70000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 72148 Mri lumbar spine w/o dye A 1.44 4.20 4.20 NA 0.10 5.74 5.741XXX.00.00.00400009 33.4009 090 88 7.79 7.79 0.12
- 72148 26 Mri lumbar spine w/o dye A 1.44 0.53 0.53 0.08 2.05 2.051XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72148 TC Mri lumbar spine w/o dye A 0.00 3.67 3.67 NA 0.02 3.69 3.691XXX.00.00.00400009 33.4009 090 88 7.26 7.26 0.04
- 72149 Mri lumbar spine w/dye A 1.74 6.21 6.21 NA 0.12 8.07 8.071XXX.00.00.00400009 33.4009 090 88 11.24 11.24 0.15
- 72149 26 Mri lumbar spine w/dye A 1.74 0.63 0.63 0.09 2.46 2.461XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72149 TC Mri lumbar spine w/dye A 0.00 5.58 5.58 NA 0.03 5.61 5.611XXX.00.00.00400009 33.4009 090 88 10.61 10.61 0.06
- 72156 Mri neck spine w/o & w/dye A 2.23 7.13 7.13 NA 0.16 9.52 9.521XXX.00.00.00400009 33.4009 090 88 11.42 11.42 0.18
- 72156 26 Mri neck spine w/o & w/dye A 2.23 0.80 0.80 0.13 3.16 3.161XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72156 TC Mri neck spine w/o & w/dye A 0.00 6.33 6.33 NA 0.03 6.36 6.361XXX.00.00.00400009 33.4009 090 88 10.62 10.62 0.05
- 72157 Mri chest spine w/o & w/dye A 2.23 7.15 7.15 NA 0.16 9.54 9.541XXX.00.00.00400009 33.4009 090 88 11.42 11.42 0.18
- 72157 26 Mri chest spine w/o & w/dye A 2.23 0.80 0.80 0.13 3.16 3.161XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72157 TC Mri chest spine w/o & w/dye A 0.00 6.35 6.35 NA 0.03 6.38 6.381XXX.00.00.00400009 33.4009 090 88 10.62 10.62 0.05
- 72158 Mri lumbar spine w/o & w/dye A 2.23 7.14 7.14 NA 0.16 9.53 9.531XXX.00.00.00400009 33.4009 090 88 11.42 11.42 0.18
- 72158 26 Mri lumbar spine w/o & w/dye A 2.23 0.80 0.80 0.13 3.16 3.161XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72158 C Mri lumbar spine w/o & w/dye A 0.00 6.34 6.34 NA 0.03 6.37 6.371XXX.00.00.00400009 33.4009 090 88 10.62 10.62 0.05
- 72159 Mr angio spine w/o&w/dye R 1.76 8.21 8.21 NA 0.13 10.10 10.101XXX.00.00.00400009 33.4009 090 88 11.23 11.23 0.15
- 72159 26 Mr angio spine w/o&w/dye R 1.76 0.62 0.62 0.09 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72159 TC Mr angio spine w/o&w/dye R 0.00 7.59 7.59 NA 0.04 7.63 7.631XXX.00.00.00409009 33.4009 020 88 10.61 10.61 0.06
- 72170 X-ray exam of pelvis A 0.17 0.65 0.65 NA 0.02 0.84 0.841XXX.00.00.00000009 33.4009 090 99 3.21 3.21 0.06
- 72170 26 X-ray exam of pelvis A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72170TCX-ray exam of pelvis A 0.00 0.58 0.58NA 0.01 0.59 0.591XXX.00.00.00000009 33.4009 010 99 3.14 3.14 0.05
- 72190 X-ray exam of pelvis A 0.24 1.03 1.03NA 0.03 1.30 1.301XXX.00.00.00000009 33.4009 090 99 3.27 3.27 0.05
- 7219026X-ray exam of pelvis A 0.24 0.11 0.11 0.02 0.37 0.371XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72190TCX-ray exam of pelvis A 0.00 0.92 0.92NA 0.01 0.93 0.931XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 72191 Ct angiograph pelv w/o&w/dye A 1.76 7.20 7.20 NA 0.14 9.10 9.101XXX.00.00.00400009 33.4009 090 88 5.94 5.94 0.13
- 7219126Ct angiograph pelv w/o&w/dye A 1.76 0.60 0.60 0.11 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72191TCCt angiograph pelv w/o&w/dye A 0.00 6.60 6.60 NA 0.03 6.63 6.631XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 72192 Ct pelvis w/o dye A 1.06 2.84 2.84 NA 0.07 3.97 3.971XXX.00.00.00400009 33.4009 090 88 3.55 3.55 0.07
- 7219226Ct pelvis w/o dye A 1.06 0.37 0.37 0.06 1.49 1.491XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72192TCCt pelvis w/o dye A 0.00 2.47 2.47 NA 0.01 2.48 2.481XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 72193 Ct pelvis w/dye A 1.13 5.54 5.54 NA 0.09 6.76 6.761XXX.00.00.00400009 33.4009 090 88 5.74 5.74 0.09
- 7219326Ct pelvis w/dye A 1.13 0.40 0.40 0.07 1.60 1.601XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72193TCCt pelvis w/dye A 0.00 5.14 5.14 NA 0.02 5.16 5.161XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 72194 Ct pelvis w/o & w/dye A 1.19 6.22 6.22 NA 0.09 7.50 7.501XXX.00.00.00400009 33.4009 090 88 5.77 5.77 0.09
- 7219426Ct pelvis w/o & w/dye A 1.19 0.42 0.42 0.07 1.68 1.681XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72194TCCt pelvis w/o & w/dye A 0.00 5.80 5.80 NA 0.02 5.82 5.821XXX.00.00.00400009 33.4009 020 88 5.35 5.35 0.02
- 72195 Mri pelvis w/o dye A 1.42 5.30 5.30 NA 0.09 6.81 6.811XXX.00.00.00400009 33.4009 090 88 7.78 7.78 0.10
- 7219526Mri pelvis w/o dye A 1.42 0.51 0.51 0.07 2.00 2.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72195TCMri pelvis w/o dye A 0.00 4.79 4.79 NA 0.02 4.81 4.811XXX.00.00.00400009 33.4009 010 88 7.27 7.27 0.03
- 72196 Mri pelvis w/dye A 1.69 6.22 6.22 NA 0.12 8.03 8.031XXX.00.00.00400009 33.4009 090 88 11.21 11.21 0.15
- 7219626Mri pelvis w/dye A 1.69 0.60 0.60 0.09 2.38 2.381XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72196TCMri pelvis w/dye A 0.00 5.62 5.62 NA 0.03 5.65 5.651XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 72197 Mri pelvis w/o & w/dye A 2.15 7.70 7.70 NA 0.16 10.01 10.011XXX.00.00.00400009 33.4009 090 88 11.38 11.38 0.18
- 7219726Mri pelvis w/o & w/dye A 2.15 0.76 0.76 0.13 3.04 3.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72197TCMri pelvis w/o & w/dye A 0.00 6.94 6.94 NA 0.03 6.97 6.971XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.05
- 72198 Mr angio pelvis w/o & w/dye A 1.76 8.17 8.17 NA 0.13 10.06 10.061XXX.00.00.00400009 33.4009 090 88 11.21 11.21 0.15
- 7219826Mr angio pelvis w/o & w/dye A 1.76 0.60 0.60 0.09 2.45 2.451XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72198TCMr angio pelvis w/o & w/dye A 0.00 7.57 7.57 NA 0.04 7.61 7.611XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 72200 X-ray exam si joints A 0.17 0.82 0.82 NA 0.02 1.01 1.011XXX.00.00.00000009 33.4009 090 99 3.23 3.23 0.05
- 7220026X-ray exam si joints A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72200TCX-ray exam si joints A 0.00 0.75 0.75 NA 0.01 0.76 0.761XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 72202 X-ray exam si joints 3/> vws A 0.22 0.92 0.92 NA 0.02 1.16 1.161XXX.00.00.00000009 33.4009 090 99 3.24 3.24 0.05
- 7220226X-ray exam si joints 3/> vws A 0.22 0.08 0.08 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72202TCX-ray exam si joints 3/> vws A 0.00 0.84 0.84 NA 0.01 0.85 0.851XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 72220 X-ray exam sacrum tailbone A 0.17 0.77 0.77 NA 0.02 0.96 0.961XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7222026X-ray exam sacrum tailbone A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72220TCX-ray exam sacrum tailbone A 0.00 0.70 0.70NA 0.01 0.71 0.711XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 72240 Myelography neck spine A 0.89 2.39 2.39NA 0.07 3.35 3.351XXX.00.00.00000009 33.4009 090 99 24.20 24.20 0.18
- 7224026Myelography neck spine A 0.89 0.34 0.34 0.06 1.29 1.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72240TCMyelography neck spine A 0.00 2.05 2.05NA 0.01 2.06 2.061XXX.00.00.00000009 33.4009 030 99 23.86 23.86 0.12
- 72255 Myelography thoracic spine A 0.89 2.17 2.17 NA 0.06 3.12 3.121XXX.00.00.00000009 33.4009 090 99 24.17 24.17 0.18
- 7225526Myelography thoracic spine A 0.89 0.32 0.32 0.05 1.26 1.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72255TCMyelography thoracic spine A 0.00 1.85 1.85 NA 0.01 1.86 1.861XXX.00.00.00000009 33.4009 030 99 23.85 23.85 0.13
- 72265 Myelography l-s spine A 0.81 2.43 2.43 NA 0.06 3.30 3.301XXX.00.00.00000009 33.4009 090 99 24.20 24.20 0.17
- 7226526Myelography l-s spine A 0.81 0.34 0.34 0.05 1.20 1.201XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72265TCMyelography l-s spine A 0.00 2.09 2.09 NA 0.01 2.10 2.101XXX.00.00.00000009 33.4009 030 99 23.86 23.86 0.12
- 72270 Myelogphy 2/> spine regions A 1.30 2.62 2.62 NA 0.08 4.00 4.001XXX.00.00.00000009 33.4009 090 99 24.30 24.30 0.18
- 7227026Myelogphy 2/> spine regions A 1.30 0.43 0.43 0.07 1.80 1.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72270TCMyelogphy 2/> spine regions A 0.00 2.19 2.19 NA 0.01 2.20 2.201XXX.00.00.00000009 33.4009 030 99 23.87 23.87 0.11
- 72285 Discography cerv/thor spine A 1.13 3.16 3.16 NA 0.05 4.34 4.341XXX.00.00.00000009 33.4009 090 99 60.04 60.04 0.27
- 7228526Discography cerv/thor spine A 1.13 0.54 0.54 0.04 1.71 1.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72285TCDiscography cerv/thor spine A 0.00 2.62 2.62 NA 0.01 2.63 2.631XXX.00.00.00000009 33.4009 030 99 59.50 59.50 0.23
- 72295 X-ray of lower spine disk A 0.81 2.80 2.80 NA 0.05 3.66 3.661XXX.00.00.00000009 33.4009 090 99 59.84 59.84 0.29
- 7229526X-ray of lower spine disk A 0.81 0.36 0.36 0.04 1.21 1.211XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72295TCX-ray of lower spine disk A 0.00 2.44 2.44 NA 0.01 2.45 2.451XXX.00.00.00000009 33.4009 030 99 59.48 59.48 0.25
- 73000 X-ray exam of collar bone A 0.16 0.82 0.82 NA 0.02 1.00 1.001XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.05
- 7300026X-ray exam of collar bone A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73000TCX-ray exam of collar bone A 0.00 0.75 0.75NA 0.01 0.76 0.761XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.04
- 73010 X-ray exam of shoulder blade A 0.17 0.56 0.56NA 0.02 0.75 0.751XXX.00.00.00030009 33.4009 090 99 3.22 3.22 0.08
- 7301026X-ray exam of shoulder blade A 0.17 0.09 0.09 0.01 0.27 0.271XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73010TCX-ray exam of shoulder blade A 0.00 0.47 0.47NA 0.01 0.48 0.481XXX.00.00.00030009 33.4009 010 99 3.13 3.13 0.07
- 73020 X-ray exam of shoulder A 0.15 0.48 0.48NA 0.02 0.65 0.651XXX.00.00.00030009 33.4009 090 99 2.66 2.66 0.07
- 7302026X-ray exam of shoulder A 0.15 0.06 0.06 0.01 0.22 0.221XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73020TCX-ray exam of shoulder A 0.00 0.42 0.42NA 0.01 0.43 0.431XXX.00.00.00030009 33.4009 010 99 2.60 2.60 0.06
- 73030 X-ray exam of shoulder A 0.18 0.87 0.87NA 0.02 1.07 1.071XXX.00.00.00030009 33.4009 090 99 2.71 2.71 0.04
- 7303026X-ray exam of shoulder A 0.18 0.08 0.08 0.01 0.27 0.271XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73030TCX-ray exam of shoulder A 0.00 0.79 0.79NA 0.01 0.80 0.801XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73040 Contrast x-ray of shoulder A 0.53 3.46 3.46NA 0.04 4.03 4.031XXX.00.00.00030009 33.4009 090 99 10.88 10.88 0.06
- 7304026Contrast x-ray of shoulder A 0.53 0.24 0.24 0.03 0.80 0.801XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73040TCContrast x-ray of shoulder A 0.00 3.22 3.22NA 0.01 3.23 3.231XXX.00.00.00030009 33.4009 030 99 10.64 10.64 0.03
- 73050 X-ray exam of shoulders A 0.18 0.71 0.71NA 0.02 0.91 0.911XXX.00.00.00020009 33.4009 090 99 2.71 2.71 0.05
- 7305026X-ray exam of shoulders A 0.18 0.09 0.09 0.01 0.28 0.281XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 73050TCX-ray exam of shoulders A 0.00 0.62 0.62NA 0.01 0.63 0.631XXX.00.00.00020009 33.4009 010 99 2.62 2.62 0.04
- 73060 X-ray exam of humerus A 0.16 0.78 0.78NA 0.02 0.96 0.961XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7306026X-ray exam of humerus A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73060TCX-ray exam of humerus A 0.00 0.71 0.71NA 0.01 0.72 0.721XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 73070 X-ray exam of elbow A 0.16 0.70 0.70NA 0.02 0.88 0.881XXX.00.00.00030009 33.4009 090 99 2.69 2.69 0.05
- 7307026X-ray exam of elbow A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73070TCX-ray exam of elbow A 0.00 0.63 0.63NA 0.01 0.64 0.641XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73080 X-ray exam of elbow A 0.17 0.80 0.80NA 0.02 0.99 0.991XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.05
- 7308026X-ray exam of elbow A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73080TCX-ray exam of elbow A 0.00 0.73 0.73NA 0.01 0.74 0.741XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.04
- 73085 Contrast x-ray of elbow A 0.53 2.31 2.31NA 0.04 2.88 2.881XXX.00.00.00030009 33.4009 090 99 10.81 10.81 0.08
- 7308526Contrast x-ray of elbow A 0.53 0.19 0.19 0.03 0.75 0.751XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73085TCContrast x-ray of elbow A 0.00 2.12 2.12NA 0.01 2.13 2.131XXX.00.00.00030009 33.4009 030 99 10.62 10.62 0.05
- 73090 X-ray exam of forearm A 0.16 0.69 0.69NA 0.02 0.87 0.871XXX.00.00.00030009 33.4009 090 99 2.68 2.68 0.05
- 7309026X-ray exam of forearm A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73090TCX-ray exam of forearm A 0.00 0.63 0.63NA 0.01 0.64 0.641XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73092 X-ray exam of arm infant A 0.16 0.74 0.74NA 0.02 0.92 0.921XXX.00.00.00030009 33.4009 090 99 3.21 3.21 0.06
- 7309226X-ray exam of arm infant A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73092TCX-ray exam of arm infant A 0.00 0.68 0.68NA 0.01 0.69 0.691XXX.00.00.00030009 33.4009 010 99 3.15 3.15 0.05
- 73100 X-ray exam of wrist A 0.16 0.85 0.85NA 0.02 1.03 1.031XXX.00.00.00030009 33.4009 090 99 2.71 2.71 0.04
- 7310026X-ray exam of wrist A 0.16 0.08 0.08 0.01 0.25 0.251XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73100TCX-ray exam of wrist A 0.00 0.77 0.77NA 0.01 0.78 0.781XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73110 X-ray exam of wrist A 0.17 1.09 1.09NA 0.02 1.28 1.281XXX.00.00.00030009 33.4009 090 99 2.72 2.72 0.04
- 7311026X-ray exam of wrist A 0.17 0.08 0.08 0.01 0.26 0.261XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73110TCX-ray exam of wrist A 0.00 1.01 1.01NA 0.01 1.02 1.021XXX.00.00.00030009 33.4009 010 99 2.64 2.64 0.03
- 73115 Contrast x-ray of wrist A 0.53 3.41 3.41NA 0.05 3.99 3.991XXX.00.00.00030009 33.4009 090 99 10.88 10.88 0.07
- 7311526Contrast x-ray of wrist A 0.53 0.24 0.24 0.04 0.81 0.811XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73115TCContrast x-ray of wrist A 0.00 3.17 3.17NA 0.01 3.18 3.181XXX.00.00.00030009 33.4009 030 99 10.64 10.64 0.03
- 73120 X-ray exam of hand A 0.16 0.76 0.76NA 0.02 0.94 0.941XXX.00.00.00030009 33.4009 090 99 3.22 3.22 0.06
- 7312026X-ray exam of hand A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73120TCX-ray exam of hand A 0.00 0.69 0.69NA 0.01 0.70 0.701XXX.00.00.00030009 33.4009 010 99 3.15 3.15 0.05
- 73130 X-ray exam of hand A 0.17 0.95 0.95NA 0.02 1.14 1.141XXX.00.00.00030009 33.4009 090 99 2.71 2.71 0.04
- 7313026X-ray exam of hand A 0.17 0.08 0.08 0.01 0.26 0.261XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73130TCX-ray exam of hand A 0.00 0.87 0.87NA 0.01 0.88 0.881XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73140 X-ray exam of finger(s) A 0.13 1.03 1.03NA 0.02 1.18 1.181XXX.00.00.00030009 33.4009 090 99 2.69 2.69 0.04
- 7314026X-ray exam of finger(s) A 0.13 0.06 0.06 0.01 0.20 0.201XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73140TCX-ray exam of finger(s) A 0.00 0.97 0.97NA 0.01 0.98 0.981XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73200 Ct upper extremity w/o dye A 0.98 3.75 3.75NA 0.08 4.81 4.811XXX.00.00.00430009 33.4009 090 88 3.53 3.53 0.08
- 7320026Ct upper extremity w/o dye A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73200TCCt upper extremity w/o dye A 0.00 3.40 3.40NA 0.02 3.42 3.421XXX.00.00.00430009 33.4009 010 88 3.18 3.18 0.02
- 73201 Ct upper extremity w/dye A 1.13 4.75 4.75NA 0.09 5.97 5.971XXX.00.00.00430009 33.4009 090 88 11.02 11.02 0.12
- 7320126Ct upper extremity w/dye A 1.13 0.40 0.40 0.07 1.60 1.601XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73201TCCt upper extremity w/dye A 0.00 4.35 4.35NA 0.02 4.37 4.371XXX.00.00.00430009 33.4009 020 88 10.62 10.62 0.05
- 73202 Ct uppr extremity w/o&w/dye A 1.19 6.09 6.09NA 0.09 7.37 7.371XXX.00.00.00430009 33.4009 090 88 5.76 5.76 0.09
- 7320226Ct uppr extremity w/o&w/dye A 1.19 0.41 0.41 0.07 1.67 1.671XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73202TCCt uppr extremity w/o&w/dye A 0.00 5.68 5.68NA 0.02 5.70 5.701XXX.00.00.00430009 33.4009 020 88 5.35 5.35 0.02
- 73206 Ct angio upr extrm w/o&w/dye A 1.76 6.95 6.95NA 0.14 8.85 8.851XXX.00.00.00400009 33.4009 090 88 5.94 5.94 0.14
- 7320626Ct angio upr extrm w/o&w/dye A 1.76 0.60 0.60 0.11 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 73206TCCt angio upr extrm w/o&w/dye A 0.00 6.35 6.35NA 0.03 6.38 6.381XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 73218 Mri upper extremity w/o dye A 1.32 7.66 7.66NA 0.10 9.08 9.081XXX.00.00.00430009 33.4009 090 88 7.76 7.76 0.10
- 7321826Mri upper extremity w/o dye A 1.32 0.49 0.49 0.07 1.88 1.881XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73218TCMri upper extremity w/o dye A 0.00 7.17 7.17NA 0.03 7.20 7.201XXX.00.00.00430009 33.4009 010 88 7.27 7.27 0.03
- 73219 Mri upper extremity w/dye A 1.58 8.18 8.18NA 0.11 9.87 9.871XXX.00.00.00430009 33.4009 090 88 11.21 11.21 0.12
- 7321926Mri upper extremity w/dye A 1.58 0.58 0.58 0.08 2.24 2.241XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73219TCMri upper extremity w/dye A 0.00 7.60 7.60NA 0.03 7.63 7.631XXX.00.00.00430009 33.4009 020 88 10.63 10.63 0.04
- 73220 Mri uppr extremity w/o&w/dye A 2.10 9.92 9.92NA 0.16 12.18 12.181XXX.00.00.00430009 33.4009 090 88 11.38 11.38 0.17
- 7322026Mri uppr extremity w/o&w/dye A 2.10 0.76 0.76 0.12 2.98 2.981XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73220TCMri uppr extremity w/o&w/dye A 0.00 9.16 9.16NA 0.04 9.20 9.201XXX.00.00.00430009 33.4009 020 88 10.62 10.62 0.05
- 73221 Mri joint upr extrem w/o dye A 1.32 4.73 4.73NA 0.09 6.14 6.141XXX.00.00.00430009 33.4009 090 88 7.76 7.76 0.10
- 7322126Mri joint upr extrem w/o dye A 1.32 0.50 0.50 0.07 1.89 1.891XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73221TCMri joint upr extrem w/o dye A 0.00 4.23 4.23NA 0.02 4.25 4.251XXX.00.00.00430009 33.4009 010 88 7.26 7.26 0.03
- 73222 Mri joint upr extrem w/dye A 1.58 7.67 7.67NA 0.11 9.36 9.361XXX.00.00.00430009 33.4009 090 88 24.47 24.47 0.18
- 7322226Mri joint upr extrem w/dye A 1.58 0.59 0.59 0.08 2.25 2.251XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73222TCMri joint upr extrem w/dye A 0.00 7.08 7.08NA 0.03 7.11 7.111XXX.00.00.00430009 33.4009 020 88 23.88 23.88 0.10
- 73223 Mri joint upr extr w/o&w/dye A 2.10 9.22 9.22NA 0.15 11.47 11.471XXX.00.00.00430009 33.4009 090 88 11.39 11.39 0.16
- 7322326Mri joint upr extr w/o&w/dye A 2.10 0.76 0.76 0.12 2.98 2.981XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73223TCMri joint upr extr w/o&w/dye A 0.00 8.46 8.46NA 0.03 8.49 8.491XXX.00.00.00430009 33.4009 020 88 10.63 10.63 0.04
- 73225 Mr angio upr extr w/o&w/dye R 1.69 7.85 7.85NA 0.15 9.69 9.691XXX.00.00.00400009 33.4009 090 88 11.15 11.15 0.17
- 7322526Mr angio upr extr w/o&w/dye R 1.69 0.54 0.54 0.11 2.34 2.341XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 73225TCMr angio upr extr w/o&w/dye R 0.00 7.31 7.31NA 0.04 7.35 7.351XXX.00.00.00409009 33.4009 020 88 10.61 10.61 0.06
- 73501 X-ray exam hip uni 1 view A 0.18 0.81 0.81NA 0.02 1.01 1.011XXX.00.00.00000009 33.4009 090 99 2.71 2.71 0.05
- 7350126X-ray exam hip uni 1 view A 0.18 0.08 0.08 0.01 0.27 0.271XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73501TCX-ray exam hip uni 1 view A 0.00 0.73 0.73NA 0.01 0.74 0.741XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.04
- 73502 X-ray exam hip uni 2-3 views A 0.21 1.23 1.23NA 0.02 1.46 1.461XXX.00.00.00000009 33.4009 090 99 2.74 2.74 0.03
- 7350226X-ray exam hip uni 2-3 views A 0.21 0.10 0.10 0.01 0.32 0.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73502TCX-ray exam hip uni 2-3 views A 0.00 1.13 1.13NA 0.01 1.14 1.141XXX.00.00.00000009 33.4009 010 99 2.64 2.64 0.02
- 73503 X-ray exam hip uni 4/> views A 0.26 1.59 1.59NA 0.03 1.88 1.881XXX.00.00.00000009 33.4009 090 99 3.30 3.30 0.04
- 7350326X-ray exam hip uni 4/> views A 0.26 0.12 0.12 0.02 0.40 0.401XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73503TCX-ray exam hip uni 4/> views A 0.00 1.47 1.47NA 0.01 1.48 1.481XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 73521 X-ray exam hips bi 2 views A 0.21 1.02 1.02NA 0.02 1.25 1.251XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.04
- 7352126X-ray exam hips bi 2 views A 0.21 0.10 0.10 0.01 0.32 0.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73521TCX-ray exam hips bi 2 views A 0.00 0.92 0.92NA 0.01 0.93 0.931XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 73522 X-ray exam hips bi 3-4 views A 0.28 1.32 1.32NA 0.03 1.63 1.631XXX.00.00.00000009 33.4009 090 99 3.29 3.29 0.05
- 7352226X-ray exam hips bi 3-4 views A 0.28 0.12 0.12 0.02 0.42 0.421XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73522TCX-ray exam hips bi 3-4 views A 0.00 1.20 1.20NA 0.01 1.21 1.211XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 73523 X-ray exam hips bi 5/> views A 0.30 1.51 1.51NA 0.03 1.84 1.841XXX.00.00.00000009 33.4009 090 99 3.29 3.29 0.04
- 7352326X-ray exam hips bi 5/> views A 0.30 0.12 0.12 0.02 0.44 0.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 73523TCX-ray exam hips bi 5/> views A 0.00 1.39 1.39NA 0.01 1.40 1.401XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.02
