECTION
09264053080TOCILIZUMAB INJECTION
09265053080ROMIDEPSIN INJECTION
09268053057CAPSAICIN 8% PATCH
09269053080C-1 ESTERASE, BERINERT
09270053080GAMMAPLEX IVIG
09271053080VELAGLUCERASE ALFA
09272053080INJ, DENOSUMAB
09273053080SIPULEUCEL-T AUTO CD54+
09274053080CROTALIDAE POLY IMMUNE FAB
09276053080CABAZITAXEL INJECTION
09278053080INCOBOTULINUMTOXIN A
09281053080INJECTION, PEGLOTICASE
09282053053INJ, CEFTAROLINE FOSAMIL
09283053053INJECTION, ACETAMINOPHEN
09284053080IPILIMUMAB INJECTION
09285053053PATCH, LIDOCAINE/TETRACAINE
09286053080BELATACEPT INJECTION
09287053080BRENTUXIMAB VEDOTIN INJ
09289053080ERWINAZE INJECTION
09290053057INJ, BUPIVACAINE LIPOSOME
09292053053INJECTION, PERTUZUMAB
09293053077INJECTION, GLUCARPIDASE
09294053053INJ, TALIGLUCERASE ALFA
09294054069INJ, TALIGLUCERACE ALFA 10 U
09294070080INJ, TALIGLUCERASE ALFA 10 U
09295053053INJECTION, CARFILZOMIB
09295054080INJECTION, CARFILZOMIB, 1 MG
09296053053INJECTION, ZIV-AFLIBERCEPT
09296054080INJ, ZIV-AFLIBERCEPT, 1MG
09297053053OMACETAXINE MEPESUCCINATE
09297054080INJ, OMACETAXINE MEP, 0.01MG
09298053053INJECTION, OCRIPLASMIN
09298054080INJ, OCRIPLASMIN, 0.125 MG
09299075075FACTOR VIII PEGYLATED-AUCL
09299076080INJ. JIVI 1 IU
09300053080OMALIZUMAB INJECTION
09301070080AMINOLEVULINIC ACID, 10% GEL
09302070073INJ, DAUNORUBICIN-CYTARABINE
09302074080INJ DAUNORUBICIN, CYTARABINE
09303075077INJECTION, LEVOLEUCOVORIN
09304075075INJECTION, CEMIPLIMAB
09304076076INJECTION, CEMIPLIMAB-RWLC
09304077080INJ., CEMIPLIMAB-RWLC, 1 MG
09305075076MOXETUMOMAB PASUDOTOX-TDFK
09305077080INJ., LUMOXITI, 0.01 MG
09306075080INJ., TILDRAKIZUMAB, 1 MG
09307075080COCAINE HCL NASAL SOLUTION
09308076076DEXAMETHASONE OPHTH INSERT
09308077080DEXAMETHA OPTH INSERT 0.1 MG
09309076076INJECTION, TAGRAXOFUSP-ERZS
09309077080INJ. TAGRAXOFUSP-ERZS 10 MCG
09310076076INJECTION, EMAPALUMAB-LZSG
09310077080INJ., EMAPALUMAB-LZSG, 1 MG
09311076076INJECTION, OMADACYCLINE
09311077080INJ., OMADACYCLINE, 1 MG
09312076076INJECTION, RAVULIZUMAB-CWV
09312077080INJ., RAVULIZUMAB-CWVZ 10 MG
09313075075INJ., BELRAPZO 1 MG
09313076080INJ. BELRAPZO/BENDAMUSTINE
09314076080INJ. HERCEPTIN HYLECTA, 10MG
09315078080DIPHTHERIA ANTITOXIN
09316078080CORTICOTROPIN INJECTION
09317078080DORIPENEM INJECTION
09318078080INJ HYDROXYPROGST CAPOAT NOS
09319078080SOMATROPIN INJECTION
09320078080CARBIDOPA LEVODOPA ENT 100ML
09321078080FOSPHENYTOIN INJ PE
09322076080BCG LIVE INTRAVESICAL 1MG
09324077080PHENYLEP KETOROLAC OPTH SOLN
09325077080INJ., ERAVACYCLINE, 1 MG
09326077080INJ., LANADELUMAB-FLYO, 1 MG
09327077080INJ. ROMOSOZUMAB-AQQG 1 MG
09328077080INJ., YUTIQ, 0.01 MG
09329076080INJ MVASI 10 MG
09330077080INJ., KANJINTI, 10 MG
09331078080INJ, POLATUZUMAB VEDOTIN 1MG
09332078079INJECTION, LEFAMULIN
09332080080INJ LEFAMULIN 1 MG
09333078080INJ, BREXANOLONE
09334078080INJECTION, KHAPZORY, 0.5 MG
09335078080ORAL BUSULFAN
09336077080INJ TRUXIMA 10 MG
09337078080SYNOJOYNT, INJ., 1 MG
09338078080INJ., TRILURON, 1 MG
09339078080IODINE I-131 IOBENGUANE 1MCI
09340078080INJ, BROLUCIZUMAB-DBLL, 1 MG
09341077080INJ OGIVRI 10 MG