- 73525 Contrast x-ray of hip A 0.53 3.41 3.41NA 0.05 3.99 3.991XXX.00.00.00030009 33.4009 090 99 10.92 10.92 0.07
- 7352526Contrast x-ray of hip A 0.53 0.28 0.28 0.04 0.85 0.851XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73525TCContrast x-ray of hip A 0.00 3.13 3.13NA 0.01 3.14 3.141XXX.00.00.00030009 33.4009 030 99 10.64 10.64 0.03
- 73551 X-ray exam of femur 1 A 0.16 0.70 0.70NA 0.02 0.88 0.881XXX.00.00.00030009 33.4009 090 99 2.69 2.69 0.05
- 7355126X-ray exam of femur 1 A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73551TCX-ray exam of femur 1 A 0.00 0.63 0.63NA 0.01 0.64 0.641XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73552 X-ray exam of femur 2/> A 0.18 0.87 0.87NA 0.02 1.07 1.071XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.04
- 7355226X-ray exam of femur 2/> A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73552TCX-ray exam of femur 2/> A 0.00 0.80 0.80NA 0.01 0.81 0.811XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73560 X-ray exam of knee 1 or 2 A 0.16 0.85 0.85NA 0.02 1.03 1.031XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.04
- 7356026X-ray exam of knee 1 or 2 A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73560TCX-ray exam of knee 1 or 2 A 0.00 0.78 0.78NA 0.01 0.79 0.791XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73562 X-ray exam of knee 3 A 0.18 1.07 1.07NA 0.02 1.27 1.271XXX.00.00.00030009 33.4009 090 99 2.72 2.72 0.04
- 7356226X-ray exam of knee 3 A 0.18 0.09 0.09 0.01 0.28 0.281XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73562TCX-ray exam of knee 3 A 0.00 0.98 0.98NA 0.01 0.99 0.991XXX.00.00.00030009 33.4009 090 99 2.63 2.63 0.03
- 73564 X-ray exam knee 4 or more A 0.21 1.25 1.25NA 0.02 1.48 1.481XXX.00.00.00030009 33.4009 090 99 3.28 3.28 0.04
- 7356426X-ray exam knee 4 or more A 0.21 0.11 0.11 0.01 0.33 0.331XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73564TCX-ray exam knee 4 or more A 0.00 1.14 1.14NA 0.01 1.15 1.151XXX.00.00.00030009 33.4009 010 99 3.17 3.17 0.03
- 73565 X-ray exam of knees A 0.16 1.08 1.08NA 0.02 1.26 1.261XXX.00.00.00020009 33.4009 090 99 2.72 2.72 0.04
- 7356526X-ray exam of knees A 0.16 0.08 0.08 0.01 0.25 0.251XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 73565TCX-ray exam of knees A 0.00 1.00 1.00NA 0.01 1.01 1.011XXX.00.00.00020009 33.4009 010 99 2.64 2.64 0.03
- 73580 Contrast x-ray of knee joint A 0.58 2.85 2.85NA 0.08 3.51 3.511XXX.00.00.00030009 33.4009 090 99 10.93 10.93 0.11
- 7358026Contrast x-ray of knee joint A 0.58 0.30 0.30 0.07 0.95 0.951XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73580TCContrast x-ray of knee joint A 0.00 2.55 2.55NA 0.01 2.56 2.561XXX.00.00.00030009 33.4009 030 99 10.63 10.63 0.04
- 73590 X-ray exam of lower leg A 0.16 0.76 0.76NA 0.02 0.94 0.941XXX.00.00.00030009 33.4009 090 99 2.68 2.68 0.05
- 7359026X-ray exam of lower leg A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73590TCX-ray exam of lower leg A 0.00 0.70 0.70NA 0.01 0.71 0.711XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73592 X-ray exam of leg infant A 0.16 0.74 0.74NA 0.02 0.92 0.921XXX.00.00.00030009 33.4009 090 99 2.68 2.68 0.05
- 7359226X-ray exam of leg infant A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73592TCX-ray exam of leg infant A 0.00 0.68 0.68NA 0.01 0.69 0.691XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73600 X-ray exam of ankle A 0.16 0.79 0.79NA 0.02 0.97 0.971XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.05
- 7360026X-ray exam of ankle A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73600TCX-ray exam of ankle A 0.00 0.72 0.72NA 0.01 0.73 0.731XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.04
- 73610 X-ray exam of ankle A 0.17 0.92 0.92NA 0.02 1.11 1.111XXX.00.00.00030009 33.4009 090 99 2.70 2.70 0.04
- 7361026X-ray exam of ankle A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73610TCX-ray exam of ankle A 0.00 0.85 0.85NA 0.01 0.86 0.861XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73615 Contrast x-ray of ankle A 0.53 3.40 3.40NA 0.05 3.98 3.981XXX.00.00.00030009 33.4009 090 99 10.91 10.91 0.07
- 7361526Contrast x-ray of ankle A 0.53 0.27 0.27 0.04 0.84 0.841XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73615TCContrast x-ray of ankle A 0.00 3.13 3.13NA 0.01 3.14 3.141XXX.00.00.00030009 33.4009 030 99 10.64 10.64 0.03
- 73620 X-ray exam of foot A 0.16 0.68 0.68NA 0.02 0.86 0.861XXX.00.00.00030009 33.4009 090 99 2.68 2.68 0.05
- 7362026X-ray exam of foot A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73620TCX-ray exam of foot A 0.00 0.62 0.62NA 0.01 0.63 0.631XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73630 X-ray exam of foot A 0.17 0.83 0.83NA 0.02 1.02 1.021XXX.00.00.00030009 33.4009 090 99 2.69 2.69 0.04
- 7363026X-ray exam of foot A 0.17 0.06 0.06 0.01 0.24 0.241XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73630TCX-ray exam of foot A 0.00 0.77 0.77NA 0.01 0.78 0.781XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 73650 X-ray exam of heel A 0.16 0.67 0.67NA 0.02 0.85 0.851XXX.00.00.00030009 33.4009 090 99 2.68 2.68 0.05
- 7365026X-ray exam of heel A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73650TCX-ray exam of heel A 0.00 0.61 0.61NA 0.01 0.62 0.621XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73660 X-ray exam of toe(s) A 0.13 0.71 0.71NA 0.02 0.86 0.861XXX.00.00.00030009 33.4009 090 99 2.67 2.67 0.05
- 7366026X-ray exam of toe(s) A 0.13 0.05 0.05 0.01 0.19 0.191XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 73660TCX-ray exam of toe(s) A 0.00 0.66 0.66NA 0.01 0.67 0.671XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 73700 Ct lower extremity w/o dye A 0.98 2.85 2.85NA 0.07 3.90 3.901XXX.00.00.00430009 33.4009 090 88 3.53 3.53 0.07
- 7370026Ct lower extremity w/o dye A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73700TCCt lower extremity w/o dye A 0.00 2.50 2.50NA 0.01 2.51 2.511XXX.00.00.00430009 33.4009 010 88 3.18 3.18 0.01
- 73701 Ct lower extremity w/dye A 1.13 3.75 3.75NA 0.09 4.97 4.971XXX.00.00.00430009 33.4009 090 88 5.73 5.73 0.10
- 7370126Ct lower extremity w/dye A 1.13 0.40 0.40 0.07 1.60 1.601XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73701TCCt lower extremity w/dye A 0.00 3.35 3.35NA 0.02 3.37 3.371XXX.00.00.00430009 33.4009 020 88 5.33 5.33 0.03
- 73702 Ct lwr extremity w/o&w/dye A 1.19 4.55 4.55NA 0.09 5.83 5.831XXX.00.00.00430009 33.4009 090 88 5.75 5.75 0.10
- 7370226Ct lwr extremity w/o&w/dye A 1.19 0.41 0.41 0.07 1.67 1.671XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73702TCCt lwr extremity w/o&w/dye A 0.00 4.14 4.14NA 0.02 4.16 4.161XXX.00.00.00430009 33.4009 020 88 5.34 5.34 0.03
- 73706 Ct angio lwr extr w/o&w/dye A 1.85 7.62 7.62NA 0.16 9.63 9.631XXX.00.00.00430009 33.4009 090 88 5.96 5.96 0.15
- 7370626Ct angio lwr extr w/o&w/dye A 1.85 0.63 0.63 0.12 2.60 2.601XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73706TCCt angio lwr extr w/o&w/dye A 0.00 6.99 6.99NA 0.04 7.03 7.031XXX.00.00.00430009 33.4009 020 88 5.33 5.33 0.03
- 73718 Mri lower extremity w/o dye A 1.32 5.25 5.25NA 0.09 6.66 6.661XXX.00.00.00430009 33.4009 090 88 7.74 7.74 0.10
- 7371826Mri lower extremity w/o dye A 1.32 0.47 0.47 0.07 1.86 1.861XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73718TCMri lower extremity w/o dye A 0.00 4.78 4.78NA 0.02 4.80 4.801XXX.00.00.00430009 33.4009 010 88 7.27 7.27 0.03
- 73719 Mri lower extremity w/dye A 1.58 6.13 6.13NA 0.11 7.82 7.821XXX.00.00.00430009 33.4009 090 88 11.17 11.17 0.14
- 7371926Mri lower extremity w/dye A 1.58 0.56 0.56 0.08 2.22 2.221XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73719TCMri lower extremity w/dye A 0.00 5.57 5.57NA 0.03 5.60 5.601XXX.00.00.00430009 33.4009 020 88 10.61 10.61 0.06
- 73720 Mri lwr extremity w/o&w/dye A 2.10 7.78 7.78NA 0.15 10.03 10.031XXX.00.00.00430009 33.4009 090 88 11.38 11.38 0.17
- 7372026Mri lwr extremity w/o&w/dye A 2.10 0.75 0.75 0.12 2.97 2.971XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73720TCMri lwr extremity w/o&w/dye A 0.00 7.03 7.03NA 0.03 7.06 7.061XXX.00.00.00430009 33.4009 020 88 10.63 10.63 0.05
- 73721 Mri jnt of lwr extre w/o dye A 1.32 4.71 4.71NA 0.09 6.12 6.121XXX.00.00.00430009 33.4009 090 88 7.75 7.75 0.10
- 7372126Mri jnt of lwr extre w/o dye A 1.32 0.49 0.49 0.07 1.88 1.881XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73721TCMri jnt of lwr extre w/o dye A 0.00 4.22 4.22NA 0.02 4.24 4.241XXX.00.00.00430009 33.4009 010 88 7.26 7.26 0.03
- 73722 Mri joint of lwr extr w/dye A 1.58 7.74 7.74NA 0.11 9.43 9.431XXX.00.00.00430009 33.4009 090 88 24.47 24.47 0.18
- 7372226Mri joint of lwr extr w/dye A 1.58 0.59 0.59 0.08 2.25 2.251XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73722TCMri joint of lwr extr w/dye A 0.00 7.15 7.15NA 0.03 7.18 7.181XXX.00.00.00430009 33.4009 020 88 23.88 23.88 0.10
- 73723 Mri joint lwr extr w/o&w/dye A 2.10 9.17 9.17NA 0.15 11.42 11.421XXX.00.00.00430009 33.4009 090 88 11.38 11.38 0.16
- 7372326Mri joint lwr extr w/o&w/dye A 2.10 0.75 0.75 0.12 2.97 2.971XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73723TCMri joint lwr extr w/o&w/dye A 0.00 8.42 8.42NA 0.03 8.45 8.451XXX.00.00.00430009 33.4009 020 88 10.63 10.63 0.04
- 73725 Mr ang lwr ext w or w/o dye R 1.77 8.17 8.17NA 0.15 10.09 10.091XXX.00.00.00430009 33.4009 090 88 11.21 11.21 0.17
- 7372526Mr ang lwr ext w or w/o dye R 1.77 0.60 0.60 0.11 2.48 2.481XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 73725TCMr ang lwr ext w or w/o dye R 0.00 7.57 7.57NA 0.04 7.61 7.611XXX.00.00.00430009 33.4009 020 88 10.61 10.61 0.06
- 74018 Radex abdomen 1 view A 0.18 0.69 0.69NA 0.02 0.89 0.891XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7401826Radex abdomen 1 view A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74018TCRadex abdomen 1 view A 0.00 0.62 0.62NA 0.01 0.63 0.631XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 74019 Radex abdomen 2 views A 0.22 0.84 0.84NA 0.02 1.08 1.081XXX.00.00.00000009 33.4009 090 99 3.25 3.25 0.05
- 7401926Radex abdomen 2 views A 0.22 0.09 0.09 0.01 0.32 0.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74019TCRadex abdomen 2 views A 0.00 0.75 0.75NA 0.01 0.76 0.761XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 74021 Radex abdomen 3+ views A 0.26 0.98 0.98NA 0.02 1.26 1.261XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.05
- 7402126Radex abdomen 3+ views A 0.26 0.10 0.10 0.01 0.37 0.371XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74021TCRadex abdomen 3+ views A 0.00 0.88 0.88NA 0.01 0.89 0.891XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 74022 Radex compl aqt abd series A 0.31 1.14 1.14NA 0.03 1.48 1.481XXX.00.00.00000009 33.4009 090 99 3.29 3.29 0.05
- 7402226Radex compl aqt abd series A 0.31 0.12 0.12 0.02 0.45 0.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74022TCRadex compl aqt abd series A 0.00 1.02 1.02NA 0.01 1.03 1.031XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 74150 Ct abdomen w/o contrast A 1.16 2.84 2.84NA 0.08 4.08 4.081XXX.00.00.00400009 33.4009 090 88 3.59 3.59 0.08
- 7415026Ct abdomen w/o contrast A 1.16 0.41 0.41 0.07 1.64 1.641XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74150TCCt abdomen w/o contrast A 0.00 2.43 2.43NA 0.01 2.44 2.441XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 74160 Ct abdomen w/contrast A 1.24 5.56 5.56NA 0.09 6.89 6.891XXX.00.00.00400009 33.4009 090 88 5.78 5.78 0.09
- 7416026Ct abdomen w/contrast A 1.24 0.44 0.44 0.07 1.75 1.751XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74160TCCt abdomen w/contrast A 0.00 5.12 5.12NA 0.02 5.14 5.141XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 74170 Ct abd wo cntrst flwd cntrst A 1.37 6.29 6.29NA 0.09 7.75 7.751XXX.00.00.00400009 33.4009 090 88 5.83 5.83 0.09
- 7417026Ct abd wo cntrst flwd cntrst A 1.37 0.48 0.48 0.07 1.92 1.921XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74170TCCt abd wo cntrst flwd cntrst A 0.00 5.81 5.81NA 0.02 5.83 5.831XXX.00.00.00400009 33.4009 020 88 5.35 5.35 0.02
- 74174 Cta abd&plvs w/contrast A 2.15 9.01 9.01NA 0.17 11.33 11.331XXX.00.00.00400009 33.4009 090 88 11.36 11.36 0.18
- 7417426Cta abd&plvs w/contrast A 2.15 0.74 0.74 0.13 3.02 3.021XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74174TCCta abd&plvs w/contrast A 0.00 8.27 8.27NA 0.04 8.31 8.311XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.05
- 74175 Cta abdomen w/contrast A 1.77 7.20 7.20NA 0.14 9.11 9.111XXX.00.00.00400009 33.4009 090 88 5.95 5.95 0.13
- 7417526Cta abdomen w/contrast A 1.77 0.61 0.61 0.11 2.49 2.491XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74175TCCta abdomen w/contrast A 0.00 6.59 6.59NA 0.03 6.62 6.621XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 74176 Ct abd & pelvis w/o contrast A 1.70 3.67 3.67NA 0.11 5.48 5.481XXX.00.00.00409009 33.4009 090 88 7.85 7.85 0.14
- 7417626Ct abd & pelvis w/o contrast A 1.70 0.60 0.60 0.09 2.39 2.391XXX.00.00.00409009 33.4009 090 88 0.00 0.00 0.00
- 74176TCCt abd & pelvis w/o contrast A 0.00 3.07 3.07NA 0.02 3.09 3.091XXX.00.00.00409009 33.4009 010 88 7.25 7.25 0.05
- 74177 Ct abd & pelvis w/contrast A 1.77 7.09 7.09NA 0.13 8.99 8.991XXX.00.00.00409009 33.4009 090 88 11.27 11.27 0.14
- 7417726Ct abd & pelvis w/contrast A 1.77 0.63 0.63 0.11 2.51 2.511XXX.00.00.00409009 33.4009 090 88 0.00 0.00 0.00
- 74177TCCt abd & pelvis w/contrast A 0.00 6.46 6.46NA 0.02 6.48 6.481XXX.00.00.00409009 33.4009 020 88 10.64 10.64 0.03
- 74178 Ct abd&plv wo cntr flwd cntr A 1.96 8.01 8.01NA 0.15 10.12 10.121XXX.00.00.00409009 33.4009 090 88 11.33 11.33 0.16
- 7417826Ct abd&plv wo cntr flwd cntr A 1.96 0.70 0.70 0.12 2.78 2.781XXX.00.00.00409009 33.4009 090 88 0.00 0.00 0.00
- 74178TCCt abd&plv wo cntr flwd cntr A 0.00 7.31 7.31NA 0.03 7.34 7.341XXX.00.00.00409009 33.4009 020 88 10.63 10.63 0.04
- 74181 Mri abdomen w/o contrast A 1.42 4.29 4.29NA 0.09 5.80 5.801XXX.00.00.00400009 33.4009 090 88 7.76 7.76 0.11
- 7418126Mri abdomen w/o contrast A 1.42 0.50 0.50 0.07 1.99 1.991XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74181TCMri abdomen w/o contrast A 0.00 3.79 3.79NA 0.02 3.81 3.811XXX.00.00.00400009 33.4009 010 88 7.26 7.26 0.04
- 74182 Mri abdomen w/contrast A 1.69 7.18 7.18NA 0.12 8.99 8.991XXX.00.00.00400009 33.4009 090 88 11.21 11.21 0.14
- 7418226Mri abdomen w/contrast A 1.69 0.59 0.59 0.09 2.37 2.371XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74182TCMri abdomen w/contrast A 0.00 6.59 6.59NA 0.03 6.62 6.621XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.05
- 74183 Mri abd w/o cntr flwd cntr A 2.15 7.75 7.75NA 0.16 10.06 10.061XXX.00.00.00400009 33.4009 090 88 11.39 11.39 0.18
- 7418326Mri abd w/o cntr flwd cntr A 2.15 0.76 0.76 0.13 3.04 3.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74183TCMri abd w/o cntr flwd cntr A 0.00 6.99 6.99NA 0.03 7.02 7.021XXX.00.00.00400009 33.4009 020 88 10.63 10.63 0.05
- 74185 Mra abd w or w/o cntrst R 1.76 8.14 8.14NA 0.15 10.05 10.051XXX.00.00.00400009 33.4009 090 88 11.21 11.21 0.17
- 7418526Mra abd w or w/o cntrst R 1.76 0.60 0.60 0.11 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74185TCMra abd w or w/o cntrst R 0.00 7.54 7.54NA 0.04 7.58 7.581XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 74190 Peritoneogram rs&i C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 16.85 16.85 0.04
- 7419026Peritoneogram rs&i A 0.47 0.15 0.15 0.03 0.65 0.651XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74190TCPeritoneogram rs&i C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 16.70 16.70 0.01
- 74210 X-ray xm phrnx&/crv esoph c+ A 0.58 2.11 2.11NA 0.04 2.73 2.731XXX.00.00.00000009 33.4009 090 99 5.54 5.54 0.06
- 7421026X-ray xm phrnx&/crv esoph c+ A 0.58 0.20 0.20 0.03 0.81 0.811XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74210TCX-ray xm phrnx&/crv esoph c+ A 0.00 1.91 1.91NA 0.01 1.92 1.921XXX.00.00.00000009 33.4009 030 99 5.34 5.34 0.03
- 74220 X-ray xm esophagus 1cntrst A 0.59 2.19 2.19NA 0.04 2.82 2.821XXX.00.00.00000009 33.4009 090 99 5.55 5.55 0.06
- 7422026X-ray xm esophagus 1cntrst A 0.59 0.21 0.21 0.03 0.83 0.831XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74220TCX-ray xm esophagus 1cntrst A 0.00 1.98 1.98NA 0.01 1.99 1.991XXX.00.00.00000009 33.4009 030 99 5.34 5.34 0.03
- 74221 X-ray xm esophagus 2cntrst A 0.68 2.43 2.43NA 0.05 3.16 3.161XXX.00.00.00000009 33.4009 090 99 5.58 5.58 0.06
- 7422126X-ray xm esophagus 2cntrst A 0.68 0.24 0.24 0.04 0.96 0.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74221TCX-ray xm esophagus 2cntrst A 0.00 2.19 2.19NA 0.01 2.20 2.201XXX.00.00.00000009 33.4009 030 99 5.34 5.34 0.02
- 74230 X-ray xm swlng funcj c+ A 0.52 3.04 3.04NA 0.04 3.60 3.601XXX.00.00.00000009 33.4009 090 99 5.54 5.54 0.05
- 7423026X-ray xm swlng funcj c+ A 0.52 0.19 0.19 0.03 0.74 0.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74230TCX-ray xm swlng funcj c+ A 0.00 2.85 2.85NA 0.01 2.86 2.861XXX.00.00.00000009 33.4009 030 99 5.35 5.35 0.02
- 74235 Remove esophagus obstruction C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7423526Remove esophagus obstruction A 1.16 0.41 0.41 0.07 1.64 1.641XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74235TCRemove esophagus obstruction C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74240 X-ray xm upr gi trc 1cntrst A 0.78 2.82 2.82NA 0.05 3.65 3.651XXX.00.00.00000009 33.4009 090 99 5.65 5.65 0.06
- 7424026X-ray xm upr gi trc 1cntrst A 0.78 0.31 0.31 0.04 1.13 1.131XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74240TCX-ray xm upr gi trc 1cntrst A 0.00 2.51 2.51NA 0.01 2.52 2.521XXX.00.00.00000009 33.4009 030 99 5.34 5.34 0.02
- 74246 X-ray xm upr gi trc 2cntrst A 0.88 3.09 3.09NA 0.06 4.03 4.031XXX.00.00.00000009 33.4009 090 99 5.67 5.67 0.07
- 7424626X-ray xm upr gi trc 2cntrst A 0.88 0.32 0.32 0.05 1.25 1.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74246TCX-ray xm upr gi trc 2cntrst A 0.00 2.77 2.77NA 0.01 2.78 2.781XXX.00.00.00000009 33.4009 030 99 5.35 5.35 0.02
- 74248 X-ray sm int f-thru std A 0.68 1.65 1.65NA 0.05 2.38 2.381ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7424826X-ray sm int f-thru std A 0.68 0.24 0.24 0.04 0.96 0.961ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74248TCX-ray sm int f-thru std A 0.00 1.41 1.41NA 0.01 1.42 1.421ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74250 X-ray xm sm int 1cntrst std A 0.79 2.69 2.69NA 0.06 3.54 3.541XXX.00.00.00000009 33.4009 090 99 5.62 5.62 0.07
- 7425026X-ray xm sm int 1cntrst std A 0.79 0.28 0.28 0.05 1.12 1.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74250TCX-ray xm sm int 1cntrst std A 0.00 2.41 2.41NA 0.01 2.42 2.421XXX.00.00.00000009 33.4009 020 99 5.34 5.34 0.02
- 74251 X-ray xm sm int 2cntrst std A 1.14 9.07 9.07NA 0.08 10.29 10.291XXX.00.00.00000009 33.4009 090 99 5.76 5.76 0.08
- 7425126X-ray xm sm int 2cntrst std A 1.14 0.40 0.40 0.07 1.61 1.611XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74251TCX-ray xm sm int 2cntrst std A 0.00 8.67 8.67NA 0.01 8.68 8.681XXX.00.00.00000009 33.4009 030 99 5.36 5.36 0.01
- 74261 Ct colonography dx A 2.34 9.74 9.74NA 0.17 12.25 12.251XXX.00.00.00400009 33.4009 090 88 4.03 4.03 0.15
- 7426126Ct colonography dx A 2.34 0.84 0.84 0.14 3.32 3.321XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74261TCCt colonography dx A 0.00 8.90 8.90NA 0.03 8.93 8.931XXX.00.00.00400009 33.4009 020 88 3.19 3.19 0.01
- 74262 Ct colonography dx w/dye A 2.44 11.15 11.15NA 0.17 13.76 13.761XXX.00.00.00400009 33.4009 090 88 6.23 6.23 0.16
- 7426226Ct colonography dx w/dye A 2.44 0.88 0.88 0.14 3.46 3.461XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74262TCCt colonography dx w/dye A 0.00 10.27 10.27NA 0.03 10.30 10.301XXX.00.00.00400009 33.4009 020 88 5.35 5.35 0.02
- 74263 Ct colonography screening A 2.22 22.67 22.67NA 0.11 25.00 25.001XXX.00.00.00400009 33.4009 090 88 8.59 8.59 0.09
- 7426326Ct colonography screening A 2.22 1.30 1.30 0.08 3.60 3.601XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74263TCCt colonography screening A 0.00 21.37 21.37NA 0.03 21.40 21.401XXX.00.00.00400009 33.4009 020 88 7.29 7.29 0.01
- 74270 X-ray xm colon 1cntrst std A 1.01 3.37 3.37NA 0.07 4.45 4.451XXX.00.00.00000009 33.4009 090 99 5.71 5.71 0.08
- 7427026X-ray xm colon 1cntrst std A 1.01 0.36 0.36 0.06 1.43 1.431XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74270TCX-ray xm colon 1cntrst std A 0.00 3.01 3.01NA 0.01 3.02 3.021XXX.00.00.00000009 33.4009 030 99 5.35 5.35 0.02
- 74280 X-ray xm colon 2cntrst std A 1.23 5.01 5.01NA 0.09 6.33 6.331XXX.00.00.00000009 33.4009 090 99 5.77 5.77 0.09
- 7428026X-ray xm colon 2cntrst std A 1.23 0.43 0.43 0.07 1.73 1.731XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74280TCX-ray xm colon 2cntrst std A 0.00 4.58 4.58NA 0.02 4.60 4.601XXX.00.00.00000009 33.4009 030 99 5.34 5.34 0.02
- 74283 Ther nma rdctj intus/obstrcj A 1.97 6.29 6.29NA 0.13 8.39 8.391XXX.00.00.00000009 33.4009 090 99 6.34 6.34 0.13