09342079079INJ, CRIZANLIZUMAB-TMCA
09343079079INJECTION, GIVOSIRAN
09343080080INJ GIVOSIRAN 0.5 MG
09344079079INJ CETIRIZINE HYDROCHLORIDE
09345077080INJ PEGFILGRASTIM-BMEZ 0.5MG
09346080080MOMETASONE FUROATE (SINUVA)
09347080080INJ LUSPATERCEPT-AAMT 0.25MG
09348078080INJ., ZIRABEV, 10 MG
09349078080INJ HERZUMA 10 MG
09350078080INJ., TRAZIMERA, 10 MG
09353080080INJ FAM-TRASTU DERU-NXKI 1MG
09354080080INJ RECOMBIN ESPEROCT PER IU
09355080080INJECTION, TEPROTUMUMAB-TRBW
09356080080INJ GOLODIRSEN 10 MG
09357080080INJECTION, EPTINEZUMAB-JJMR
09358053053SURGIMEND, FETAL
09359080080INJ CRIZANLIZUMAB-TMCA 5MG
09360053053SURGIMEND, NEONATAL
09361080080INJ. CETIRIZINE HCL 0.5MG
09362080080INJ IMIP 4 CILAS 4 RELEB 2MG
09363053053INTEGRA MESHED BIL WOUND MAT
09364080080INJ ENFORT VEDO-EJFV 0.25MG
09365053053OASIS TRI-LAYER WOUND MATRIX
09366053057EPIFIX
09367078080INJ RUXIENCE, 10 MG
09368053057GRAFIX CORE
09369053057GRAFIX PRIME
09371080080INJECTION, MELOXICAM
09372080080INJ. XEMBIFY, 100 MG
09373080080INJ ONASE ABEPAR-XIOI TREAT
09375080080INJ., EVOMELA, 1 MG
09406053053IODINE I-123 IOFLUPANE
09441054055INJ, FERRIC CARBOXYMALTOSE
09441056057INJ FERRIC CARBOXYMALTOS 1MG
09441058080INJ FERRIC CARBOXYMALTOS 1MG
09445059061C-1 ESTERASE, RUCONEST
09445062080INJECTION, RUCONEST
09448059059ORAL NETUPITANT PALONOSETRON
09448060061NETUPITANT PALONOSETRON ORAL
09448062073NETUPITANT PALONOSETRON ORAL
09448074080ORAL NETUPITANT, PALONOSETRO
09449059061INJ, BLINATUMOMAB
09449062080INJECTION, BLINATUMOMAB
09450059061FLUOCINOLONE ACETONIDE IMPLT
09450062076FLUOCINOL ACET INTRAVIT IMP
09450077077INJ., ILUVIEN, 0.01 MG
09450078080FLUOCINOL ACET INTRAVIT IMP
09451059080INJECTION, PERAMIVIR
09452059061INJ, CEFTOLOZANE/TAZOBACTAM
09452062080INJ CEFTOLOZANE TAZOBACTAM
09453060080INJECTION, NIVOLUMAB
09454060080INJ, PASIREOTIDE LONG ACTING
09455060080INJECTION, SILTUXIMAB
09456061061INJ, ISAVUCONAZONIUM SULFATE
09456062080INJECTION, ISAVUCONAZONIUM
09457061061LUMASON CONTRAST AGENT
09457062069INJ SULF HEXA LIPID MICROSPH
09458062063FLORBETABEN F18
09458064073FLORBETABEN F18 DIAGNOSTIC
09458078080FLORBETABEN F18 DIAGNOSTIC
09459062063FLUTEMETAMOL F18
09459064073FLUTEMETAMOL F18 DIAGNOSTIC
09459078080FLUTEMETAMOL F18 DIAGNOSTIC
09460062080INJECTION, CANGRELOR
09461063065CHOLINE C 11, DIAGNOSTIC
09461066073CHOLINE C-11, DIAGNOSTIC, PER STUDY DOSE UP TO 20 MILLICURIES
09462071080INJECTION, DELAFLOXACIN
09463071073INJECTION, APREPITANT
09463074080INJ., APREPITANT, 1 MG
09464071073INJECTION, ROLAPITANT
09464074080INJ., ROLAPITANT, 0.5 MG
09465071073INJECTION, DUROLANE
09466071073INJECTION, BENRALIZUMAB
09466074080INJ., BENRALIZUMAB, 1 MG
09467071073INJ RITUXIMAB HYALURONIDASE
09467074080INJ RITUXIMAB, HYALURONIDASE
09468071073INJ, FACTOR IX, REBINYN
09468074080FACTOR IX RECOMB GLY REBINYN
09469071071INJ TRIAMCINOLONE ACETONIDE
09469072073INJ., TRIAMCINOLONE EXT REL
09469074080INJ TRIAMCINOLONE ACE XR 1MG
09470063065ARIPIPRAZOLE LAUROXIL IM
09470066076ARIPIPRAZOLE LAUROXIL 1MG
09470077080ARIPIRAZOLE LAUROXIL 1 MG
09471063065HYMOVIS, 1 MG
09471066080HYMOVIS INJECTION 1 MG