- 7428326Ther nma rdctj intus/obstrcj A 1.97 0.99 0.99 0.12 3.08 3.081XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74283TCTher nma rdctj intus/obstrcj A 0.00 5.30 5.30NA 0.01 5.31 5.311XXX.00.00.00000009 33.4009 030 99 5.35 5.35 0.01
- 74290 Contrast x-ray gallbladder A 0.31 2.09 2.09NA 0.03 2.43 2.431XXX.00.00.00000009 33.4009 090 99 5.45 5.45 0.05
- 7429026Contrast x-ray gallbladder A 0.31 0.11 0.11 0.02 0.44 0.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74290TCContrast x-ray gallbladder A 0.00 1.98 1.98NA 0.01 1.99 1.991XXX.00.00.00000009 33.4009 010 99 5.34 5.34 0.03
- 74300 X-ray bile ducts/pancreas C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7430026X-ray bile ducts/pancreas A 0.26 0.10 0.10 0.03 0.39 0.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74300TCX-ray bile ducts/pancreas C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74301 X-rays at surgery add-on C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7430126X-rays at surgery add-on A 0.20 0.07 0.07 0.01 0.28 0.281ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74301TCX-rays at surgery add-on C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74328 X-ray bile duct endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7432826X-ray bile duct endoscopy A 0.46 0.24 0.24 0.02 0.72 0.721XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74328TCX-ray bile duct endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74329 X-ray for pancreas endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7432926X-ray for pancreas endoscopy A 0.46 0.25 0.25 0.02 0.73 0.731XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74329TCX-ray for pancreas endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74330 X-ray bile/panc endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7433026X-ray bile/panc endoscopy A 0.55 0.25 0.25 0.03 0.83 0.831XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74330TCX-ray bile/panc endoscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74340 X-ray guide for gi tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7434026X-ray guide for gi tube A 0.53 0.19 0.19 0.03 0.75 0.751XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74340TCX-ray guide for gi tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74355 X-ray guide intestinal tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7435526X-ray guide intestinal tube A 0.74 0.27 0.27 0.04 1.05 1.051XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74355TCX-ray guide intestinal tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74360 X-ray guide gi dilation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7436026X-ray guide gi dilation A 0.53 0.29 0.29 0.05 0.87 0.871XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74360TCX-ray guide gi dilation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74363 X-ray bile duct dilation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7436326X-ray bile duct dilation A 0.86 0.22 0.22 0.07 1.15 1.151XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74363TCX-ray bile duct dilation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74400 Urography iv +-kub tomog A 0.48 3.42 3.42NA 0.05 3.95 3.951XXX.00.00.00000009 33.4009 090 99 5.50 5.50 0.06
- 7440026Urography iv +-kub tomog A 0.48 0.17 0.17 0.03 0.68 0.681XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74400TCUrography iv +-kub tomog A 0.00 3.25 3.25NA 0.02 3.27 3.271XXX.00.00.00000009 33.4009 020 99 5.33 5.33 0.03
- 74410 Urography nfs drip&/bolus A 0.48 3.81 3.81NA 0.04 4.33 4.331XXX.00.00.00000009 33.4009 090 99 5.53 5.53 0.05
- 7441026Urography nfs drip&/bolus A 0.48 0.19 0.19 0.02 0.69 0.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74410TCUrography nfs drip&/bolus A 0.00 3.62 3.62NA 0.02 3.64 3.641XXX.00.00.00000009 33.4009 020 99 5.34 5.34 0.03
- 74415 Urography nfs drip&/bls w/nf A 0.48 4.01 4.01NA 0.05 4.54 4.541XXX.00.00.00000009 33.4009 090 99 5.51 5.51 0.06
- 7441526Urography nfs drip&/bls w/nf A 0.48 0.17 0.17 0.03 0.68 0.681XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74415TCUrography nfs drip&/bls w/nf A 0.00 3.84 3.84NA 0.02 3.86 3.861XXX.00.00.00000009 33.4009 020 99 5.34 5.34 0.03
- 74420 Urography rtrgr +-kub A 0.51 1.89 1.89NA 0.03 2.43 2.431XXX.00.00.00000009 33.4009 090 99 10.82 10.82 0.08
- 7442026Urography rtrgr +-kub A 0.51 0.21 0.21 0.02 0.74 0.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74420TCUrography rtrgr +-kub A 0.00 1.68 1.68NA 0.01 1.69 1.691XXX.00.00.00000009 33.4009 030 99 10.61 10.61 0.06
- 74425 Urography antegrade rs&i A 0.50 3.47 3.47NA 0.04 4.01 4.011XXX.00.00.00000009 33.4009 090 99 10.82 10.82 0.06
- 7442526Urography antegrade rs&i A 0.50 0.18 0.18 0.03 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74425TCUrography antegrade rs&i A 0.00 3.29 3.29NA 0.01 3.30 3.301XXX.00.00.00000009 33.4009 030 99 10.64 10.64 0.03
- 74430 Contrast x-ray bladder A 0.31 0.91 0.91NA 0.03 1.25 1.251XXX.00.00.00000009 33.4009 090 99 10.66 10.66 0.15
- 7443026Contrast x-ray bladder A 0.31 0.12 0.12 0.02 0.45 0.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74430TCContrast x-ray bladder A 0.00 0.79 0.79NA 0.01 0.80 0.801XXX.00.00.00000009 33.4009 030 99 10.54 10.54 0.13
- 74440 X-ray male genital tract A 0.37 2.63 2.63NA 0.02 3.02 3.021XXX.00.00.00000009 33.4009 090 99 7.43 7.43 0.04
- 7444026X-ray male genital tract A 0.37 0.16 0.16 0.01 0.54 0.541XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74440TCX-ray male genital tract A 0.00 2.47 2.47NA 0.01 2.48 2.481XXX.00.00.00000009 33.4009 030 99 7.27 7.27 0.03
- 74445 X-ray exam of penis C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 3.65 3.65 0.05
- 7444526X-ray exam of penis A 1.11 0.46 0.46 0.04 1.61 1.611XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74445TCX-ray exam of penis C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 3.19 3.19 0.01
- 74450 X-ray urethra/bladder C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 7.41 7.41 0.03
- 7445026X-ray urethra/bladder A 0.32 0.12 0.12 0.02 0.46 0.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74450TCX-ray urethra/bladder C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 7.29 7.29 0.01
- 74455 X-ray urethra/bladder A 0.32 2.81 2.81NA 0.03 3.16 3.161XXX.00.00.00000009 33.4009 090 99 7.40 7.40 0.05
- 7445526X-ray urethra/bladder A 0.32 0.13 0.13 0.02 0.47 0.471XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74455TCX-ray urethra/bladder A 0.00 2.68 2.68NA 0.01 2.69 2.691XXX.00.00.00000009 33.4009 030 99 7.27 7.27 0.03
- 74470 X-ray exam of kidney lesion C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 16.88 16.88 0.04
- 7447026X-ray exam of kidney lesion A 0.53 0.18 0.18 0.03 0.74 0.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74470TCX-ray exam of kidney lesion C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 16.70 16.70 0.01
- 74485 Dilation urtr/urt rs&i A 0.81 2.85 2.85NA 0.04 3.70 3.701XXX.00.00.00000009 33.4009 090 99 64.02 64.02 0.29
- 7448526Dilation urtr/urt rs&i A 0.81 0.34 0.34 0.03 1.18 1.181XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74485TCDilation urtr/urt rs&i A 0.00 2.51 2.51NA 0.01 2.52 2.521XXX.00.00.00000009 33.4009 030 99 63.68 63.68 0.26
- 74712 Mri fetal sngl/1st gestation A 2.93 9.03 9.03NA 0.20 12.16 12.161XXX.00.00.00400009 33.4009 090 88 8.33 8.33 0.20
- 7471226Mri fetal sngl/1st gestation A 2.93 1.06 1.06 0.17 4.16 4.161XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 74712TCMri fetal sngl/1st gestation A 0.00 7.97 7.97NA 0.03 8.00 8.001XXX.00.00.00400009 33.4009 020 88 7.27 7.27 0.03
- 74713 Mri fetal ea addl gestation A 1.80 3.98 3.98NA 0.12 5.90 5.901ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7471326Mri fetal ea addl gestation A 1.80 0.65 0.65 0.11 2.56 2.561ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74713TCMri fetal ea addl gestation A 0.00 3.33 3.33NA 0.01 3.34 3.341ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 74740 X-ray female genital tract A 0.37 2.30 2.30NA 0.03 2.70 2.701XXX.00.00.00000009 33.4009 090 99 7.40 7.40 0.05
- 7474026X-ray female genital tract A 0.37 0.14 0.14 0.02 0.53 0.531XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74740TCX-ray female genital tract A 0.00 2.16 2.16NA 0.01 2.17 2.171XXX.00.00.00000009 33.4009 030 99 7.26 7.26 0.03
- 74742 X-ray fallopian tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7474226X-ray fallopian tube A 0.59 0.22 0.22 0.03 0.84 0.841XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74742TCX-ray fallopian tube C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 74775 X-ray exam of perineum C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 7.51 7.51 0.05
- 7477526X-ray exam of perineum A 0.60 0.22 0.22 0.04 0.86 0.861XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 74775TCX-ray exam of perineum C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 7.29 7.29 0.01
- 75557 Cardiac mri for morph A 2.29 5.97 5.97NA 0.11 8.37 8.371XXX.00.00.00400009 33.4009 090 88 8.11 8.11 0.12
- 7555726Cardiac mri for morph A 2.29 0.84 0.84 0.09 3.22 3.221XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75557TCCardiac mri for morph A 0.00 5.13 5.13NA 0.02 5.15 5.151XXX.00.00.00400009 33.4009 010 88 7.27 7.27 0.03
- 75559 Cardiac mri w/stress img A 2.88 8.39 8.39NA 0.11 11.38 11.381XXX.00.00.00400009 33.4009 090 88 17.75 17.75 0.14
- 7555926Cardiac mri w/stress img A 2.88 1.08 1.08 0.09 4.05 4.051XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75559TCCardiac mri w/stress img A 0.00 7.31 7.31NA 0.02 7.33 7.331XXX.00.00.00400009 33.4009 020 88 16.67 16.67 0.05
- 75561 Cardiac mri for morph w/dye A 2.54 8.24 8.24NA 0.15 10.93 10.931XXX.00.00.00400009 33.4009 090 88 11.56 11.56 0.16
- 7556126Cardiac mri for morph w/dye A 2.54 0.93 0.93 0.12 3.59 3.591XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75561TCCardiac mri for morph w/dye A 0.00 7.31 7.31NA 0.03 7.34 7.341XXX.00.00.00400009 33.4009 010 88 10.63 10.63 0.04
- 75563 Card mri w/stress img & dye A 2.93 9.79 9.79NA 0.15 12.87 12.871XXX.00.00.00400009 33.4009 090 88 24.98 24.98 0.20
- 7556326Card mri w/stress img & dye A 2.93 1.08 1.08 0.12 4.13 4.131XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75563TCCard mri w/stress img & dye A 0.00 8.71 8.71NA 0.03 8.74 8.741XXX.00.00.00400009 33.4009 010 88 23.90 23.90 0.08
- 75565 Card mri veloc flow mapping A 0.24 1.11 1.11NA 0.01 1.36 1.361ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7556526Card mri veloc flow mapping A 0.24 0.09 0.09 0.01 0.34 0.341ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75565TCCard mri veloc flow mapping A 0.00 1.02 1.02NA 0.00 1.02 1.021ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 75571 Ct hrt w/o dye w/ca test A 0.57 2.36 2.36NA 0.05 2.98 2.981XXX.00.00.00400009 33.4009 090 88 2.84 2.84 0.05
- 7557126Ct hrt w/o dye w/ca test A 0.57 0.20 0.20 0.03 0.80 0.801XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75571TCCt hrt w/o dye w/ca test A 0.00 2.16 2.16NA 0.02 2.18 2.181XXX.00.00.00400009 33.4009 020 88 2.64 2.64 0.02
- 75572 Ct hrt w/3d image A 1.71 5.06 5.06NA 0.10 6.87 6.871XXX.00.00.00400009 33.4009 090 88 11.22 11.22 0.14
- 7557226Ct hrt w/3d image A 1.71 0.62 0.62 0.07 2.40 2.401XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75572TCCt hrt w/3d image A 0.00 4.44 4.44NA 0.03 4.47 4.471XXX.00.00.00400009 33.4009 020 88 10.60 10.60 0.07
- 75573 Ct hrt c+ strux cgen hrt ds A 2.49 6.60 6.60NA 0.17 9.26 9.261XXX.00.00.00400009 33.4009 090 88 11.52 11.52 0.21
- 7557326Ct hrt c+ strux cgen hrt ds A 2.49 0.92 0.92 0.13 3.54 3.541XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75573TCCt hrt c+ strux cgen hrt ds A 0.00 5.68 5.68NA 0.04 5.72 5.721XXX.00.00.00400009 33.4009 020 88 10.60 10.60 0.08
- 75574 Ct angio hrt w/3d image A 2.34 7.25 7.25NA 0.16 9.75 9.751XXX.00.00.00400009 33.4009 090 88 11.45 11.45 0.19
- 7557426Ct angio hrt w/3d image A 2.34 0.85 0.85 0.12 3.31 3.311XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75574TCCt angio hrt w/3d image A 0.00 6.40 6.40NA 0.04 6.44 6.441XXX.00.00.00400009 33.4009 020 88 10.60 10.60 0.07
- 75577 Quan&char c athrosclrtc plaq A 0.85 29.40 29.40NA 0.05 30.30 30.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7557726Quan&char c athrosclrtc plaq A 0.85 0.35 0.35 0.04 1.24 1.241XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75577TCQuan&char c athrosclrtc plaq A 0.00 29.05 29.05NA 0.01 29.06 29.061XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 75580 N-invas est c ffr sw aly cta A 0.73 25.73 25.73NA 0.09 26.55 26.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7558026N-invas est c ffr sw aly cta A 0.73 0.27 0.27 0.03 1.03 1.031XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75580TCN-invas est c ffr sw aly cta A 0.00 25.46 25.46NA 0.06 25.52 25.521XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 75600 Contrast exam thoracic aorta A 0.48 4.74 4.74NA 0.09 5.31 5.311XXX.00.00.00600009 33.4009 090 99 96.32 96.32 0.49
- 7560026Contrast exam thoracic aorta A 0.48 0.16 0.16 0.07 0.71 0.711XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75600TCContrast exam thoracic aorta A 0.00 4.58 4.58NA 0.02 4.60 4.601XXX.00.00.00600009 33.4009 030 99 96.16 96.16 0.42
- 75605 Contrast exam thoracic aorta A 1.11 2.37 2.37NA 0.14 3.62 3.621XXX.00.00.00600009 33.4009 090 99 168.87 168.87 1.79
- 7560526Contrast exam thoracic aorta A 1.11 0.33 0.33 0.12 1.56 1.561XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75605TCContrast exam thoracic aorta A 0.00 2.04 2.04NA 0.02 2.06 2.061XXX.00.00.00600009 33.4009 030 99 168.54 168.54 1.67
- 75625 Contrast exam abdominl aorta A 1.40 2.13 2.13NA 0.22 3.75 3.751XXX.00.00.00600009 33.4009 090 99 96.39 96.39 0.76
- 7562526Contrast exam abdominl aorta A 1.40 0.36 0.36 0.21 1.97 1.971XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75625TCContrast exam abdominl aorta A 0.00 1.77 1.77NA 0.01 1.78 1.781XXX.00.00.00600009 33.4009 030 99 96.03 96.03 0.55
- 75630 X-ray aorta leg arteries A 1.95 2.48 2.48NA 0.23 4.66 4.661XXX.00.00.00600009 33.4009 090 99 96.14 96.14 1.22
- 7563026X-ray aorta leg arteries A 1.95 0.57 0.57 0.21 2.73 2.731XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75630TCX-ray aorta leg arteries A 0.00 1.91 1.91NA 0.02 1.93 1.931XXX.00.00.00600009 33.4009 030 99 95.57 95.57 1.01
- 75635 Ct angio abdominal arteries A 2.34 9.77 9.77NA 0.20 12.31 12.311XXX.00.00.00400009 33.4009 090 88 6.13 6.13 0.18
- 7563526Ct angio abdominal arteries A 2.34 0.79 0.79 0.15 3.28 3.281XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 75635TCCt angio abdominal arteries A 0.00 8.98 8.98NA 0.05 9.03 9.031XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 75705 Artery x-rays spine A 2.13 6.08 6.08NA 0.50 8.71 8.711XXX.00.00.00600009 33.4009 090 99 170.26 170.26 1.49
- 7570526Artery x-rays spine A 2.13 1.08 1.08 0.47 3.68 3.681XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75705TCArtery x-rays spine A 0.00 5.00 5.00NA 0.03 5.03 5.031XXX.00.00.00600009 33.4009 030 99 169.18 169.18 1.02
- 75710 Artery x-rays arm/leg A 1.71 2.51 2.51NA 0.25 4.47 4.471XXX.00.00.00600009 33.4009 090 99 96.11 96.11 1.18
- 7571026Artery x-rays arm/leg A 1.71 0.47 0.47 0.23 2.41 2.411XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75710TCArtery x-rays arm/leg A 0.00 2.04 2.04NA 0.02 2.06 2.061XXX.00.00.00600009 33.4009 030 99 95.64 95.64 0.95
- 75716 Artery x-rays arms/legs A 1.92 2.72 2.72NA 0.23 4.87 4.871XXX.00.00.00620009 33.4009 090 99 96.25 96.25 1.11
- 7571626Artery x-rays arms/legs A 1.92 0.57 0.57 0.21 2.70 2.701XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 75716TCArtery x-rays arms/legs A 0.00 2.15 2.15NA 0.02 2.17 2.171XXX.00.00.00620009 33.4009 030 99 95.68 95.68 0.90
- 75726 Artery x-rays abdomen A 2.00 2.84 2.84NA 0.18 5.02 5.021XXX.00.00.00600009 33.4009 090 99 169.27 169.27 1.65
- 7572626Artery x-rays abdomen A 2.00 0.56 0.56 0.16 2.72 2.721XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75726TCArtery x-rays abdomen A 0.00 2.28 2.28NA 0.02 2.30 2.301XXX.00.00.00600009 33.4009 030 99 168.71 168.71 1.49
- 75731 Artery x-rays adrenal gland A 1.11 3.31 3.31NA 0.10 4.52 4.521XXX.00.00.00600009 33.4009 090 99 95.98 95.98 1.06
- 7573126Artery x-rays adrenal gland A 1.11 0.39 0.39 0.07 1.57 1.571XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75731TCArtery x-rays adrenal gland A 0.00 2.92 2.92NA 0.03 2.95 2.951XXX.00.00.00600009 33.4009 030 99 95.59 95.59 0.99
- 75733 Artery x-rays adrenals A 1.28 3.88 3.88NA 0.08 5.24 5.241XXX.00.00.00620009 33.4009 090 99 95.92 95.92 1.17
- 7573326Artery x-rays adrenals A 1.28 0.47 0.47 0.04 1.79 1.791XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 75733TCArtery x-rays adrenals A 0.00 3.41 3.41NA 0.04 3.45 3.451XXX.00.00.00620009 33.4009 030 99 95.45 95.45 1.13
- 75736 Artery x-rays pelvis A 1.11 3.07 3.07NA 0.11 4.29 4.291XXX.00.00.00600009 33.4009 090 99 168.67 168.67 1.92
- 7573626Artery x-rays pelvis A 1.11 0.31 0.31 0.08 1.50 1.501XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75736TCArtery x-rays pelvis A 0.00 2.76 2.76NA 0.03 2.79 2.791XXX.00.00.00600009 33.4009 030 99 168.36 168.36 1.84
- 75741 Artery x-rays lung A 1.28 2.44 2.44NA 0.11 3.83 3.831XXX.00.00.00600009 33.4009 090 99 96.02 96.02 1.03
- 7574126Artery x-rays lung A 1.28 0.38 0.38 0.09 1.75 1.751XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75741TCArtery x-rays lung A 0.00 2.06 2.06NA 0.02 2.08 2.081XXX.00.00.00600009 33.4009 030 99 95.64 95.64 0.94
- 75743 Artery x-rays lungs A 1.62 2.61 2.61NA 0.14 4.37 4.371XXX.00.00.00620009 33.4009 090 99 96.16 96.16 1.03
- 7574326Artery x-rays lungs A 1.62 0.49 0.49 0.12 2.23 2.231XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 75743TCArtery x-rays lungs A 0.00 2.12 2.12NA 0.02 2.14 2.141XXX.00.00.00620009 33.4009 030 99 95.67 95.67 0.91
- 75746 Artery x-rays lung A 1.11 2.82 2.82NA 0.09 4.02 4.021XXX.00.00.00600009 33.4009 090 99 96.15 96.15 0.85
- 7574626Artery x-rays lung A 1.11 0.35 0.35 0.07 1.53 1.531XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75746TCArtery x-rays lung A 0.00 2.47 2.47NA 0.02 2.49 2.491XXX.00.00.00600009 33.4009 030 99 95.80 95.80 0.78
- 75756 Artery x-rays chest A 1.11 3.75 3.75NA 0.15 5.01 5.011XXX.00.00.00600009 33.4009 090 99 96.11 96.11 0.98
- 7575626Artery x-rays chest A 1.11 0.39 0.39 0.12 1.62 1.621XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75756TCArtery x-rays chest A 0.00 3.36 3.36NA 0.03 3.39 3.391XXX.00.00.00600009 33.4009 030 99 95.72 95.72 0.86
- 75774 Artery x-ray each vessel A 0.98 1.79 1.79NA 0.08 2.85 2.851ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7577426Artery x-ray each vessel A 0.98 0.28 0.28 0.07 1.33 1.331ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75774TCArtery x-ray each vessel A 0.00 1.51 1.51NA 0.01 1.52 1.521ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75801 Lymph vessel x-ray arm/leg C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 19.58 19.58 0.13
- 7580126Lymph vessel x-ray arm/leg A 0.79 0.40 0.40 0.12 1.31 1.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75801TCLymph vessel x-ray arm/leg C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 19.18 19.18 0.01
- 75803 Lymph vessel x-ray arms/legs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00020009 33.4009 090 99 48.55 48.55 0.08
- 7580326Lymph vessel x-ray arms/legs A 1.14 0.41 0.41 0.07 1.62 1.621XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 75803TCLymph vessel x-ray arms/legs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00020009 33.4009 030 99 48.14 48.14 0.01
- 75805 Lymph vessel x-ray trunk C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 96.86 96.86 0.06
- 7580526Lymph vessel x-ray trunk A 0.79 0.29 0.29 0.05 1.13 1.131XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75805TCLymph vessel x-ray trunk C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 96.57 96.57 0.01
- 75807 Lymph vessel x-ray trunk C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00020009 33.4009 090 99 96.88 96.88 0.09
- 7580726Lymph vessel x-ray trunk A 1.14 0.31 0.31 0.08 1.53 1.531XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 75807TCLymph vessel x-ray trunk C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00020009 33.4009 030 99 96.57 96.57 0.01
- 75809 Nonvascular shunt x-ray A 0.46 2.04 2.04NA 0.05 2.55 2.551XXX.00.00.00600009 33.4009 090 99 3.38 3.38 0.06
- 7580926Nonvascular shunt x-ray A 0.46 0.20 0.20 0.04 0.70 0.701XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75809TCNonvascular shunt x-ray A 0.00 1.84 1.84NA 0.01 1.85 1.851XXX.00.00.00600009 33.4009 030 99 3.18 3.18 0.02
- 75810 Vein x-ray spleen/liver C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 96.78 96.78 0.10
- 7581026Vein x-ray spleen/liver A 1.11 0.21 0.21 0.09 1.41 1.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75810TCVein x-ray spleen/liver C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 96.57 96.57 0.01
- 75820 Vein x-ray arm/leg A 1.02 2.10 2.10NA 0.09 3.21 3.211XXX.00.00.00600009 33.4009 090 99 48.22 48.22 0.35
- 7582026Vein x-ray arm/leg A 1.02 0.34 0.34 0.08 1.44 1.441XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75820TCVein x-ray arm/leg A 0.00 1.76 1.76NA 0.01 1.77 1.771XXX.00.00.00600009 33.4009 030 99 47.88 47.88 0.27
- 75822 Vein x-ray arms/legs A 1.44 2.41 2.41NA 0.14 3.99 3.991XXX.00.00.00620009 33.4009 090 99 48.35 48.35 0.38
- 7582226Vein x-ray arms/legs A 1.44 0.45 0.45 0.13 2.02 2.021XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 75822TCVein x-ray arms/legs A 0.00 1.96 1.96NA 0.01 1.97 1.971XXX.00.00.00620009 33.4009 030 99 47.90 47.90 0.25
- 75825 Vein x-ray trunk A 1.11 2.15 2.15NA 0.14 3.40 3.401XXX.00.00.00600009 33.4009 090 99 96.37 96.37 0.66
- 7582526Vein x-ray trunk A 1.11 0.32 0.32 0.13 1.56 1.561XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75825TCVein x-ray trunk A 0.00 1.83 1.83NA 0.01 1.84 1.841XXX.00.00.00600009 33.4009 030 99 96.05 96.05 0.53
- 75827 Vein x-ray chest A 1.11 2.30 2.30NA 0.15 3.56 3.561XXX.00.00.00600009 33.4009 090 99 48.23 48.23 0.39
- 7582726Vein x-ray chest A 1.11 0.33 0.33 0.14 1.58 1.581XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75827TCVein x-ray chest A 0.00 1.97 1.97NA 0.01 1.98 1.981XXX.00.00.00600009 33.4009 030 99 47.90 47.90 0.25
- 75831 Vein x-ray kidney A 1.11 2.34 2.34NA 0.11 3.56 3.561XXX.00.00.00600009 33.4009 090 99 95.94 95.94 1.04
- 7583126Vein x-ray kidney A 1.11 0.30 0.30 0.09 1.50 1.501XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75831TCVein x-ray kidney A 0.00 2.04 2.04NA 0.02 2.06 2.061XXX.00.00.00600009 33.4009 030 99 95.64 95.64 0.95
- 75833 Vein x-ray kidneys A 1.45 3.02 3.02NA 0.22 4.69 4.691XXX.00.00.00620009 33.4009 090 99 96.31 96.31 0.97
- 7583326Vein x-ray kidneys A 1.45 0.50 0.50 0.20 2.15 2.151XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 75833TCVein x-ray kidneys A 0.00 2.52 2.52NA 0.02 2.54 2.541XXX.00.00.00620009 33.4009 030 99 95.81 95.81 0.77
- 75840 Vein x-ray adrenal gland A 1.11 2.56 2.56NA 0.09 3.76 3.761XXX.00.00.00600009 33.4009 090 99 96.08 96.08 0.96
- 7584026Vein x-ray adrenal gland A 1.11 0.39 0.39 0.07 1.57 1.571XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75840TCVein x-ray adrenal gland A 0.00 2.17 2.17NA 0.02 2.19 2.191XXX.00.00.00600009 33.4009 030 99 95.69 95.69 0.89
- 75860 Vein x-ray neck A 1.11 2.64 2.64NA 0.13 3.88 3.881XXX.00.00.00600009 33.4009 090 99 96.11 96.11 0.96
- 7586026Vein x-ray neck A 1.11 0.38 0.38 0.11 1.60 1.601XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75860TCVein x-ray neck A 0.00 2.26 2.26NA 0.02 2.28 2.281XXX.00.00.00600009 33.4009 030 99 95.73 95.73 0.85
- 75870 Vein x-ray skull A 1.11 4.16 4.16NA 0.24 5.51 5.511XXX.00.00.00600009 33.4009 090 99 96.59 96.59 0.75
- 7587026Vein x-ray skull A 1.11 0.54 0.54 0.22 1.87 1.871XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75870TCVein x-ray skull A 0.00 3.62 3.62NA 0.02 3.64 3.641XXX.00.00.00600009 33.4009 030 99 96.05 96.05 0.53
- 75872 Vein x-ray skull epidural A 1.11 2.56 2.56NA 0.09 3.76 3.761XXX.00.00.00600009 33.4009 090 99 19.40 19.40 0.25
- 7587226Vein x-ray skull epidural A 1.11 0.39 0.39 0.07 1.57 1.571XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75872TCVein x-ray skull epidural A 0.00 2.17 2.17NA 0.02 2.19 2.191XXX.00.00.00600009 33.4009 030 99 19.01 19.01 0.18
- 75880 Vein x-ray eye socket A 0.68 2.41 2.41NA 0.06 3.15 3.151XXX.00.00.00600009 33.4009 090 99 19.26 19.26 0.22
- 7588026Vein x-ray eye socket A 0.68 0.25 0.25 0.04 0.97 0.971XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75880TCVein x-ray eye socket A 0.00 2.16 2.16NA 0.02 2.18 2.181XXX.00.00.00600009 33.4009 030 99 19.01 19.01 0.18
- 75885 Vein x-ray liver w/hemodynam A 1.40 2.52 2.52NA 0.13 4.05 4.051XXX.00.00.00600009 33.4009 090 99 96.06 96.06 1.02
- 7588526Vein x-ray liver w/hemodynam A 1.40 0.39 0.39 0.11 1.90 1.901XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75885TCVein x-ray liver w/hemodynam A 0.00 2.13 2.13NA 0.02 2.15 2.151XXX.00.00.00600009 33.4009 030 99 95.67 95.67 0.91
- 75887 Vein x-ray liver w/o hemodyn A 1.40 2.53 2.53NA 0.13 4.06 4.061XXX.00.00.00600009 33.4009 090 99 96.07 96.07 1.01
- 7588726Vein x-ray liver w/o hemodyn A 1.40 0.39 0.39 0.11 1.90 1.901XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75887TCVein x-ray liver w/o hemodyn A 0.00 2.14 2.14NA 0.02 2.16 2.161XXX.00.00.00600009 33.4009 030 99 95.68 95.68 0.90
- 75889 Vein x-ray liver w/hemodynam A 1.11 2.46 2.46NA 0.09 3.66 3.661XXX.00.00.00600009 33.4009 090 99 96.00 96.00 0.97
- 7588926Vein x-ray liver w/hemodynam A 1.11 0.32 0.32 0.07 1.50 1.501XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75889TCVein x-ray liver w/hemodynam A 0.00 2.14 2.14NA 0.02 2.16 2.161XXX.00.00.00600009 33.4009 030 99 95.68 95.68 0.90
- 75891 Vein x-ray liver A 1.11 2.48 2.48NA 0.09 3.68 3.681XXX.00.00.00600009 33.4009 090 99 96.01 96.01 0.97
- 7589126Vein x-ray liver A 1.11 0.33 0.33 0.07 1.51 1.511XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75891TCVein x-ray liver A 0.00 2.15 2.15NA 0.02 2.17 2.171XXX.00.00.00600009 33.4009 030 99 95.68 95.68 0.90
- 75893 Venous sampling by catheter A 0.53 2.70 2.70NA 0.08 3.31 3.311XXX.00.00.00600009 33.4009 090 99 169.04 169.04 1.42
- 7589326Venous sampling by catheter A 0.53 0.19 0.19 0.06 0.78 0.781XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 75893TCVenous sampling by catheter A 0.00 2.51 2.51NA 0.02 2.53 2.531XXX.00.00.00600009 33.4009 030 99 168.85 168.85 1.36
- 75894 X-rays transcath therapy A 2.19 6.78 6.78NA 0.51 9.48 9.481XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7589426X-rays transcath therapy A 2.19 1.15 1.15 0.48 3.82 3.821XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75894TCX-rays transcath therapy A 0.00 5.63 5.63NA 0.03 5.66 5.661XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75898 Follow-up angiography A 1.80 5.94 5.94NA 0.43 8.17 8.171XXX.00.00.00000009 33.4009 090 99 97.16 97.16 0.80
- 7589826Follow-up angiography A 1.80 0.97 0.97 0.41 3.18 3.181XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75898TCFollow-up angiography A 0.00 4.97 4.97NA 0.02 4.99 4.991XXX.00.00.00000009 33.4009 090 99 96.19 96.19 0.39
- 75901 Remove cva device obstruct A 0.48 6.28 6.28NA 0.06 6.82 6.821XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7590126Remove cva device obstruct A 0.48 0.15 0.15 0.04 0.67 0.671XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75901TCRemove cva device obstruct A 0.00 6.13 6.13NA 0.02 6.15 6.151XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75902 Remove cva lumen obstruct A 0.38 2.15 2.15NA 0.05 2.58 2.581XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7590226Remove cva lumen obstruct A 0.38 0.12 0.12 0.04 0.54 0.541XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75902TCRemove cva lumen obstruct A 0.00 2.03 2.03NA 0.01 2.04 2.041XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75970 Vascular biopsy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7597026Vascular biopsy A 0.81 0.23 0.23 0.06 1.10 1.101XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75970TCVascular biopsy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75984 Xray control catheter change A 0.81 1.93 1.93NA 0.07 2.81 2.811XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7598426Xray control catheter change A 0.81 0.24 0.24 0.06 1.11 1.111XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75984TCXray control catheter change A 0.00 1.69 1.69NA 0.01 1.70 1.701XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 75989 Abscess drainage under x-ray A 1.16 2.12 2.12NA 0.09 3.37 3.371XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7598926Abscess drainage under x-ray A 1.16 0.39 0.39 0.08 1.63 1.631XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 75989TCAbscess drainage under x-ray A 0.00 1.73 1.73NA 0.01 1.74 1.741XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76000 Fluoroscopy <1 hr phys/qhp A 0.30 0.98 0.98NA 0.04 1.32 1.321XXX.00.00.00000009 33.4009 090 99 7.34 7.34 0.12
- 7600026Fluoroscopy <1 hr phys/qhp A 0.30 0.13 0.13 0.03 0.46 0.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76000TCFluoroscopy <1 hr phys/qhp A 0.00 0.85 0.85NA 0.01 0.86 0.861XXX.00.00.00000009 33.4009 030 99 7.21 7.21 0.09
- 76010 X-ray nose to rectum A 0.18 0.66 0.66NA 0.02 0.86 0.861XXX.00.00.00000009 33.4009 090 99 2.68 2.68 0.05
- 7601026X-ray nose to rectum A 0.18 0.06 0.06 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76010TCX-ray nose to rectum A 0.00 0.60 0.60NA 0.01 0.61 0.611XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 76014 Mr sfty implt&/fb asmt stf 1 A 0.00 0.32 0.32NA 0.01 0.33 0.333XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76015 Mr sfty mplt&/fb asmt stf ea A 0.00 1.53 1.53NA 0.06 1.59 1.593ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76016 Mr safety deter phys/qhp A 0.59 1.51 1.51NA 0.05 2.15 2.151XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7601626Mr safety deter phys/qhp A 0.59 0.21 0.21 0.03 0.83 0.831XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76016TCMr safety deter phys/qhp A 0.00 1.30 1.30NA 0.02 1.32 1.321XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 76017 Mr sfty med physics xm cstmz A 0.74 5.79 5.79NA 0.11 6.64 6.641XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7601726Mr sfty med physics xm cstmz A 0.74 0.26 0.26 0.04 1.04 1.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76017TCMr sfty med physics xm cstmz A 0.00 5.53 5.53NA 0.07 5.60 5.601XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 76018 Mr safety implant elec prepj A 0.73 2.67 2.67NA 0.04 3.44 3.441XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7601826Mr safety implant elec prepj A 0.73 0.27 0.27 0.03 1.03 1.031XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76018TCMr safety implant elec prepj A 0.00 2.40 2.40NA 0.01 2.41 2.411XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 76019 Mr safety implt pos&/immoblj A 0.59 3.93 3.93NA 0.07 4.59 4.591XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7601926Mr safety implt pos&/immoblj A 0.59 0.19 0.19 0.06 0.84 0.841XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76019TCMr safety implt pos&/immoblj A 0.00 3.74 3.74NA 0.01 3.75 3.751XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 76080 X-ray exam of fistula A 0.53 1.18 1.18NA 0.05 1.76 1.761XXX.00.00.00000009 33.4009 090 99 16.70 16.70 0.20
- 7608026X-ray exam of fistula A 0.53 0.15 0.15 0.04 0.72 0.721XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76080TCX-ray exam of fistula A 0.00 1.03 1.03NA 0.01 1.04 1.041XXX.00.00.00000009 33.4009 030 99 16.55 16.55 0.16
- 76098 X-ray exam surgical specimen A 0.30 0.96 0.96NA 0.03 1.29 1.291XXX.00.00.00000009 33.4009 090 99 16.64 16.64 0.22
- 7609826X-ray exam surgical specimen A 0.30 0.12 0.12 0.02 0.44 0.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76098TCX-ray exam surgical specimen A 0.00 0.84 0.84NA 0.01 0.85 0.851XXX.00.00.00000009 33.4009 010 99 16.52 16.52 0.20
- 76100 X-ray exam of body section A 0.57 1.97 1.97NA 0.04 2.58 2.581XXX.00.00.00000009 33.4009 090 99 3.39 3.39 0.05
- 7610026X-ray exam of body section A 0.57 0.21 0.21 0.03 0.81 0.811XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76100TCX-ray exam of body section A 0.00 1.76 1.76NA 0.01 1.77 1.771XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76120 Cine/video x-rays A 0.37 3.01 3.01NA 0.02 3.40 3.401XXX.00.00.00000009 33.4009 090 99 3.37 3.37 0.02
- 7612026Cine/video x-rays A 0.37 0.18 0.18 0.01 0.56 0.561XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76120TCCine/video x-rays A 0.00 2.83 2.83NA 0.01 2.84 2.841XXX.00.00.00000009 33.4009 020 99 3.19 3.19 0.01
- 76125 Cine/video x-rays add-on C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7612526Cine/video x-rays add-on A 0.26 0.13 0.13 0.03 0.42 0.421ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76125TCCine/video x-rays add-on C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 76140 X-ray consultation I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 76145 Med physic dos eval rad exps A 0.00 30.60 30.60NA 0.51 31.11 31.113XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76376 3d render w/intrp postproces A 0.20 0.54 0.54NA 0.02 0.76 0.761XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76376263d render w/intrp postproces A 0.20 0.07 0.07 0.01 0.28 0.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76376TC3d render w/intrp postproces A 0.00 0.47 0.47NA 0.01 0.48 0.481XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76377 3d render w/intrp postproces A 0.77 1.52 1.52NA 0.07 2.36 2.361XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76377263d render w/intrp postproces A 0.77 0.29 0.29 0.05 1.11 1.111XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76377TC3d render w/intrp postproces A 0.00 1.23 1.23NA 0.02 1.25 1.251XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76380 Cat scan follow-up study A 0.96 2.92 2.92NA 0.08 3.96 3.961XXX.00.00.00000009 33.4009 090 99 2.96 2.96 0.08
- 7638026Cat scan follow-up study A 0.96 0.31 0.31 0.07 1.34 1.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76380TCCat scan follow-up study A 0.00 2.61 2.61NA 0.01 2.62 2.621XXX.00.00.00000009 33.4009 010 99 2.65 2.65 0.01
- 76390 Mr spectroscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7639026Mr spectroscopy C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76390TCMr spectroscopy C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76391 Mr elastography A 1.07 4.76 4.76NA 0.08 5.91 5.911XXX.00.00.00400009 33.4009 090 88 7.63 7.63 0.09
- 7639126Mr elastography A 1.07 0.37 0.37 0.06 1.50 1.501XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76391TCMr elastography A 0.00 4.39 4.39NA 0.02 4.41 4.411XXX.00.00.00400009 33.4009 020 88 7.26 7.26 0.03
- 76496 Unlisted fluoroscopic px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7649626Unlisted fluoroscopic px C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76496TCUnlisted fluoroscopic px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 2.65 2.65 0.01
- 76497 Unlisted ct procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7649726Unlisted ct procedure C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76497TCUnlisted ct procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 020 99 2.65 2.65 0.01
- 76498 Unlisted mr procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7649826Unlisted mr procedure C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76498TCUnlisted mr procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 020 99 2.65 2.65 0.01
- 76499 Unlisted dx radiographic px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7649926Unlisted dx radiographic px C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76499TCUnlisted dx radiographic px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76506 Echo exam of head A 0.61 2.60 2.60NA 0.05 3.26 3.261XXX.00.00.00000009 33.4009 090 99 3.41 3.41 0.05
- 7650626Echo exam of head A 0.61 0.23 0.23 0.04 0.88 0.881XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76506TCEcho exam of head A 0.00 2.37 2.37NA 0.01 2.38 2.381XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.01
- 76510 Oph us dx b-scan&quan a-scan A 0.68 1.36 1.36NA 0.02 2.06 2.061XXX.00.00.00730009 33.4009 090 99 4.48 4.48 0.06
- 7651026Oph us dx b-scan&quan a-scan A 0.68 0.46 0.46 0.01 1.15 1.151XXX.00.00.00730009 33.4009 090 99 0.00 0.00 0.00
- 76510TCOph us dx b-scan&quan a-scan A 0.00 0.90 0.90NA 0.01 0.91 0.911XXX.00.00.00730009 33.4009 020 99 4.02 4.02 0.05
- 76511 Oph us dx quan a-scan only A 0.62 1.08 1.08NA 0.02 1.72 1.721XXX.00.00.00730009 33.4009 090 99 3.57 3.57 0.06
- 7651126Oph us dx quan a-scan only A 0.62 0.42 0.42 0.01 1.05 1.051XXX.00.00.00730009 33.4009 090 99 0.00 0.00 0.00
- 76511TCOph us dx quan a-scan only A 0.00 0.66 0.66NA 0.01 0.67 0.671XXX.00.00.00730009 33.4009 020 99 3.15 3.15 0.05
- 76512 Oph us dx b-scan A 0.55 0.89 0.89NA 0.02 1.46 1.461XXX.00.00.00730009 33.4009 090 99 3.49 3.49 0.07
- 7651226Oph us dx b-scan A 0.55 0.35 0.35 0.01 0.91 0.911XXX.00.00.00730009 33.4009 090 99 0.00 0.00 0.00
- 76512TCOph us dx b-scan A 0.00 0.54 0.54NA 0.01 0.55 0.551XXX.00.00.00730009 33.4009 020 99 3.14 3.14 0.06
- 76513 Oph us dx ant sgm us uni/bi A 0.59 1.68 1.68NA 0.02 2.29 2.291XXX.00.00.00730009 33.4009 090 99 3.54 3.54 0.03
- 7651326Oph us dx ant sgm us uni/bi A 0.59 0.37 0.37 0.01 0.97 0.971XXX.00.00.00730009 33.4009 090 99 0.00 0.00 0.00
- 76513TCOph us dx ant sgm us uni/bi A 0.00 1.31 1.31NA 0.01 1.32 1.321XXX.00.00.00730009 33.4009 020 99 3.17 3.17 0.02
- 76514 Echo exam of eye thickness A 0.14 0.19 0.19NA 0.02 0.35 0.351XXX.00.00.00720009 33.4009 090 99 0.89 0.89 0.08
- 7651426Echo exam of eye thickness A 0.14 0.08 0.08 0.01 0.23 0.231XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 76514TCEcho exam of eye thickness A 0.00 0.11 0.11NA 0.01 0.12 0.121XXX.00.00.00720009 33.4009 010 99 0.81 0.81 0.07
- 76516 Echo exam of eye A 0.39 1.02 1.02NA 0.02 1.43 1.431XXX.00.00.00720009 33.4009 090 99 3.43 3.43 0.05
- 7651626Echo exam of eye A 0.39 0.27 0.27 0.01 0.67 0.671XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 76516TCEcho exam of eye A 0.00 0.75 0.75NA 0.01 0.76 0.761XXX.00.00.00720009 33.4009 010 99 3.16 3.16 0.04
- 76519 Echo exam of eye A 0.53 1.53 1.53NA 0.02 2.08 2.081XXX.00.00.00720009 33.4009 090 99 3.53 3.53 0.04
- 7651926Echo exam of eye A 0.53 0.36 0.36 0.01 0.90 0.901XXX.00.00.00730009 33.4009 090 99 0.00 0.00 0.00
- 76519TCEcho exam of eye A 0.00 1.17 1.17NA 0.01 1.18 1.181XXX.00.00.00720009 33.4009 010 99 3.17 3.17 0.03
- 76529 Echo exam of eye A 0.56 2.02 2.02NA 0.03 2.61 2.611XXX.00.00.00030009 33.4009 090 99 3.03 3.03 0.04
- 7652926Echo exam of eye A 0.56 0.38 0.38 0.02 0.96 0.961XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 76529TCEcho exam of eye A 0.00 1.64 1.64NA 0.01 1.65 1.651XXX.00.00.00030009 33.4009 010 99 2.65 2.65 0.02
- 76536 Us exam of head and neck A 0.55 2.66 2.66NA 0.04 3.25 3.251XXX.00.00.00000009 33.4009 090 99 3.39 3.39 0.04
- 7653626Us exam of head and neck A 0.55 0.21 0.21 0.03 0.79 0.791XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76536TCUs exam of head and neck A 0.00 2.45 2.45NA 0.01 2.46 2.461XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.01
- 76604 Us exam chest A 0.58 1.20 1.20NA 0.05 1.83 1.831XXX.00.00.00400009 33.4009 090 88 3.38 3.38 0.07
- 7660426Us exam chest A 0.58 0.21 0.21 0.04 0.83 0.831XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76604TCUs exam chest A 0.00 0.99 0.99NA 0.01 1.00 1.001XXX.00.00.00400009 33.4009 010 88 3.17 3.17 0.03
- 76641 Ultrasound breast complete A 0.71 2.24 2.24NA 0.05 3.00 3.001XXX.00.00.00010009 33.4009 090 99 3.44 3.44 0.06
- 7664126Ultrasound breast complete A 0.71 0.26 0.26 0.04 1.01 1.011XXX.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 76641TCUltrasound breast complete A 0.00 1.98 1.98NA 0.01 1.99 1.991XXX.00.00.00010009 33.4009 010 99 3.18 3.18 0.02
- 76642 Ultrasound breast limited A 0.66 1.79 1.79NA 0.05 2.50 2.501XXX.00.00.00010009 33.4009 090 99 2.88 2.88 0.06
- 7664226Ultrasound breast limited A 0.66 0.24 0.24 0.04 0.94 0.941XXX.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 76642TCUltrasound breast limited A 0.00 1.55 1.55NA 0.01 1.56 1.561XXX.00.00.00010009 33.4009 010 99 2.64 2.64 0.02
- 76700 Us exam abdom complete A 0.79 2.57 2.57NA 0.06 3.42 3.421XXX.00.00.00400009 33.4009 090 88 3.46 3.46 0.07
- 7670026Us exam abdom complete A 0.79 0.29 0.29 0.04 1.12 1.121XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76700TCUs exam abdom complete A 0.00 2.28 2.28NA 0.02 2.30 2.301XXX.00.00.00400009 33.4009 010 88 3.17 3.17 0.03
- 76705 Echo exam of abdomen A 0.58 1.96 1.96NA 0.04 2.58 2.581XXX.00.00.00400009 33.4009 090 88 3.39 3.39 0.05
- 7670526Echo exam of abdomen A 0.58 0.21 0.21 0.03 0.82 0.821XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76705TCEcho exam of abdomen A 0.00 1.75 1.75NA 0.01 1.76 1.761XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.02
- 76706 Us abdl aorta screen aaa A 0.54 2.58 2.58NA 0.05 3.17 3.171XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7670626Us abdl aorta screen aaa A 0.54 0.19 0.19 0.04 0.77 0.771XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76706TCUs abdl aorta screen aaa A 0.00 2.39 2.39NA 0.01 2.40 2.401XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76770 Us exam abdo back wall comp A 0.72 2.41 2.41NA 0.05 3.18 3.181XXX.00.00.00400009 33.4009 090 88 3.44 3.44 0.05
- 7677026Us exam abdo back wall comp A 0.72 0.26 0.26 0.04 1.02 1.021XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76770TCUs exam abdo back wall comp A 0.00 2.15 2.15NA 0.01 2.16 2.161XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 76775 Us exam abdo back wall lim A 0.57 1.21 1.21NA 0.04 1.82 1.821XXX.00.00.00400009 33.4009 090 88 3.38 3.38 0.06
- 7677526Us exam abdo back wall lim A 0.57 0.21 0.21 0.03 0.81 0.811XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76775TCUs exam abdo back wall lim A 0.00 1.00 1.00NA 0.01 1.01 1.011XXX.00.00.00400009 33.4009 010 88 3.17 3.17 0.03