09472063080INJ TALIMOGENE LAHERPAREPVEC
09473063065INJECTION, MEPOLIZUMAB
09473066080INJECTION, MEPOLIZUMAB, 1MG
09474063065INJ, IRINOTECAN LIPOSOME
09474066080INJ IRINOTECAN LIPOSOME 1 MG
09475063065INJECTION, NECITUMUMAB
09475066080INJECTION, NECITUMUMAB, 1 MG
09476064065INJECTION, DARATUMUMAB
09476066080INJECTION, DARATUMUMAB 10 MG
09477064065INJECTION, ELOTUZUMAB
09477066080INJECTION, ELOTUZUMAB, 1MG
09478064065INJECTION, SEBELIPASE ALFA
09478066080INJ SEBELIPASE ALFA 1 MG
09479064080INSTILL, CIPROFLOXACIN OTIC
09480064065INJECTION, TRABECTEDIN
09480066080INJECTION TRABECTEDIN 0.1MG
09481065080INJECTION, RESLIZUMAB
09482065080SOTALOL HYDROCHLORIDE IV
09483065069INJECTION, ATEZOLIZUMAB
09483070080INJ, ATEZOLIZUMAB,10 MG
09484067069INJECTION, ETEPLIRSEN
09484070080INJ, ETEPLIRSEN, 10 MG
09485067069INJECTION, OLARATUMAB
09485070080INJ, OLARATUMAB, 10 MG
09486067069INJ, GRANISETRON EXT
09486070078INJ, GRANISETRON, XR, 0.1 MG
09487067067USTEKINUMAB IV INJ, 1 MG
09487068069USTEKINUMAB IV INJ, 1 MG
09487070080USTEKINUMAB, IV INJECT,1 MG
09488067069CONIVAPTAN HCL
09488070080CONIVAPTAN HCL
09489068069INJECTION, NUSINERSEN
09489070080INJ, NUSINERSEN, 0.1MG
09490068069INJECTION, BEZLOTOXUMAB
09490070080INJ, BEZLOTOXUMAB, 10 MG
09491069069INJECTION, AVELUMAB
09491070080INJECTION, AVELUMAB, 10 MG
09492069073INJECTION, DURVALUMAB
09492074080INJ., DURVALUMAB, 10 MG
09493069073INJECTION, EDARAVONE
09493074080INJECTION, EDARAVONE, 1 MG
09494069080INJECTION, OCRELIZUMAB
09495070080GEMTUZUMAB OZOGAMICIN INJ
09497054073LOXAPINE, INHALATION POWDER
09497074077LOXAPINE FOR INHALATION 1 MG
09500053080PLATELETS, IRRADIATED
09501053080PLATELET PHERES LEUKOREDUCED
09502053080PLATELET PHERESIS IRRADIATED
09503053080FR FRZ PLASMA DONOR RETESTED
09504053080RBC DEGLYCEROLIZED
09505053080RBC IRRADIATED
09506053065GRANULOCYTES, PHERESIS UNIT
09507053080PLATELETS, PHERESIS
09508053080PLASMA 1 DONOR FRZ W/IN 8 HR
09509062080FROZEN PLASMA, POOLED, SD
09510062080WHOLE BLOOD FOR TRANSFUSION
09511062080CRYOPRECIPITATE EACH UNIT
09512062080RBC LEUKOCYTES REDUCED
09513062080PLASMA, FRZ BETWEEN 8-24HOUR
09514062080PLASMA PROTEIN FRACT,5%,50ML
09515062080PLATELETS, EACH UNIT
09516062080PLAELET RICH PLASMA UNIT
09517062080RED BLOOD CELLS UNIT
09518062080WASHED RED BLOOD CELLS UNIT
09519062080PLASMAPROTEIN FRACT,5%,250ML
09520062080BLOOD SPLIT UNIT
09521062080PLATELETS LEUKOREDUCED IRRAD
09522062080RBC LEUKOREDUCED IRRADIATED
09523062080CRYOPRECIPITATEREDUCEDPLASMA
09524062080BLOOD, L/R, CMV-NEG
09525062080PLATELETS, HLA-M, L/R, UNIT
09526062080PLATELETS LEUKOCYTES REDUCED
09527062080BLOOD, L/R, FROZ/DEGLY/WASH
09528062080PLT, APH/PHER, L/R, CMV-NEG
09529062080BLOOD, L/R, IRRADIATED
09530062080PLATE PHERES LEUKOREDU IRRAD
09531062080PLT, PHER, L/R CMV-NEG, IRR
09532062080RBC, FRZ/DEG/WSH, L/R, IRRAD
09533062080RBC, L/R, CMV-NEG, IRRAD
09534062080PATHOGEN REDUCED PLASMA POOL
09535062080PATHOGEN REDUCED PLASMA SING
09536062067PATHOGEN REDUCED PLATELETS
09536068069PLATELETS PHERESIS PATH REDUC
09536070073PLATELETS, PATHOGEN REDUCED
09536074080PLATELETS PHERESIS PATH REDU