- 76776 Us exam k transpl w/doppler A 0.74 3.49 3.49NA 0.06 4.29 4.291XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7677626Us exam k transpl w/doppler A 0.74 0.26 0.26 0.04 1.04 1.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76776TCUs exam k transpl w/doppler A 0.00 3.23 3.23NA 0.02 3.25 3.251XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 76800 Us exam spinal canal A 1.10 4.36 4.36NA 0.24 5.70 5.701XXX.00.00.00000009 33.4009 090 99 3.79 3.79 0.24
- 7680026Us exam spinal canal A 1.10 0.60 0.60 0.23 1.93 1.931XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76800TCUs exam spinal canal A 0.00 3.76 3.76NA 0.01 3.77 3.771XXX.00.00.00000009 33.4009 010 99 3.19 3.19 0.01
- 76801 Ob us < 14 wks single fetus A 0.97 2.47 2.47NA 0.06 3.50 3.501XXX.00.00.00000009 33.4009 090 99 3.55 3.55 0.07
- 7680126Ob us < 14 wks single fetus A 0.97 0.37 0.37 0.05 1.39 1.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76801TCOb us < 14 wks single fetus A 0.00 2.10 2.10NA 0.01 2.11 2.111XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76802 Ob us < 14 wks addl fetus A 0.81 0.96 0.96NA 0.04 1.81 1.811ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7680226Ob us < 14 wks addl fetus A 0.81 0.33 0.33 0.04 1.18 1.181ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76802TCOb us < 14 wks addl fetus A 0.00 0.63 0.63NA 0.00 0.63 0.631ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76805 Ob us >/= 14 wks sngl fetus A 0.97 3.03 3.03NA 0.07 4.07 4.071XXX.00.00.00000009 33.4009 090 99 3.56 3.56 0.07
- 7680526Ob us >/= 14 wks sngl fetus A 0.97 0.39 0.39 0.05 1.41 1.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76805TCOb us >/= 14 wks sngl fetus A 0.00 2.64 2.64NA 0.02 2.66 2.661XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.02
- 76810 Ob us >/= 14 wks addl fetus A 0.96 1.63 1.63NA 0.06 2.65 2.651ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7681026Ob us >/= 14 wks addl fetus A 0.96 0.40 0.40 0.05 1.41 1.411ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76810TCOb us >/= 14 wks addl fetus A 0.00 1.23 1.23NA 0.01 1.24 1.241ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76811 Ob us detailed sngl fetus A 1.85 3.49 3.49NA 0.11 5.45 5.451XXX.00.00.00000009 33.4009 090 99 8.00 8.00 0.16
- 7681126Ob us detailed sngl fetus A 1.85 0.78 0.78 0.08 2.71 2.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76811TCOb us detailed sngl fetus A 0.00 2.71 2.71NA 0.03 2.74 2.741XXX.00.00.00000009 33.4009 010 99 7.22 7.22 0.08
- 76812 Ob us detailed addl fetus A 1.74 3.98 3.98NA 0.10 5.82 5.821ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7681226Ob us detailed addl fetus A 1.74 0.74 0.74 0.08 2.56 2.561ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76812TCOb us detailed addl fetus A 0.00 3.24 3.24NA 0.02 3.26 3.261ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76813 Ob us nuchal meas 1 gest A 1.15 2.24 2.24NA 0.07 3.46 3.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7681326Ob us nuchal meas 1 gest A 1.15 0.48 0.48 0.06 1.69 1.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76813TCOb us nuchal meas 1 gest A 0.00 1.76 1.76NA 0.01 1.77 1.771XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76814 Ob us nuchal meas add-on A 0.97 1.22 1.22NA 0.05 2.24 2.241ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7681426Ob us nuchal meas add-on A 0.97 0.40 0.40 0.05 1.42 1.421ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76814TCOb us nuchal meas add-on A 0.00 0.82 0.82NA 0.00 0.82 0.821ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 76815 Ob us limited fetus(s) A 0.63 1.76 1.76NA 0.05 2.44 2.441XXX.00.00.00000009 33.4009 090 99 3.43 3.43 0.06
- 7681526Ob us limited fetus(s) A 0.63 0.25 0.25 0.04 0.92 0.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76815TCOb us limited fetus(s) A 0.00 1.51 1.51NA 0.01 1.52 1.521XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76816 Ob us follow-up per fetus A 0.83 2.45 2.45NA 0.05 3.33 3.331XXX.00.00.00000009 33.4009 090 99 3.53 3.53 0.06
- 7681626Ob us follow-up per fetus A 0.83 0.35 0.35 0.04 1.22 1.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76816TCOb us follow-up per fetus A 0.00 2.10 2.10NA 0.01 2.11 2.111XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76817 Transvaginal us obstetric A 0.73 2.00 2.00NA 0.05 2.78 2.781XXX.00.00.00000009 33.4009 090 99 3.47 3.47 0.06
- 7681726Transvaginal us obstetric A 0.73 0.29 0.29 0.04 1.06 1.061XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76817TCTransvaginal us obstetric A 0.00 1.71 1.71NA 0.01 1.72 1.721XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76818 Fetal biophys profile w/nst A 1.02 2.56 2.56NA 0.07 3.65 3.651XXX.00.00.00000009 33.4009 090 99 3.60 3.60 0.08
- 7681826Fetal biophys profile w/nst A 1.02 0.43 0.43 0.05 1.50 1.501XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76818TCFetal biophys profile w/nst A 0.00 2.13 2.13NA 0.02 2.15 2.151XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 76819 Fetal biophys profil w/o nst A 0.75 1.82 1.82NA 0.06 2.63 2.631XXX.00.00.00000009 33.4009 090 99 3.47 3.47 0.08
- 7681926Fetal biophys profil w/o nst A 0.75 0.31 0.31 0.04 1.10 1.101XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76819TCFetal biophys profil w/o nst A 0.00 1.51 1.51NA 0.02 1.53 1.531XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 76820 Umbilical artery echo A 0.49 0.83 0.83NA 0.03 1.35 1.351XXX.00.00.00000009 33.4009 090 99 3.36 3.36 0.07
- 7682026Umbilical artery echo A 0.49 0.21 0.21 0.02 0.72 0.721XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76820TCUmbilical artery echo A 0.00 0.62 0.62NA 0.01 0.63 0.631XXX.00.00.00000009 33.4009 010 99 3.15 3.15 0.05
- 76821 Middle cerebral artery echo A 0.68 1.98 1.98NA 0.04 2.70 2.701XXX.00.00.00000009 33.4009 090 99 3.47 3.47 0.05
- 7682126Middle cerebral artery echo A 0.68 0.29 0.29 0.03 1.00 1.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76821TCMiddle cerebral artery echo A 0.00 1.69 1.69NA 0.01 1.70 1.701XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 76825 Echo exam of fetal heart A 1.63 6.12 6.12NA 0.09 7.84 7.841XXX.00.00.00000009 33.4009 090 99 17.29 17.29 0.15
- 7682526Echo exam of fetal heart A 1.63 0.67 0.67 0.06 2.36 2.361XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76825TCEcho exam of fetal heart A 0.00 5.45 5.45NA 0.03 5.48 5.481XXX.00.00.00000009 33.4009 010 99 16.62 16.62 0.09
- 76826 Echo exam of fetal heart A 0.81 3.88 3.88NA 0.05 4.74 4.741XXX.00.00.00000009 33.4009 090 99 7.60 7.60 0.07
- 7682626Echo exam of fetal heart A 0.81 0.34 0.34 0.03 1.18 1.181XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76826TCEcho exam of fetal heart A 0.00 3.54 3.54NA 0.02 3.56 3.561XXX.00.00.00000009 33.4009 010 99 7.26 7.26 0.04
- 76827 Echo exam of fetal heart A 0.57 1.49 1.49NA 0.03 2.09 2.091XXX.00.00.00000009 33.4009 090 99 3.40 3.40 0.05
- 7682726Echo exam of fetal heart A 0.57 0.23 0.23 0.02 0.82 0.821XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76827TCEcho exam of fetal heart A 0.00 1.26 1.26NA 0.01 1.27 1.271XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 76828 Echo exam of fetal heart A 0.55 0.90 0.90NA 0.03 1.48 1.481XXX.00.00.00000009 33.4009 090 99 3.38 3.38 0.07
- 7682826Echo exam of fetal heart A 0.55 0.23 0.23 0.02 0.80 0.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76828TCEcho exam of fetal heart A 0.00 0.67 0.67NA 0.01 0.68 0.681XXX.00.00.00000009 33.4009 010 99 3.15 3.15 0.05
- 76830 Transvaginal us non-ob A 0.67 2.79 2.79NA 0.06 3.52 3.521XXX.00.00.00000009 33.4009 090 99 3.43 3.43 0.07
- 7683026Transvaginal us non-ob A 0.67 0.26 0.26 0.04 0.97 0.971XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76830TCTransvaginal us non-ob A 0.00 2.53 2.53NA 0.02 2.55 2.551XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 76831 Echo exam uterus A 0.70 2.76 2.76NA 0.05 3.51 3.511XXX.00.00.00400009 33.4009 090 88 7.57 7.57 0.07
- 7683126Echo exam uterus A 0.70 0.30 0.30 0.04 1.04 1.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76831TCEcho exam uterus A 0.00 2.46 2.46NA 0.01 2.47 2.471XXX.00.00.00400009 33.4009 030 88 7.27 7.27 0.03
- 76856 Us exam pelvic complete A 0.67 2.43 2.43NA 0.05 3.15 3.151XXX.00.00.00400009 33.4009 090 88 3.44 3.44 0.05
- 7685626Us exam pelvic complete A 0.67 0.26 0.26 0.04 0.97 0.971XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76856TCUs exam pelvic complete A 0.00 2.17 2.17NA 0.01 2.18 2.181XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 76857 Us exam pelvic limited A 0.49 1.00 1.00NA 0.04 1.53 1.531XXX.00.00.00400009 33.4009 090 88 3.35 3.35 0.07
- 7685726Us exam pelvic limited A 0.49 0.19 0.19 0.03 0.71 0.711XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76857TCUs exam pelvic limited A 0.00 0.81 0.81NA 0.01 0.82 0.821XXX.00.00.00400009 33.4009 010 88 3.16 3.16 0.04
- 76870 Us exam scrotum A 0.62 2.28 2.28NA 0.05 2.95 2.951XXX.00.00.00400009 33.4009 090 88 3.41 3.41 0.06
- 7687026Us exam scrotum A 0.62 0.23 0.23 0.04 0.89 0.891XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76870TCUs exam scrotum A 0.00 2.05 2.05NA 0.01 2.06 2.061XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.02
- 76872 Us transrectal A 0.65 2.91 2.91NA 0.04 3.60 3.601XXX.00.00.00000009 33.4009 090 99 3.45 3.45 0.04
- 7687226Us transrectal A 0.65 0.28 0.28 0.02 0.95 0.951XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76872TCUs transrectal A 0.00 2.63 2.63NA 0.02 2.65 2.651XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.02
- 76873 Echograp trans r pros study A 1.51 3.76 3.76NA 0.08 5.35 5.351XXX.00.00.00000009 33.4009 090 99 3.89 3.89 0.08
- 7687326Echograp trans r pros study A 1.51 0.71 0.71 0.06 2.28 2.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76873TCEchograp trans r pros study A 0.00 3.05 3.05NA 0.02 3.07 3.071XXX.00.00.00000009 33.4009 020 99 3.18 3.18 0.02
- 76881 Us compl joint r-t w/img A 0.88 0.68 0.68NA 0.05 1.61 1.611XXX.00.00.00000009 33.4009 090 99 3.46 3.46 0.14
- 7688126Us compl joint r-t w/img A 0.88 0.36 0.36 0.04 1.28 1.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76881TCUs compl joint r-t w/img A 0.00 0.32 0.32NA 0.01 0.33 0.331XXX.00.00.00000009 33.4009 090 99 3.10 3.10 0.10
- 76882 Us lmtd jt/fcl evl nvasc xtr A 0.67 1.20 1.20NA 0.05 1.92 1.921XXX.00.00.00000009 33.4009 090 99 3.41 3.41 0.07
- 7688226Us lmtd jt/fcl evl nvasc xtr A 0.67 0.25 0.25 0.04 0.96 0.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76882TCUs lmtd jt/fcl evl nvasc xtr A 0.00 0.95 0.95NA 0.01 0.96 0.961XXX.00.00.00000009 33.4009 090 99 3.16 3.16 0.03
- 76883 Us nrv&acc strux 1xtr compre A 1.18 0.97 0.97NA 0.08 2.23 2.231XXX.00.00.00000009 33.4009 090 99 3.62 3.62 0.14
- 7688326Us nrv&acc strux 1xtr compre A 1.18 0.49 0.49 0.07 1.74 1.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76883TCUs nrv&acc strux 1xtr compre A 0.00 0.48 0.48NA 0.01 0.49 0.491XXX.00.00.00000009 33.4009 090 99 3.13 3.13 0.07
- 76885 Us exam infant hips dynamic A 0.72 3.16 3.16NA 0.06 3.94 3.941XXX.00.00.00000009 33.4009 090 99 2.90 2.90 0.06
- 7688526Us exam infant hips dynamic A 0.72 0.26 0.26 0.04 1.02 1.021XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76885TCUs exam infant hips dynamic A 0.00 2.90 2.90NA 0.02 2.92 2.921XXX.00.00.00000009 33.4009 010 99 2.64 2.64 0.02
- 76886 Us exam infant hips static A 0.60 2.26 2.26NA 0.05 2.91 2.911XXX.00.00.00000009 33.4009 090 99 2.87 2.87 0.05
- 7688626Us exam infant hips static A 0.60 0.22 0.22 0.04 0.86 0.861XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76886TCUs exam infant hips static A 0.00 2.04 2.04NA 0.01 2.05 2.051XXX.00.00.00000009 33.4009 010 99 2.65 2.65 0.01
- 76932 Echo guide for heart biopsy C 0.00 0.00 0.00NA 0.00 0.00 0.001YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7693226Echo guide for heart biopsy A 0.65 0.35 0.35 0.02 1.02 1.021XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76932TCEcho guide for heart biopsy C 0.00 0.00 0.00NA 0.00 0.00 0.001YYY.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76936 Echo guide for artery repair A 1.94 5.75 5.75NA 0.24 7.93 7.931XXX.00.00.00000009 33.4009 090 99 7.20 7.20 0.25
- 7693626Echo guide for artery repair A 1.94 0.63 0.63 0.21 2.78 2.781XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76936TCEcho guide for artery repair A 0.00 5.12 5.12NA 0.03 5.15 5.151XXX.00.00.00000009 33.4009 030 99 6.57 6.57 0.04
- 76937 Us guide vascular access A 0.29 0.88 0.88NA 0.04 1.21 1.211ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7693726Us guide vascular access A 0.29 0.09 0.09 0.03 0.41 0.411ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76937TCUs guide vascular access A 0.00 0.79 0.79NA 0.01 0.80 0.801ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76940 Us guide tissue ablation C 0.00 0.00 0.00NA 0.00 0.00 0.001YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694026Us guide tissue ablation A 1.95 0.83 0.83 0.29 3.07 3.071XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76940TCUs guide tissue ablation C 0.00 0.00 0.00NA 0.00 0.00 0.001YYY.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76941 Echo guide for transfusion C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694126Echo guide for transfusion A 1.31 0.55 0.55 0.06 1.92 1.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76941TCEcho guide for transfusion C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76942 Echo guide for biopsy A 0.65 1.23 1.23NA 0.04 1.92 1.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694226Echo guide for biopsy A 0.65 0.26 0.26 0.03 0.94 0.941XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76942TCEcho guide for biopsy A 0.00 0.97 0.97NA 0.01 0.98 0.981XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76945 Echo guide villus sampling C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694526Echo guide villus sampling A 0.65 0.28 0.28 0.03 0.96 0.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76945TCEcho guide villus sampling C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76946 Echo guide for amniocentesis A 0.37 0.62 0.62NA 0.03 1.02 1.021XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694626Echo guide for amniocentesis A 0.37 0.16 0.16 0.02 0.55 0.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76946TCEcho guide for amniocentesis A 0.00 0.46 0.46NA 0.01 0.47 0.471XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76948 Echo guide ova aspiration A 0.65 1.77 1.77NA 0.04 2.46 2.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7694826Echo guide ova aspiration A 0.65 0.28 0.28 0.03 0.96 0.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76948TCEcho guide ova aspiration A 0.00 1.49 1.49NA 0.01 1.50 1.501XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76965 Echo guidance radiotherapy A 1.31 1.52 1.52NA 0.06 2.89 2.891XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7696526Echo guidance radiotherapy A 1.31 0.67 0.67 0.05 2.03 2.031XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76965TCEcho guidance radiotherapy A 0.00 0.85 0.85NA 0.01 0.86 0.861XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76975 Gi endoscopic ultrasound C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 7.75 7.75 0.04
- 7697526Gi endoscopic ultrasound A 0.79 0.46 0.46 0.03 1.28 1.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76975TCGi endoscopic ultrasound C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 7.29 7.29 0.01
- 76977 Us bone density measure A 0.05 0.16 0.16NA 0.02 0.23 0.231XXX.00.00.00000009 33.4009 090 99 3.00 3.00 0.22
- 7697726Us bone density measure A 0.05 0.02 0.02 0.01 0.08 0.081XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76977TCUs bone density measure A 0.00 0.14 0.14NA 0.01 0.15 0.151XXX.00.00.00000009 33.4009 010 99 2.98 2.98 0.21
- 76978 Us trgt dyn mbubb 1st les A 1.58 3.45 3.45NA 0.10 5.13 5.131XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7697826Us trgt dyn mbubb 1st les A 1.58 0.57 0.57 0.08 2.23 2.231XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76978TCUs trgt dyn mbubb 1st les A 0.00 2.88 2.88NA 0.02 2.90 2.901XXX.00.00.00400009 33.4009 030 88 0.00 0.00 0.00
- 76979 Us trgt dyn mbubb ea addl A 0.83 2.31 2.31NA 0.06 3.20 3.201ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7697926Us trgt dyn mbubb ea addl A 0.83 0.30 0.30 0.05 1.18 1.181ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76979TCUs trgt dyn mbubb ea addl A 0.00 2.01 2.01NA 0.01 2.02 2.021ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76981 Use parenchyma A 0.58 2.75 2.75NA 0.04 3.37 3.371XXX.00.00.00400009 33.4009 090 88 3.44 3.44 0.04
- 7698126Use parenchyma A 0.58 0.26 0.26 0.03 0.87 0.871XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76981TCUse parenchyma A 0.00 2.49 2.49NA 0.01 2.50 2.501XXX.00.00.00400009 33.4009 020 88 3.18 3.18 0.01
- 76982 Use 1st target lesion A 0.58 2.15 2.15NA 0.04 2.77 2.771XXX.00.00.00400009 33.4009 090 88 3.41 3.41 0.05
- 7698226Use 1st target lesion A 0.58 0.23 0.23 0.03 0.84 0.841XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 76982TCUse 1st target lesion A 0.00 1.92 1.92NA 0.01 1.93 1.931XXX.00.00.00400009 33.4009 020 88 3.18 3.18 0.02
- 76983 Use ea addl target lesion A 0.46 1.32 1.32NA 0.04 1.82 1.821ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7698326Use ea addl target lesion A 0.46 0.23 0.23 0.03 0.72 0.721ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76983TCUse ea addl target lesion A 0.00 1.09 1.09NA 0.01 1.10 1.101ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 76984 Dx intraop thoracic aorta us C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7698426Dx intraop thoracic aorta us A 0.59 0.25 0.25 0.13 0.97 0.971XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76984TCDx intraop thoracic aorta us C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76987 Dx intraop epicar car us chd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7698726Dx intraop epicar car us chd A 1.85 0.73 0.73 0.27 2.85 2.851XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76987TCDx intraop epicar car us chd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76988 Dx ntrop epcr us chd img acq C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7698826Dx ntrop epcr us chd img acq A 1.17 0.77 0.77 0.36 2.30 2.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76988TCDx ntrop epcr us chd img acq C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76989 Dx intraop epcar us chd i&r C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7698926Dx intraop epcar us chd i&r A 0.68 0.32 0.32 0.12 1.12 1.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76989TCDx intraop epcar us chd i&r C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76998 Us guide intraop C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7699826Us guide intraop A 0.89 0.41 0.41 0.16 1.46 1.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76998TCUs guide intraop C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 76999 Echo examination procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 76999TCEcho examination procedure C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77001 Fluoroguide for vein device A 0.37 2.53 2.53NA 0.05 2.95 2.951ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7700126Fluoroguide for vein device A 0.37 0.12 0.12 0.04 0.53 0.531ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77001TCFluoroguide for vein device A 0.00 2.41 2.41NA 0.01 2.42 2.421ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 77002 Needle localization by xray A 0.53 3.06 3.06NA 0.04 3.63 3.631ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7700226Needle localization by xray A 0.53 0.25 0.25 0.03 0.81 0.811ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77002TCNeedle localization by xray A 0.00 2.81 2.81NA 0.01 2.82 2.821ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 77003 Fluoroguide for spine inject A 0.59 2.49 2.49NA 0.05 3.13 3.131ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7700326Fluoroguide for spine inject A 0.59 0.22 0.22 0.04 0.85 0.851ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77003TCFluoroguide for spine inject A 0.00 2.27 2.27NA 0.01 2.28 2.281ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 77011 Ct scan for localization A 1.18 5.37 5.37NA 0.08 6.63 6.631XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 7701126Ct scan for localization A 1.18 0.55 0.55 0.07 1.80 1.801XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77011TCCt scan for localization A 0.00 4.82 4.82NA 0.01 4.83 4.831XXX.00.00.00009009 33.4009 030 99 0.00 0.00 0.00
- 77012 Ct scan for needle biopsy A 1.46 2.12 2.12NA 0.10 3.68 3.681XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7701226Ct scan for needle biopsy A 1.46 0.46 0.46 0.09 2.01 2.011XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77012TCCt scan for needle biopsy A 0.00 1.66 1.66NA 0.01 1.67 1.671XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 77013 Ct guide for tissue ablation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7701326Ct guide for tissue ablation A 3.89 1.14 1.14 0.27 5.30 5.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77013TCCt guide for tissue ablation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77021 Mri guidance ndl plmt rs&i A 1.46 11.24 11.24NA 0.08 12.78 12.781XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 7702126Mri guidance ndl plmt rs&i A 1.46 0.58 0.58 0.06 2.10 2.101XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77021TCMri guidance ndl plmt rs&i A 0.00 10.66 10.66NA 0.02 10.68 10.681XXX.00.00.00009009 33.4009 030 99 0.00 0.00 0.00
- 77022 Mri gdn parnchyma tiss abltj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7702226Mri gdn parnchyma tiss abltj A 4.13 1.37 1.37 0.22 5.72 5.721XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77022TCMri gdn parnchyma tiss abltj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77046 Mri breast c- unilateral A 1.41 4.88 4.88NA 0.09 6.38 6.381XXX.00.00.00400009 33.4009 090 88 7.76 7.76 0.10
- 7704626Mri breast c- unilateral A 1.41 0.50 0.50 0.07 1.98 1.981XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 77046TCMri breast c- unilateral A 0.00 4.38 4.38NA 0.02 4.40 4.401XXX.00.00.00400009 33.4009 020 88 7.26 7.26 0.03
- 77047 Mri breast c- bilateral A 1.56 4.82 4.82NA 0.10 6.48 6.481XXX.00.00.00420009 33.4009 090 88 7.81 7.81 0.11
- 7704726Mri breast c- bilateral A 1.56 0.55 0.55 0.08 2.19 2.191XXX.00.00.00420009 33.4009 090 88 0.00 0.00 0.00
- 77047TCMri breast c- bilateral A 0.00 4.27 4.27NA 0.02 4.29 4.291XXX.00.00.00420009 33.4009 020 88 7.26 7.26 0.03
- 77048 Mri breast c-+ w/cad uni A 2.05 7.80 7.80NA 0.15 10.00 10.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 7704826Mri breast c-+ w/cad uni A 2.05 0.73 0.73 0.12 2.90 2.901XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 77048TCMri breast c-+ w/cad uni A 0.00 7.07 7.07NA 0.03 7.10 7.101XXX.00.00.00400009 33.4009 020 88 0.00 0.00 0.00
- 77049 Mri breast c-+ w/cad bi A 2.24 7.77 7.77NA 0.16 10.17 10.171XXX.00.00.00420009 33.4009 090 88 0.00 0.00 0.00
- 7704926Mri breast c-+ w/cad bi A 2.24 0.80 0.80 0.13 3.17 3.171XXX.00.00.00420009 33.4009 090 88 0.00 0.00 0.00
- 77049TCMri breast c-+ w/cad bi A 0.00 6.97 6.97NA 0.03 7.00 7.001XXX.00.00.00420009 33.4009 020 88 0.00 0.00 0.00
- 77053 X-ray of mammary duct A 0.35 1.21 1.21NA 0.03 1.59 1.591XXX.00.00.00009009 33.4009 090 99 7.36 7.36 0.09
- 7705326X-ray of mammary duct A 0.35 0.13 0.13 0.02 0.50 0.501XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77053TCX-ray of mammary duct A 0.00 1.08 1.08NA 0.01 1.09 1.091XXX.00.00.00009009 33.4009 030 99 7.23 7.23 0.07
- 77054 X-ray of mammary ducts A 0.44 1.57 1.57NA 0.04 2.05 2.051XXX.00.00.00009009 33.4009 090 99 7.41 7.41 0.08
- 7705426X-ray of mammary ducts A 0.44 0.16 0.16 0.03 0.63 0.631XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77054TCX-ray of mammary ducts A 0.00 1.41 1.41NA 0.01 1.42 1.421XXX.00.00.00009009 33.4009 030 99 7.25 7.25 0.05
- 77061 Breast tomosynthesis uni I 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 7706126Breast tomosynthesis uni I 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77061TCBreast tomosynthesis uni I 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77062 Breast tomosynthesis bi I 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 7706226Breast tomosynthesis bi I 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77062TCBreast tomosynthesis bi I 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 77063 Breast tomosynthesis bi A 0.59 0.91 0.91NA 0.03 1.53 1.531ZZZ.00.00.00029009 33.4009 090 99 0.00 0.00 0.00
- 7706326Breast tomosynthesis bi A 0.59 0.21 0.21 0.03 0.83 0.831ZZZ.00.00.00029009 33.4009 090 99 0.00 0.00 0.00
- 77063TCBreast tomosynthesis bi A 0.00 0.70 0.70NA 0.00 0.70 0.701ZZZ.00.00.00029009 33.4009 090 99 0.00 0.00 0.00
- 77065 Dx mammo incl cad uni A 0.79 2.86 2.86NA 0.06 3.71 3.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7706526Dx mammo incl cad uni A 0.79 0.29 0.29 0.05 1.13 1.131XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77065TCDx mammo incl cad uni A 0.00 2.57 2.57NA 0.01 2.58 2.581XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77066 Dx mammo incl cad bi A 0.98 3.64 3.64NA 0.08 4.70 4.701XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 7706626Dx mammo incl cad bi A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 77066TCDx mammo incl cad bi A 0.00 3.29 3.29NA 0.02 3.31 3.311XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 77067 Scr mammo bi incl cad A 0.74 2.99 2.99NA 0.05 3.78 3.781XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 7706726Scr mammo bi incl cad A 0.74 0.27 0.27 0.04 1.05 1.051XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 77067TCScr mammo bi incl cad A 0.00 2.72 2.72NA 0.01 2.73 2.731XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 77071 Mnl appl strs jt radiography A 0.40 1.28 1.28 0.07 1.75 1.752XXX.00.00.00020009 33.4009 030 99 0.00 0.00 0.00
- 77072 Bone age studies A 0.19 0.55 0.55NA 0.02 0.76 0.761XXX.00.00.00000009 33.4009 090 99 3.20 3.20 0.08
- 7707226Bone age studies A 0.19 0.07 0.07 0.01 0.27 0.271XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77072TCBone age studies A 0.00 0.48 0.48NA 0.01 0.49 0.491XXX.00.00.00000009 33.4009 010 99 3.13 3.13 0.07
- 77073 Bone length studies A 0.25 1.11 1.11NA 0.03 1.39 1.391XXX.00.00.00000009 33.4009 090 99 3.29 3.29 0.05
- 7707326Bone length studies A 0.25 0.12 0.12 0.02 0.39 0.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77073TCBone length studies A 0.00 0.99 0.99NA 0.01 1.00 1.001XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 77074 Radex osseous survey lmtd A 0.43 1.47 1.47NA 0.04 1.94 1.941XXX.00.00.00000009 33.4009 090 99 3.33 3.33 0.05
- 7707426Radex osseous survey lmtd A 0.43 0.16 0.16 0.03 0.62 0.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77074TCRadex osseous survey lmtd A 0.00 1.31 1.31NA 0.01 1.32 1.321XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.02
- 77075 Radex osseous survey compl A 0.54 2.34 2.34NA 0.05 2.93 2.931XXX.00.00.00000009 33.4009 090 99 3.37 3.37 0.06
- 7707526Radex osseous survey compl A 0.54 0.20 0.20 0.03 0.77 0.771XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77075TCRadex osseous survey compl A 0.00 2.14 2.14NA 0.02 2.16 2.161XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 77076 Radex osseous survey infant A 0.68 2.40 2.40NA 0.06 3.14 3.141XXX.00.00.00000009 33.4009 090 99 3.42 3.42 0.07
- 7707626Radex osseous survey infant A 0.68 0.25 0.25 0.04 0.97 0.971XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77076TCRadex osseous survey infant A 0.00 2.15 2.15NA 0.02 2.17 2.171XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 77077 Joint survey single view A 0.32 1.07 1.07NA 0.03 1.42 1.421XXX.00.00.00000009 33.4009 090 99 3.31 3.31 0.05
- 7707726Joint survey single view A 0.32 0.15 0.15 0.02 0.49 0.491XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77077TCJoint survey single view A 0.00 0.92 0.92NA 0.01 0.93 0.931XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 77078 Ct bone density axial A 0.24 2.70 2.70NA 0.02 2.96 2.961XXX.00.00.00000009 33.4009 090 99 2.74 2.74 0.02
- 7707826Ct bone density axial A 0.24 0.09 0.09 0.01 0.34 0.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77078TCCt bone density axial A 0.00 2.61 2.61NA 0.01 2.62 2.621XXX.00.00.00000009 33.4009 010 99 2.65 2.65 0.01
- 77080 Dxa bone density axial A 0.20 0.96 0.96NA 0.02 1.18 1.181XXX.00.00.00000009 33.4009 090 99 3.23 3.23 0.05
- 7708026Dxa bone density axial A 0.20 0.07 0.07 0.01 0.28 0.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77080TCDxa bone density axial A 0.00 0.89 0.89NA 0.01 0.90 0.901XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 77081 Dxa bone density appendiculr A 0.20 0.73 0.73NA 0.02 0.95 0.951XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7708126Dxa bone density appendiculr A 0.20 0.07 0.07 0.01 0.28 0.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77081TCDxa bone density appendiculr A 0.00 0.66 0.66NA 0.01 0.67 0.671XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 77084 Mri bone marrow blood supply A 1.56 7.72 7.72NA 0.11 9.39 9.391XXX.00.00.00000009 33.4009 090 99 7.83 7.83 0.11
- 7708426Mri bone marrow blood supply A 1.56 0.56 0.56 0.08 2.20 2.201XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77084TCMri bone marrow blood supply A 0.00 7.16 7.16NA 0.03 7.19 7.191XXX.00.00.00000009 33.4009 010 99 7.27 7.27 0.03
- 77085 Dxa bone density axl vrt fx A 0.29 1.30 1.30NA 0.04 1.63 1.631XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.07
- 7708526Dxa bone density axl vrt fx A 0.29 0.12 0.12 0.02 0.43 0.431XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77085TCDxa bone density axl vrt fx A 0.00 1.18 1.18NA 0.02 1.20 1.201XXX.00.00.00000009 33.4009 010 99 3.14 3.14 0.05
- 77086 Vrt fracture assmt via dxa A 0.17 0.85 0.85NA 0.02 1.04 1.041XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.04
- 7708626Vrt fracture assmt via dxa A 0.17 0.06 0.06 0.01 0.24 0.241XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77086TCVrt fracture assmt via dxa A 0.00 0.79 0.79NA 0.01 0.80 0.801XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 77089 Tbs dxa cal w/i&r fx risk A 0.20 0.96 0.96NA 0.03 1.19 1.194XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77090 Tbs techl prep&transmis data A 0.00 0.08 0.08NA 0.01 0.09 0.093XXX.00.00.00000009 33.4009 010 99 2.36 2.36 0.30
- 77091 Tbs techl calculation only A 0.00 0.79 0.79NA 0.01 0.80 0.803XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 77092 Tbs i&r fx rsk qhp A 0.20 0.09 0.09 0.01 0.30 0.302XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77261 Ther radiology tx plng smpl A 1.27 0.75 0.75 0.07 2.09 2.092XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77262 Ther radiology tx plng intrm A 1.95 1.14 1.14 0.12 3.21 3.212XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77263 Ther radiology tx plng cplx A 3.06 1.74 1.74 0.24 5.04 5.042XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77280 Ther rad simulaj field smpl A 0.68 7.35 7.35NA 0.04 8.07 8.071XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7728026Ther rad simulaj field smpl A 0.68 0.40 0.40 0.03 1.11 1.111XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77280TCTher rad simulaj field smpl A 0.00 6.95 6.95NA 0.01 6.96 6.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77285 Ther rad simulaj field intrm A 1.02 12.48 12.48NA 0.06 13.56 13.561XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7728526Ther rad simulaj field intrm A 1.02 0.61 0.61 0.04 1.67 1.671XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77285TCTher rad simulaj field intrm A 0.00 11.87 11.87NA 0.02 11.89 11.891XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77290 Ther rad simulaj field cplx A 1.52 11.60 11.60NA 0.10 13.22 13.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7729026Ther rad simulaj field cplx A 1.52 0.86 0.86 0.07 2.45 2.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77290TCTher rad simulaj field cplx A 0.00 10.74 10.74NA 0.03 10.77 10.771XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77293 Respirator motion mgmt simul A 1.95 9.98 9.98NA 0.10 12.03 12.031ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7729326Respirator motion mgmt simul A 1.95 1.10 1.10 0.07 3.12 3.121ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77293TCRespirator motion mgmt simul A 0.00 8.88 8.88NA 0.03 8.91 8.911ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77295 3-d radiotherapy plan A 4.18 10.10 10.10NA 0.25 14.53 14.531XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77295263-d radiotherapy plan A 4.18 2.37 2.37 0.18 6.73 6.731XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77295TC3-d radiotherapy plan A 0.00 7.73 7.73NA 0.07 7.80 7.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77299 Unlisted px ther rad tx plng C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7729926Unlisted px ther rad tx plng C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77299TCUnlisted px ther rad tx plng C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77300 Radiation therapy dose plan A 0.60 1.37 1.37NA 0.04 2.01 2.011XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7730026Radiation therapy dose plan A 0.60 0.35 0.35 0.03 0.98 0.981XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77300TCRadiation therapy dose plan A 0.00 1.02 1.02NA 0.01 1.03 1.031XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77301 Radiotherapy dose plan imrt A 7.79 50.20 50.20NA 0.70 58.69 58.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7730126Radiotherapy dose plan imrt A 7.79 4.42 4.42 0.34 12.55 12.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77301TCRadiotherapy dose plan imrt A 0.00 45.78 45.78NA 0.36 46.14 46.141XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77306 Telethx isodose plan simple A 1.37 3.05 3.05NA 0.08 4.50 4.501XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7730626Telethx isodose plan simple A 1.37 0.78 0.78 0.06 2.21 2.211XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77306TCTelethx isodose plan simple A 0.00 2.27 2.27NA 0.02 2.29 2.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77307 Telethx isodose plan cplx A 2.83 5.70 5.70NA 0.16 8.69 8.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7730726Telethx isodose plan cplx A 2.83 1.60 1.60 0.12 4.55 4.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77307TCTelethx isodose plan cplx A 0.00 4.10 4.10NA 0.04 4.14 4.141XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77316 Brachytx isodose plan simple A 1.37 5.97 5.97NA 0.11 7.45 7.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7731626Brachytx isodose plan simple A 1.37 0.77 0.77 0.06 2.20 2.201XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77316TCBrachytx isodose plan simple A 0.00 5.20 5.20NA 0.05 5.25 5.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77317 Brachytx isodose intermed A 1.78 7.85 7.85NA 0.13 9.76 9.761XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7731726Brachytx isodose intermed A 1.78 1.02 1.02 0.07 2.87 2.871XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77317TCBrachytx isodose intermed A 0.00 6.83 6.83NA 0.06 6.89 6.891XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77318 Brachytx isodose complex A 2.83 10.84 10.84NA 0.19 13.86 13.861XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7731826Brachytx isodose complex A 2.83 1.60 1.60 0.12 4.55 4.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77318TCBrachytx isodose complex A 0.00 9.24 9.24NA 0.07 9.31 9.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77321 Special teletx port plan A 0.93 1.85 1.85NA 0.05 2.83 2.831XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7732126Special teletx port plan A 0.93 0.52 0.52 0.04 1.49 1.491XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77321TCSpecial teletx port plan A 0.00 1.33 1.33NA 0.01 1.34 1.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77331 Special radiation dosimetry A 0.85 1.05 1.05NA 0.05 1.95 1.951XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7733126Special radiation dosimetry A 0.85 0.48 0.48 0.04 1.37 1.371XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77331TCSpecial radiation dosimetry A 0.00 0.57 0.57NA 0.01 0.58 0.581XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77332 Radiation treatment aid(s) A 0.44 0.75 0.75NA 0.03 1.22 1.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7733226Radiation treatment aid(s) A 0.44 0.25 0.25 0.02 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77332TCRadiation treatment aid(s) A 0.00 0.50 0.50NA 0.01 0.51 0.511XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77333 Radiation treatment aid(s) A 0.73 3.35 3.35NA 0.04 4.12 4.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7733326Radiation treatment aid(s) A 0.73 0.41 0.41 0.03 1.17 1.171XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77333TCRadiation treatment aid(s) A 0.00 2.94 2.94NA 0.01 2.95 2.951XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77334 Radiation treatment aid(s) A 1.12 2.60 2.60NA 0.06 3.78 3.781XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7733426Radiation treatment aid(s) A 1.12 0.63 0.63 0.05 1.80 1.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77334TCRadiation treatment aid(s) A 0.00 1.97 1.97NA 0.01 1.98 1.981XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77336 Radiation physics consult A 0.00 2.69 2.69NA 0.07 2.76 2.763XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77338 Design mlc device for imrt A 4.18 9.79 9.79NA 0.25 14.22 14.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7733826Design mlc device for imrt A 4.18 2.38 2.38 0.18 6.74 6.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77338TCDesign mlc device for imrt A 0.00 7.41 7.41NA 0.07 7.48 7.481XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77370 Radiation physics consult A 0.00 4.37 4.37NA 0.15 4.52 4.523XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77371 Srs multisource C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77372 Srs linear based A 0.00 27.75 27.75NA 0.21 27.96 27.963XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77373 Strtctc bdy rad ther tx dlvr A 0.00 29.05 29.05NA 0.25 29.30 29.303XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77387 Guidance for radj tx dlvr A 0.68 0.38 0.38NA 0.03 1.09 1.091XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7738726Guidance for radj tx dlvr A 0.68 0.38 0.38 0.03 1.09 1.091XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77387TCGuidance for radj tx dlvr B 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77399 Unlisted px med radj physics C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7739926Unlisted px med radj physics C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77399TCUnlisted px med radj physics C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77402 Radiation tx delivery lvl 1 A 0.00 2.44 2.44NA 0.02 2.46 2.463XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77407 Radiation tx delivery lvl 2 A 0.00 9.22 9.22NA 0.06 9.28 9.283XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77412 Radiation tx delivery lvl 3 A 0.00 13.21 13.21NA 0.07 13.28 13.283XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77417 Ther radiology port image(s) B+ 0.00 0.00 0.00 0.02 0.02 0.029XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77423 Neutron beam tx complex C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77424 Io rad tx delivery by x-ray X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77425 Io rad tx deliver by elctrns X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77427 Radiation tx management x5 A 3.37 2.22 2.22 0.26 5.85 5.852XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77431 Radiation therapy management A 1.76 1.29 1.29 0.14 3.19 3.192XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77432 Stereotactic radiation trmt A 7.72 4.37 4.37 0.61 12.70 12.702XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77435 Sbrt management A 11.57 6.71 6.71 0.92 19.20 19.202XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77436 Surf radj ther tx planning A 0.77 1.54 1.54NA 0.04 2.35 2.351XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7743626Surf radj ther tx planning A 0.77 0.45 0.45 0.03 1.25 1.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77436TCSurf radj ther tx planning A 0.00 1.09 1.09NA 0.01 1.10 1.101XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77437 Surf radj ther supfc<=150kv A 0.00 3.27 3.27NA 0.01 3.28 3.283XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77438 Surf rad thr orthvlt>150-500 A 0.00 3.30 3.30NA 0.01 3.31 3.313XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77439 Surf rad thr img gdn us plmt A 0.30 0.18 0.18NA 0.00 0.48 0.481ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7743926Surf rad thr img gdn us plmt A 0.30 0.18 0.18 0.00 0.48 0.481ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77439TCSurf rad thr img gdn us plmt B 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 77469 Io radiation tx management A 5.61 1.93NA 1.93 0.44 7.98 7.980XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77470 Special radiation treatment A 1.98 2.26 2.26NA 0.10 4.34 4.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7747026Special radiation treatment A 1.98 1.12 1.12 0.08 3.18 3.181XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77470TCSpecial radiation treatment A 0.00 1.14 1.14NA 0.02 1.16 1.161XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77499 Unlisted px ther rad tx mgmt C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7749926Unlisted px ther rad tx mgmt C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77499TCUnlisted px ther rad tx mgmt C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77520 Proton trmt simple w/o comp C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77522 Proton trmt simple w/comp C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77523 Proton trmt intermediate C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77525 Proton treatment complex C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77600 Hyperthermia ext gen supfc R 1.28 15.00 15.00NA 0.13 16.41 16.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7760026Hyperthermia ext gen supfc R 1.28 0.76 0.76 0.06 2.10 2.101XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77600TCHyperthermia ext gen supfc R 0.00 14.24 14.24NA 0.07 14.31 14.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77605 Hyperthermia ext gen deep R 1.79 28.78 28.78NA 0.43 31.00 31.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7760526Hyperthermia ext gen deep R 1.79 0.97 0.97 0.36 3.12 3.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77605TCHyperthermia ext gen deep R 0.00 27.81 27.81NA 0.07 27.88 27.881XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77610 Hyperthermia ntrstl prb 5/< R 1.28 18.77 18.77NA 0.12 20.17 20.171XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7761026Hyperthermia ntrstl prb 5/< R 1.28 0.73 0.73 0.05 2.06 2.061XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77610TCHyperthermia ntrstl prb 5/< R 0.00 18.04 18.04NA 0.07 18.11 18.111XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77615 Hyperthermia ntrstl prb>5 R 1.79 29.80 29.80NA 0.21 31.80 31.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7761526Hyperthermia ntrstl prb>5 R 1.79 1.02 1.02 0.07 2.88 2.881XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77615TCHyperthermia ntrstl prb>5 R 0.00 28.78 28.78NA 0.14 28.92 28.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77620 Hyperthermia gen intrcv prb R 1.52 19.96 19.96NA 0.43 21.91 21.911XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7762026Hyperthermia gen intrcv prb R 1.52 0.74 0.74 0.36 2.62 2.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77620TCHyperthermia gen intrcv prb R 0.00 19.22 19.22NA 0.07 19.29 19.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77750 Infuse radioactive materials A 4.88 6.70 6.70NA 0.26 11.84 11.841090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7775026Infuse radioactive materials A 4.88 2.77 2.77 0.21 7.86 7.861090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77750TCInfuse radioactive materials A 0.00 3.93 3.93NA 0.05 3.98 3.981090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77761 Apply intrcav radiat simple A 3.75 8.72 8.72NA 0.23 12.70 12.701090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7776126Apply intrcav radiat simple A 3.75 2.13 2.13 0.16 6.04 6.041090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77761TCApply intrcav radiat simple A 0.00 6.59 6.59NA 0.07 6.66 6.661090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77762 Apply intrcav radiat interm A 5.62 10.79 10.79NA 0.31 16.72 16.721090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7776226Apply intrcav radiat interm A 5.62 3.20 3.20 0.23 9.05 9.051090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77762TCApply intrcav radiat interm A 0.00 7.59 7.59NA 0.08 7.67 7.671090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77763 Apply intrcav radiat compl A 8.44 14.78 14.78NA 0.49 23.71 23.711090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7776326Apply intrcav radiat compl A 8.44 4.79 4.79 0.36 13.59 13.591090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77763TCApply intrcav radiat compl A 0.00 9.99 9.99NA 0.13 10.12 10.121090.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77767 Hdr rdncl skn surf brachytx A 1.02 6.40 6.40NA 0.09 7.51 7.511XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7776726Hdr rdncl skn surf brachytx A 1.02 0.58 0.58 0.04 1.64 1.641XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77767TCHdr rdncl skn surf brachytx A 0.00 5.82 5.82NA 0.05 5.87 5.871XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77768 Hdr rdncl skn surf brachytx A 1.37 9.55 9.55NA 0.13 11.05 11.051XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7776826Hdr rdncl skn surf brachytx A 1.37 0.78 0.78 0.06 2.21 2.211XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77768TCHdr rdncl skn surf brachytx A 0.00 8.77 8.77NA 0.07 8.84 8.841XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77770 Hdr rdncl ntrstl/icav brchtx A 1.90 8.43 8.43NA 0.13 10.46 10.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7777026Hdr rdncl ntrstl/icav brchtx A 1.90 1.08 1.08 0.07 3.05 3.051XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77770TCHdr rdncl ntrstl/icav brchtx A 0.00 7.35 7.35NA 0.06 7.41 7.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77771 Hdr rdncl ntrstl/icav brchtx A 3.71 14.31 14.31NA 0.27 18.29 18.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7777126Hdr rdncl ntrstl/icav brchtx A 3.71 2.10 2.10 0.16 5.97 5.971XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77771TCHdr rdncl ntrstl/icav brchtx A 0.00 12.21 12.21NA 0.11 12.32 12.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77772 Hdr rdncl ntrstl/icav brchtx A 5.27 21.73 21.73NA 0.39 27.39 27.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7777226Hdr rdncl ntrstl/icav brchtx A 5.27 2.92 2.92 0.22 8.41 8.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77772TCHdr rdncl ntrstl/icav brchtx A 0.00 18.81 18.81NA 0.17 18.98 18.981XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77778 Apply interstit radiat compl A 8.56 18.83 18.83NA 0.54 27.93 27.931000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7777826Apply interstit radiat compl A 8.56 4.83 4.83 0.38 13.77 13.771000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77778TCApply interstit radiat compl A 0.00 14.00 14.00NA 0.16 14.16 14.161000.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 77789 Apply surf ldr radionuclide A 1.11 2.80 2.80NA 0.07 3.98 3.981000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7778926Apply surf ldr radionuclide A 1.11 0.63 0.63 0.05 1.79 1.791000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77789TCApply surf ldr radionuclide A 0.00 2.17 2.17NA 0.02 2.19 2.191000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77790 Radiation handling A 0.00 0.54 0.54NA 0.02 0.56 0.563XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77799 Unlisted px clin brachytx C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7779926Unlisted px clin brachytx C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 77799TCUnlisted px clin brachytx C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78012 Thyroid uptake measurement A 0.19 2.17 2.17NA 0.04 2.40 2.401XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7801226Thyroid uptake measurement A 0.19 0.06 0.06 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78012TCThyroid uptake measurement A 0.00 2.11 2.11NA 0.03 2.14 2.141XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78013 Thyroid imaging w/blood flow A 0.36 4.56 4.56NA 0.05 4.97 4.971XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.10
- 7801326Thyroid imaging w/blood flow A 0.36 0.12 0.12 0.02 0.50 0.501XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78013TCThyroid imaging w/blood flow A 0.00 4.44 4.44NA 0.03 4.47 4.471XXX.00.00.00000009 33.4009 090 99 12.15 12.15 0.08
- 78014 Thyroid imaging w/blood flow A 0.49 5.75 5.75NA 0.07 6.31 6.311XXX.00.00.00000009 33.4009 090 99 12.30 12.30 0.12
- 7801426Thyroid imaging w/blood flow A 0.49 0.16 0.16 0.03 0.68 0.681XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78014TCThyroid imaging w/blood flow A 0.00 5.59 5.59NA 0.04 5.63 5.631XXX.00.00.00000009 33.4009 090 99 12.14 12.14 0.09
- 78015 Thyroid met imaging A 0.65 5.38 5.38NA 0.08 6.11 6.111XXX.00.00.00000009 33.4009 090 99 12.37 12.37 0.14
- 7801526Thyroid met imaging A 0.65 0.24 0.24 0.04 0.93 0.931XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78015TCThyroid met imaging A 0.00 5.14 5.14NA 0.04 5.18 5.181XXX.00.00.00000009 33.4009 010 99 12.13 12.13 0.10
- 78016 Thyroid met imaging/studies A 0.80 6.66 6.66NA 0.07 7.53 7.531XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.12
- 7801626Thyroid met imaging/studies A 0.80 0.15 0.15 0.01 0.96 0.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78016TCThyroid met imaging/studies A 0.00 6.51 6.51NA 0.06 6.57 6.571XXX.00.00.00000009 33.4009 010 99 12.12 12.12 0.11
- 78018 Thyroid met imaging body A 0.84 7.32 7.32NA 0.09 8.25 8.251XXX.00.00.00000009 33.4009 090 99 16.75 16.75 0.16
- 7801826Thyroid met imaging body A 0.84 0.26 0.26 0.04 1.14 1.141XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78018TCThyroid met imaging body A 0.00 7.06 7.06NA 0.05 7.11 7.111XXX.00.00.00000009 33.4009 010 99 16.49 16.49 0.12
- 78020 Thyroid met uptake A 0.59 1.74 1.74NA 0.04 2.37 2.371ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7802026Thyroid met uptake A 0.59 0.17 0.17 0.02 0.78 0.781ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78020TCThyroid met uptake A 0.00 1.57 1.57NA 0.02 1.59 1.591ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78070 Parathyroid planar imaging A 0.78 6.95 6.95NA 0.08 7.81 7.811XXX.00.00.00000009 33.4009 090 99 12.42 12.42 0.11
- 7807026Parathyroid planar imaging A 0.78 0.27 0.27 0.04 1.09 1.091XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78070TCParathyroid planar imaging A 0.00 6.68 6.68NA 0.04 6.72 6.721XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.07
- 78071 Parathyrd planar w/wo subtrj A 1.17 7.99 7.99NA 0.11 9.27 9.271XXX.00.00.00000009 33.4009 090 99 12.54 12.54 0.14
- 7807126Parathyrd planar w/wo subtrj A 1.17 0.39 0.39 0.06 1.62 1.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78071TCParathyrd planar w/wo subtrj A 0.00 7.60 7.60NA 0.05 7.65 7.651XXX.00.00.00000009 33.4009 090 99 12.15 12.15 0.08
- 78072 Parathyrd planar w/spect&ct A 1.56 9.79 9.79NA 0.12 11.47 11.471XXX.00.00.00000009 33.4009 090 99 17.01 17.01 0.16
- 7807226Parathyrd planar w/spect&ct A 1.56 0.49 0.49 0.07 2.12 2.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78072TCParathyrd planar w/spect&ct A 0.00 9.30 9.30NA 0.05 9.35 9.351XXX.00.00.00000009 33.4009 090 99 16.52 16.52 0.09
- 78075 Adrenal cortex & medulla img A 0.72 10.77 10.77NA 0.11 11.60 11.601XXX.00.00.00000009 33.4009 090 99 39.60 39.60 0.30
- 7807526Adrenal cortex & medulla img A 0.72 0.26 0.26 0.04 1.02 1.021XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78075TCAdrenal cortex & medulla img A 0.00 10.51 10.51NA 0.07 10.58 10.581XXX.00.00.00000009 33.4009 010 99 39.34 39.34 0.26
- 78099 Unlisted endocrine px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7809926Unlisted endocrine px dx nuc C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78099TCUnlisted endocrine px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78102 Bone marrow imaging ltd A 0.54 4.10 4.10NA 0.07 4.71 4.711XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.15
- 7810226Bone marrow imaging ltd A 0.54 0.17 0.17 0.03 0.74 0.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78102TCBone marrow imaging ltd A 0.00 3.93 3.93NA 0.04 3.97 3.971XXX.00.00.00000009 33.4009 010 99 12.10 12.10 0.12
- 78103 Bone marrow imaging mult A 0.73 4.32 4.32NA 0.05 5.10 5.101XXX.00.00.00000009 33.4009 090 99 12.24 12.24 0.13
- 7810326Bone marrow imaging mult A 0.73 0.13 0.13 0.01 0.87 0.871XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78103TCBone marrow imaging mult A 0.00 4.19 4.19NA 0.04 4.23 4.231XXX.00.00.00000009 33.4009 010 99 12.11 12.11 0.12
- 78104 Bone marrow imaging body A 0.78 5.76 5.76NA 0.08 6.62 6.621XXX.00.00.00000009 33.4009 090 99 12.39 12.39 0.13
- 7810426Bone marrow imaging body A 0.78 0.25 0.25 0.04 1.07 1.071XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78104TCBone marrow imaging body A 0.00 5.51 5.51NA 0.04 5.55 5.551XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78110 Plasma volume single A 0.19 1.89 1.89NA 0.05 2.13 2.131XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7811026Plasma volume single A 0.19 0.03 0.03 0.01 0.23 0.231XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78110TCPlasma volume single A 0.00 1.86 1.86NA 0.04 1.90 1.901XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78111 Plasma volume multiple A 0.21 2.64 2.64NA 0.05 2.90 2.901XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7811126Plasma volume multiple A 0.21 0.09 0.09 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78111TCPlasma volume multiple A 0.00 2.55 2.55NA 0.04 2.59 2.591XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78120 Red cell mass single A 0.22 1.90 1.90NA 0.05 2.17 2.171XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7812026Red cell mass single A 0.22 0.04 0.04 0.01 0.27 0.271XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78120TCRed cell mass single A 0.00 1.86 1.86NA 0.04 1.90 1.901XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78121 Red cell mass multiple A 0.31 2.56 2.56NA 0.05 2.92 2.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7812126Red cell mass multiple A 0.31 0.12 0.12 0.01 0.44 0.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78121TCRed cell mass multiple A 0.00 2.44 2.44NA 0.04 2.48 2.481XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78122 Whl bld volume determination A 0.44 2.53 2.53NA 0.06 3.03 3.031XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7812226Whl bld volume determination A 0.44 0.16 0.16 0.02 0.62 0.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78122TCWhl bld volume determination A 0.00 2.37 2.37NA 0.04 2.41 2.411XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78130 Red cell survival study A 0.59 3.14 3.14NA 0.07 3.80 3.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7813026Red cell survival study A 0.59 0.11 0.11 0.01 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78130TCRed cell survival study A 0.00 3.03 3.03NA 0.06 3.09 3.091XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78140 Red cell sequestration A 0.59 2.65 2.65NA 0.05 3.29 3.291XXX.00.00.00000009 33.4009 090 99 12.15 12.15 0.20
- 7814026Red cell sequestration A 0.59 0.11 0.11 0.01 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78140TCRed cell sequestration A 0.00 2.54 2.54NA 0.04 2.58 2.581XXX.00.00.00000009 33.4009 010 99 12.04 12.04 0.19
- 78185 Spleen imaging A 0.39 4.18 4.18NA 0.05 4.62 4.621XXX.00.00.00000009 33.4009 090 99 12.18 12.18 0.13
- 7818526Spleen imaging A 0.39 0.07 0.07 0.01 0.47 0.471XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78185TCSpleen imaging A 0.00 4.11 4.11NA 0.04 4.15 4.151XXX.00.00.00000009 33.4009 010 99 12.11 12.11 0.12
- 78191 Platelet survival study A 0.59 3.14 3.14NA 0.07 3.80 3.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7819126Platelet survival study A 0.59 0.11 0.11 0.01 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78191TCPlatelet survival study A 0.00 3.03 3.03NA 0.06 3.09 3.091XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78195 Lymph system imaging A 1.17 8.05 8.05NA 0.11 9.33 9.331XXX.00.00.00000009 33.4009 090 99 16.87 16.87 0.17
- 7819526Lymph system imaging A 1.17 0.37 0.37 0.06 1.60 1.601XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78195TCLymph system imaging A 0.00 7.68 7.68NA 0.05 7.73 7.731XXX.00.00.00000009 33.4009 010 99 16.50 16.50 0.11
- 78199 Unlstd hematop ret/endo lymp C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7819926Unlstd hematop ret/endo lymp C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78199TCUnlstd hematop ret/endo lymp C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78201 Liver imaging static only A 0.43 4.65 4.65NA 0.06 5.14 5.141XXX.00.00.00000009 33.4009 090 99 16.60 16.60 0.17
- 7820126Liver imaging static only A 0.43 0.14 0.14 0.02 0.59 0.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78201TCLiver imaging static only A 0.00 4.51 4.51NA 0.04 4.55 4.551XXX.00.00.00000009 33.4009 010 99 16.46 16.46 0.15
- 78202 Liver imaging with vasc flow A 0.50 5.18 5.18NA 0.07 5.75 5.751XXX.00.00.00000009 33.4009 090 99 16.64 16.64 0.16
- 7820226Liver imaging with vasc flow A 0.50 0.16 0.16 0.03 0.69 0.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78202TCLiver imaging with vasc flow A 0.00 5.02 5.02NA 0.04 5.06 5.061XXX.00.00.00000009 33.4009 010 99 16.48 16.48 0.13
- 78215 Lvr&spleen img static only A 0.48 4.79 4.79NA 0.07 5.34 5.341XXX.00.00.00000009 33.4009 090 99 12.29 12.29 0.14
- 7821526Lvr&spleen img static only A 0.48 0.17 0.17 0.03 0.68 0.681XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78215TCLvr&spleen img static only A 0.00 4.62 4.62NA 0.04 4.66 4.661XXX.00.00.00000009 33.4009 010 99 12.12 12.12 0.11
- 78216 Lvr&spleen img w/vasc flow A 0.56 3.32 3.32NA 0.07 3.95 3.951XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.19
- 7821626Lvr&spleen img w/vasc flow A 0.56 0.20 0.20 0.03 0.79 0.791XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78216TCLvr&spleen img w/vasc flow A 0.00 3.12 3.12NA 0.04 3.16 3.161XXX.00.00.00000009 33.4009 010 99 12.07 12.07 0.16
- 78226 Hepatobiliary system imaging A 0.72 7.72 7.72NA 0.09 8.53 8.531XXX.00.00.00000009 33.4009 090 99 12.40 12.40 0.12
- 7822626Hepatobiliary system imaging A 0.72 0.25 0.25 0.04 1.01 1.011XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78226TCHepatobiliary system imaging A 0.00 7.47 7.47NA 0.05 7.52 7.521XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78227 Hepatobil syst image w/drug A 0.88 10.46 10.46NA 0.12 11.46 11.461XXX.00.00.00000009 33.4009 090 99 16.79 16.79 0.16
- 7822726Hepatobil syst image w/drug A 0.88 0.30 0.30 0.05 1.23 1.231XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78227TCHepatobil syst image w/drug A 0.00 10.16 10.16NA 0.07 10.23 10.231XXX.00.00.00000009 33.4009 010 99 16.49 16.49 0.11
- 78230 Salivary gland imaging A 0.44 4.22 4.22NA 0.07 4.73 4.731XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.15
- 7823026Salivary gland imaging A 0.44 0.16 0.16 0.03 0.63 0.631XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78230TCSalivary gland imaging A 0.00 4.06 4.06NA 0.04 4.10 4.101XXX.00.00.00000009 33.4009 010 99 12.11 12.11 0.12
- 78231 Salivary glnd img serial img A 0.51 2.58 2.58NA 0.05 3.14 3.141XXX.00.00.00000009 33.4009 090 99 12.12 12.12 0.20
- 7823126Salivary glnd img serial img A 0.51 0.09 0.09 0.01 0.61 0.611XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78231TCSalivary glnd img serial img A 0.00 2.49 2.49NA 0.04 2.53 2.531XXX.00.00.00000009 33.4009 010 99 12.03 12.03 0.19
- 78232 Salivary gland function std A 0.46 2.58 2.58NA 0.05 3.09 3.091XXX.00.00.00000009 33.4009 090 99 12.11 12.11 0.20
- 7823226Salivary gland function std A 0.46 0.08 0.08 0.01 0.55 0.551XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78232TCSalivary gland function std A 0.00 2.50 2.50NA 0.04 2.54 2.541XXX.00.00.00000009 33.4009 010 99 12.03 12.03 0.19
- 78258 Esophageal motility A 0.72 5.35 5.35NA 0.08 6.15 6.151XXX.00.00.00000009 33.4009 090 99 12.38 12.38 0.14
- 7825826Esophageal motility A 0.72 0.25 0.25 0.04 1.01 1.011XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78258TCEsophageal motility A 0.00 5.10 5.10NA 0.04 5.14 5.141XXX.00.00.00000009 33.4009 010 99 12.13 12.13 0.10
- 78261 Gastric mucosa imaging A 0.67 4.78 4.78NA 0.05 5.50 5.501XXX.00.00.00000009 33.4009 090 99 12.24 12.24 0.11
- 7826126Gastric mucosa imaging A 0.67 0.12 0.12 0.01 0.80 0.801XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78261TCGastric mucosa imaging A 0.00 4.66 4.66NA 0.04 4.70 4.701XXX.00.00.00000009 33.4009 010 99 12.12 12.12 0.10
- 78262 Gastroesophageal reflux std A 0.66 5.77 5.77NA 0.08 6.51 6.511XXX.00.00.00000009 33.4009 090 99 12.38 12.38 0.13
- 7826226Gastroesophageal reflux std A 0.66 0.24 0.24 0.04 0.94 0.941XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78262TCGastroesophageal reflux std A 0.00 5.53 5.53NA 0.04 5.57 5.571XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78264 Gastric emptying img study A 0.77 7.82 7.82NA 0.09 8.68 8.681XXX.00.00.00000009 33.4009 090 99 12.41 12.41 0.12
- 7826426Gastric emptying img study A 0.77 0.26 0.26 0.04 1.07 1.071XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78264TCGastric emptying img study A 0.00 7.56 7.56NA 0.05 7.61 7.611XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78265 Gstr emptg img sm bwl trnst A 0.96 9.34 9.34NA 0.11 10.41 10.411XXX.00.00.00000009 33.4009 090 99 12.48 12.48 0.13
- 7826526Gstr emptg img sm bwl trnst A 0.96 0.33 0.33 0.05 1.34 1.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78265TCGstr emptg img sm bwl trnst A 0.00 9.01 9.01NA 0.06 9.07 9.071XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78266 Gstr empt img sm bwl&colon A 1.05 10.66 10.66NA 0.11 11.82 11.821XXX.00.00.00000009 33.4009 090 99 16.83 16.83 0.15
- 7826626Gstr empt img sm bwl&colon A 1.05 0.33 0.33 0.04 1.42 1.421XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78266TCGstr empt img sm bwl&colon A 0.00 10.33 10.33NA 0.07 10.40 10.401XXX.00.00.00000009 33.4009 010 99 16.50 16.50 0.11
- 78267 Urea breath tst c-14 acquisj X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 78268 Urea breath test c-14 alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 78278 Acute gi blood loss imaging A 0.97 8.08 8.08NA 0.10 9.15 9.151XXX.00.00.00000009 33.4009 090 99 12.48 12.48 0.13
- 7827826Acute gi blood loss imaging A 0.97 0.33 0.33 0.05 1.35 1.351XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78278TCAcute gi blood loss imaging A 0.00 7.75 7.75NA 0.05 7.80 7.801XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78282 Gi protein loss C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 12.29 12.29 0.02
- 7828226Gi protein loss A 0.37 0.07 0.07 0.01 0.45 0.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78282TCGi protein loss C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 12.22 12.22 0.01
- 78290 Intestine imaging A 0.66 7.96 7.96NA 0.09 8.71 8.711XXX.00.00.00000009 33.4009 090 99 12.38 12.38 0.12
- 7829026Intestine imaging A 0.66 0.23 0.23 0.04 0.93 0.931XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78290TCIntestine imaging A 0.00 7.73 7.73NA 0.05 7.78 7.781XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78291 Pertl-ven shunt patency test A 0.86 6.02 6.02NA 0.09 6.97 6.971XXX.00.00.00000009 33.4009 090 99 12.45 12.45 0.14
- 7829126Pertl-ven shunt patency test A 0.86 0.31 0.31 0.05 1.22 1.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78291TCPertl-ven shunt patency test A 0.00 5.71 5.71NA 0.04 5.75 5.751XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78299 Unlisted gi px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7829926Unlisted gi px dx nuc med C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78299TCUnlisted gi px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78300 Bone imaging limited area A 0.60 5.31 5.31NA 0.06 5.97 5.971XXX.00.00.00000009 33.4009 090 99 12.37 12.37 0.10
- 7830026Bone imaging limited area A 0.60 0.21 0.21 0.03 0.84 0.841XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78300TCBone imaging limited area A 0.00 5.10 5.10NA 0.03 5.13 5.131XXX.00.00.00000009 33.4009 010 99 12.16 12.16 0.07
- 78305 Bone imaging multiple areas A 0.81 6.37 6.37NA 0.09 7.27 7.271XXX.00.00.00000009 33.4009 090 99 12.43 12.43 0.13
- 7830526Bone imaging multiple areas A 0.81 0.28 0.28 0.05 1.14 1.141XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78305TCBone imaging multiple areas A 0.00 6.09 6.09NA 0.04 6.13 6.131XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78306 Bone imaging whole body A 0.84 6.84 6.84NA 0.08 7.76 7.761XXX.00.00.00400009 33.4009 090 88 12.43 12.43 0.11
- 7830626Bone imaging whole body A 0.84 0.28 0.28 0.04 1.16 1.161XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 78306TCBone imaging whole body A 0.00 6.56 6.56NA 0.04 6.60 6.601XXX.00.00.00400009 33.4009 010 88 12.15 12.15 0.07
- 78315 Bone imaging 3 phase A 0.99 7.99 7.99NA 0.10 9.08 9.081XXX.00.00.00000009 33.4009 090 99 12.49 12.49 0.13
- 7831526Bone imaging 3 phase A 0.99 0.34 0.34 0.05 1.38 1.381XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78315TCBone imaging 3 phase A 0.00 7.65 7.65NA 0.05 7.70 7.701XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78350 Bone mineral single photon N+ 0.21 0.76 0.76NA 0.02 0.99 0.991XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 7835026Bone mineral single photon N+ 0.21 0.10 0.10 0.01 0.32 0.321XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 78350TCBone mineral single photon N+ 0.00 0.66 0.66NA 0.01 0.67 0.671XXX.00.00.00999999 33.4009 010 99 0.00 0.00 0.00
- 78351 Bone mineral dual photon N+ 0.29 0.06NA 0.06 0.02 0.37 0.379XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 78399 Unlisted muscskel px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7839926Unlisted muscskel px dx nuc C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78399TCUnlisted muscskel px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78414 Non-imaging heart function C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7841426Non-imaging heart function A 0.44 0.17 0.17 0.02 0.63 0.631XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78414TCNon-imaging heart function C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78428 Cardiac shunt imaging A 0.76 4.29 4.29NA 0.07 5.12 5.121XXX.00.00.00600009 33.4009 090 99 12.37 12.37 0.15
- 7842826Cardiac shunt imaging A 0.76 0.26 0.26 0.03 1.05 1.051XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78428TCCardiac shunt imaging A 0.00 4.03 4.03NA 0.04 4.07 4.071XXX.00.00.00600009 33.4009 010 99 12.11 12.11 0.12
- 78429 Myocrd img pet 1 std w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.27 44.27 0.08
- 7842926Myocrd img pet 1 std w/ct A 1.72 0.54 0.54 0.07 2.33 2.331XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78429TCMyocrd img pet 1 std w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78430 Myocrd img pet rst/strs w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.26 44.26 0.07
- 7843026Myocrd img pet rst/strs w/ct A 1.63 0.53 0.53 0.06 2.22 2.221XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78430TCMyocrd img pet rst/strs w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78431 Myocrd img pet rst&strs ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 68.05 68.05 0.07
- 7843126Myocrd img pet rst&strs ct A 1.85 0.68 0.68 0.06 2.59 2.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78431TCMyocrd img pet rst&strs ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 67.37 67.37 0.01
- 78432 Myocrd img pet 2rtracer C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 47.17 47.17 0.08
- 7843226Myocrd img pet 2rtracer A 2.02 0.76 0.76 0.07 2.85 2.851XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78432TCMyocrd img pet 2rtracer C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 46.41 46.41 0.01
- 78433 Myocrd img pet 2rtracer ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 68.10 68.10 0.08
- 7843326Myocrd img pet 2rtracer ct A 2.20 0.73 0.73 0.07 3.00 3.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78433TCMyocrd img pet 2rtracer ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 67.37 67.37 0.01
- 78434 Aqmbf pet rest & rx stress C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7843426Aqmbf pet rest & rx stress A 0.61 0.23 0.23 0.02 0.86 0.861ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78434TCAqmbf pet rest & rx stress C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78445 Vascular flow imaging A 0.48 4.45 4.45NA 0.07 5.00 5.001XXX.00.00.00600009 33.4009 090 99 12.28 12.28 0.14
- 7844526Vascular flow imaging A 0.48 0.17 0.17 0.03 0.68 0.681XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78445TCVascular flow imaging A 0.00 4.28 4.28NA 0.04 4.32 4.321XXX.00.00.00600009 33.4009 010 99 12.11 12.11 0.11
- 78451 Ht muscle image spect sing A 1.35 7.87 7.87NA 0.10 9.32 9.321XXX.00.00.00600009 33.4009 090 99 39.82 39.82 0.32
- 7845126Ht muscle image spect sing A 1.35 0.49 0.49 0.05 1.89 1.891XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78451TCHt muscle image spect sing A 0.00 7.38 7.38NA 0.05 7.43 7.431XXX.00.00.00600009 33.4009 010 99 39.33 39.33 0.27
- 78452 Ht muscle image spect mult A 1.58 11.10 11.10NA 0.13 12.81 12.811XXX.00.00.00600009 33.4009 090 99 39.93 39.93 0.32
- 7845226Ht muscle image spect mult A 1.58 0.59 0.59 0.06 2.23 2.231XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78452TCHt muscle image spect mult A 0.00 10.51 10.51NA 0.07 10.58 10.581XXX.00.00.00600009 33.4009 010 99 39.34 39.34 0.26
- 78453 Ht muscle image planar sing A 0.98 6.79 6.79NA 0.10 7.87 7.871XXX.00.00.00600009 33.4009 090 99 39.62 39.62 0.36
- 7845326Ht muscle image planar sing A 0.98 0.33 0.33 0.05 1.36 1.361XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78453TCHt muscle image planar sing A 0.00 6.46 6.46NA 0.05 6.51 6.511XXX.00.00.00600009 33.4009 010 99 39.29 39.29 0.31
- 78454 Ht musc image planar mult A 1.31 9.99 9.99NA 0.14 11.44 11.441XXX.00.00.00600009 33.4009 090 99 39.76 39.76 0.36
- 7845426Ht musc image planar mult A 1.31 0.45 0.45 0.07 1.83 1.831XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78454TCHt musc image planar mult A 0.00 9.54 9.54NA 0.07 9.61 9.611XXX.00.00.00600009 33.4009 010 99 39.31 39.31 0.29
- 78456 Acute venous thrombus image A 0.98 7.45 7.45NA 0.08 8.51 8.511XXX.00.00.00699999 33.4009 090 99 39.68 39.68 0.31
- 7845626Acute venous thrombus image A 0.98 0.36 0.36 0.03 1.37 1.371XXX.00.00.00699999 33.4009 090 99 0.00 0.00 0.00
- 78456TCAcute venous thrombus image A 0.00 7.09 7.09NA 0.05 7.14 7.141XXX.00.00.00699999 33.4009 090 99 39.32 39.32 0.28
- 78457 Venous thrombosis imaging A 0.75 4.19 4.19NA 0.07 5.01 5.011XXX.00.00.00600009 33.4009 090 99 16.72 16.72 0.20
- 7845726Venous thrombosis imaging A 0.75 0.28 0.28 0.03 1.06 1.061XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78457TCVenous thrombosis imaging A 0.00 3.91 3.91NA 0.04 3.95 3.951XXX.00.00.00600009 33.4009 010 99 16.44 16.44 0.17
- 78458 Ven thrombosis images bilat A 0.88 4.60 4.60NA 0.09 5.57 5.571XXX.00.00.00620009 33.4009 090 99 12.43 12.43 0.16
- 7845826Ven thrombosis images bilat A 0.88 0.32 0.32 0.05 1.25 1.251XXX.00.00.00620009 33.4009 090 99 0.00 0.00 0.00
- 78458TCVen thrombosis images bilat A 0.00 4.28 4.28NA 0.04 4.32 4.321XXX.00.00.00620009 33.4009 010 99 12.11 12.11 0.11
- 78459 Myocrd img pet single study C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 40.08 40.08 0.07
- 7845926Myocrd img pet single study A 1.57 0.49 0.49 0.06 2.12 2.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78459TCMyocrd img pet single study C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 39.59 39.59 0.01
- 78466 Heart infarct image A 0.67 4.02 4.02NA 0.07 4.76 4.761XXX.00.00.00600009 33.4009 090 99 12.34 12.34 0.16
- 7846626Heart infarct image A 0.67 0.24 0.24 0.03 0.94 0.941XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78466TCHeart infarct image A 0.00 3.78 3.78NA 0.04 3.82 3.821XXX.00.00.00600009 33.4009 010 99 12.10 12.10 0.13
- 78468 Heart infarct image (ef) A 0.78 4.63 4.63NA 0.07 5.48 5.481XXX.00.00.00600009 33.4009 090 99 16.75 16.75 0.18
- 7846826Heart infarct image (ef) A 0.78 0.29 0.29 0.03 1.10 1.101XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78468TCHeart infarct image (ef) A 0.00 4.34 4.34NA 0.04 4.38 4.381XXX.00.00.00600009 33.4009 010 99 16.46 16.46 0.15
- 78469 Heart infarct image (3d) A 0.90 5.12 5.12NA 0.08 6.10 6.101XXX.00.00.00600009 33.4009 090 99 16.80 16.80 0.18
- 7846926Heart infarct image (3d) A 0.90 0.33 0.33 0.04 1.27 1.271XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78469TCHeart infarct image (3d) A 0.00 4.79 4.79NA 0.04 4.83 4.831XXX.00.00.00600009 33.4009 010 99 16.47 16.47 0.14
- 78472 Gated heart planar single A 0.96 5.17 5.17NA 0.08 6.21 6.211XXX.00.00.00600009 33.4009 090 99 12.47 12.47 0.14
- 7847226Gated heart planar single A 0.96 0.34 0.34 0.04 1.34 1.341XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78472TCGated heart planar single A 0.00 4.83 4.83NA 0.04 4.87 4.871XXX.00.00.00600009 33.4009 010 99 12.13 12.13 0.10
- 78473 Gated heart multiple A 1.43 6.45 6.45NA 0.11 7.99 7.991XXX.00.00.00600009 33.4009 090 99 12.66 12.66 0.16
- 7847326Gated heart multiple A 1.43 0.54 0.54 0.06 2.03 2.031XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78473TCGated heart multiple A 0.00 5.91 5.91NA 0.05 5.96 5.961XXX.00.00.00600009 33.4009 010 99 12.12 12.12 0.10
- 78481 Heart first pass single A 0.96 3.85 3.85NA 0.05 4.86 4.861XXX.00.00.00600009 33.4009 090 99 16.82 16.82 0.16
- 7848126Heart first pass single A 0.96 0.35 0.35 0.02 1.33 1.331XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78481TCHeart first pass single A 0.00 3.50 3.50NA 0.03 3.53 3.531XXX.00.00.00600009 33.4009 010 99 16.47 16.47 0.14
- 78483 Heart first pass multiple A 1.43 5.06 5.06NA 0.08 6.57 6.571XXX.00.00.00600009 33.4009 090 99 17.03 17.03 0.16
- 7848326Heart first pass multiple A 1.43 0.53 0.53 0.05 2.01 2.011XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78483TCHeart first pass multiple A 0.00 4.53 4.53NA 0.03 4.56 4.561XXX.00.00.00600009 33.4009 010 99 16.50 16.50 0.11
- 78491 Myocrd img pet 1std rst/strs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.27 44.27 0.07
- 7849126Myocrd img pet 1std rst/strs A 1.52 0.54 0.54 0.06 2.12 2.121XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78491TCMyocrd img pet 1std rst/strs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78492 Myocrd img pet mlt rst&strs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.38 44.38 0.07
- 7849226Myocrd img pet mlt rst&strs A 1.76 0.65 0.65 0.06 2.47 2.471XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78492TCMyocrd img pet mlt rst&strs C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78494 Heart image spect A 1.16 5.07 5.07NA 0.09 6.32 6.321XXX.00.00.00600009 33.4009 090 99 12.54 12.54 0.16
- 7849426Heart image spect A 1.16 0.42 0.42 0.05 1.63 1.631XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 78494TCHeart image spect A 0.00 4.65 4.65NA 0.04 4.69 4.691XXX.00.00.00600009 33.4009 010 99 12.12 12.12 0.11
- 78496 Heart first pass add-on A 0.49 0.75 0.75NA 0.03 1.27 1.271ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7849626Heart first pass add-on A 0.49 0.18 0.18 0.02 0.69 0.691ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78496TCHeart first pass add-on A 0.00 0.57 0.57NA 0.01 0.58 0.581ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78499 Unlisted cv px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7849926Unlisted cv px dx nuc med C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78499TCUnlisted cv px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78579 Lung ventilation imaging A 0.48 4.44 4.44NA 0.06 4.98 4.981XXX.00.00.00000009 33.4009 090 99 12.30 12.30 0.12
- 7857926Lung ventilation imaging A 0.48 0.16 0.16 0.03 0.67 0.671XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78579TCLung ventilation imaging A 0.00 4.28 4.28NA 0.03 4.31 4.311XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78580 Lung perfusion imaging A 0.72 5.47 5.47NA 0.08 6.27 6.271XXX.00.00.00000009 33.4009 090 99 12.38 12.38 0.13
- 7858026Lung perfusion imaging A 0.72 0.25 0.25 0.04 1.01 1.011XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78580TCLung perfusion imaging A 0.00 5.22 5.22NA 0.04 5.26 5.261XXX.00.00.00000009 33.4009 010 99 12.13 12.13 0.09
- 78582 Lung ventilat&perfus imaging A 1.04 7.55 7.55NA 0.11 8.70 8.701XXX.00.00.00000009 33.4009 090 99 16.84 16.84 0.18
- 7858226Lung ventilat&perfus imaging A 1.04 0.35 0.35 0.06 1.45 1.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78582TCLung ventilat&perfus imaging A 0.00 7.20 7.20NA 0.05 7.25 7.251XXX.00.00.00000009 33.4009 010 99 16.49 16.49 0.12
- 78597 Lung perfusion differential A 0.73 4.60 4.60NA 0.06 5.39 5.391XXX.00.00.00000009 33.4009 090 99 12.37 12.37 0.11
- 7859726Lung perfusion differential A 0.73 0.23 0.23 0.03 0.99 0.991XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78597TCLung perfusion differential A 0.00 4.37 4.37NA 0.03 4.40 4.401XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.08
- 78598 Lung perf&ventilat diferentl A 0.83 7.01 7.01NA 0.09 7.93 7.931XXX.00.00.00000009 33.4009 090 99 16.75 16.75 0.16
- 7859826Lung perf&ventilat diferentl A 0.83 0.26 0.26 0.04 1.13 1.131XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78598TCLung perf&ventilat diferentl A 0.00 6.75 6.75NA 0.05 6.80 6.801XXX.00.00.00000009 33.4009 010 99 16.49 16.49 0.12
- 78599 Unlisted resp px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7859926Unlisted resp px dx nuc med C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78599TCUnlisted resp px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78600 Brain image < 4 views A 0.43 4.50 4.50NA 0.06 4.99 4.991XXX.00.00.00000009 33.4009 090 99 12.27 12.27 0.13
- 7860026Brain image < 4 views A 0.43 0.15 0.15 0.02 0.60 0.601XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78600TCBrain image < 4 views A 0.00 4.35 4.35NA 0.04 4.39 4.391XXX.00.00.00000009 33.4009 010 99 12.12 12.12 0.11
- 78601 Brain image w/flow < 4 views A 0.50 5.20 5.20NA 0.07 5.77 5.771XXX.00.00.00000009 33.4009 090 99 12.30 12.30 0.13
- 7860126Brain image w/flow < 4 views A 0.50 0.17 0.17 0.03 0.70 0.701XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78601TCBrain image w/flow < 4 views A 0.00 5.03 5.03NA 0.04 5.07 5.071XXX.00.00.00000009 33.4009 010 99 12.13 12.13 0.10
- 78605 Brain image 4+ views A 0.52 4.78 4.78NA 0.07 5.37 5.371XXX.00.00.00000009 33.4009 090 99 16.65 16.65 0.17
- 7860526Brain image 4+ views A 0.52 0.19 0.19 0.03 0.74 0.741XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78605TCBrain image 4+ views A 0.00 4.59 4.59NA 0.04 4.63 4.631XXX.00.00.00000009 33.4009 010 99 16.46 16.46 0.14
- 78606 Brain image w/flow 4 + views A 0.62 7.92 7.92NA 0.08 8.62 8.621XXX.00.00.00000009 33.4009 090 99 16.71 16.71 0.14
- 7860626Brain image w/flow 4 + views A 0.62 0.21 0.21 0.03 0.86 0.861XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78606TCBrain image w/flow 4 + views A 0.00 7.71 7.71NA 0.05 7.76 7.761XXX.00.00.00000009 33.4009 010 99 16.50 16.50 0.11
- 78608 Brain imaging (pet) C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.20 44.20 0.08
- 7860826Brain imaging (pet) A 1.46 0.47 0.47 0.07 2.00 2.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78608TCBrain imaging (pet) C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78609 Brain imaging (pet) N+ 1.46 0.64 0.64NA 0.04 2.14 2.141XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 7860926Brain imaging (pet) N+ 1.46 0.64 0.64 0.04 2.14 2.141XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 78609TCBrain imaging (pet) N 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 010 99 0.00 0.00 0.00
- 78610 Brain flow imaging only A 0.29 4.34 4.34NA 0.06 4.69 4.691XXX.00.00.00000009 33.4009 090 99 16.55 16.55 0.18
- 7861026Brain flow imaging only A 0.29 0.10 0.10 0.02 0.41 0.411XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78610TCBrain flow imaging only A 0.00 4.24 4.24NA 0.04 4.28 4.281XXX.00.00.00000009 33.4009 010 99 16.45 16.45 0.16
- 78630 Cerebrospinal fluid scan A 0.66 8.06 8.06NA 0.10 8.82 8.821XXX.00.00.00000009 33.4009 090 99 16.70 16.70 0.17
- 7863026Cerebrospinal fluid scan A 0.66 0.22 0.22 0.04 0.92 0.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78630TCCerebrospinal fluid scan A 0.00 7.84 7.84NA 0.06 7.90 7.901XXX.00.00.00000009 33.4009 010 99 16.48 16.48 0.13
- 78635 Csf ventriculography A 0.59 8.15 8.15NA 0.08 8.82 8.821XXX.00.00.00000009 33.4009 090 99 16.72 16.72 0.13
- 7863526Csf ventriculography A 0.59 0.22 0.22 0.03 0.84 0.841XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78635TCCsf ventriculography A 0.00 7.93 7.93NA 0.05 7.98 7.981XXX.00.00.00000009 33.4009 010 99 16.50 16.50 0.10
- 78645 Csf shunt evaluation A 0.56 7.90 7.90NA 0.08 8.54 8.541XXX.00.00.00000009 33.4009 090 99 16.68 16.68 0.14
- 7864526Csf shunt evaluation A 0.56 0.18 0.18 0.03 0.77 0.771XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78645TCCsf shunt evaluation A 0.00 7.72 7.72NA 0.05 7.77 7.771XXX.00.00.00000009 33.4009 010 99 16.50 16.50 0.11
- 78650 Csf leakage imaging A 0.59 6.68 6.68NA 0.07 7.34 7.341XXX.00.00.00000009 33.4009 090 99 39.35 39.35 0.37
- 7865026Csf leakage imaging A 0.59 0.11 0.11 0.01 0.71 0.711XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78650TCCsf leakage imaging A 0.00 6.57 6.57NA 0.06 6.63 6.631XXX.00.00.00000009 33.4009 010 99 39.24 39.24 0.36
- 78660 Nuclear exam of tear flow A 0.52 3.40 3.40NA 0.05 3.97 3.971XXX.00.00.00000009 33.4009 090 99 12.17 12.17 0.16
- 7866026Nuclear exam of tear flow A 0.52 0.09 0.09 0.01 0.62 0.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78660TCNuclear exam of tear flow A 0.00 3.31 3.31NA 0.04 3.35 3.351XXX.00.00.00000009 33.4009 010 99 12.08 12.08 0.15
- 78699 Unlisted nrvs sys px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7869926Unlisted nrvs sys px dx nuc C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78699TCUnlisted nrvs sys px dx nuc C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78700 Kidney imaging morphol A 0.44 4.09 4.09NA 0.06 4.59 4.591XXX.00.00.00000009 33.4009 090 99 12.24 12.24 0.14
- 7870026Kidney imaging morphol A 0.44 0.14 0.14 0.02 0.60 0.601XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78700TCKidney imaging morphol A 0.00 3.95 3.95NA 0.04 3.99 3.991XXX.00.00.00000009 33.4009 010 99 12.10 12.10 0.12
- 78701 Kidney imaging with flow A 0.48 5.53 5.53NA 0.07 6.08 6.081XXX.00.00.00000009 33.4009 090 99 12.32 12.32 0.12
- 7870126Kidney imaging with flow A 0.48 0.18 0.18 0.03 0.69 0.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78701TCKidney imaging with flow A 0.00 5.35 5.35NA 0.04 5.39 5.391XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78707 K flow/funct image w/o drug A 0.94 5.24 5.24NA 0.09 6.27 6.271XXX.00.00.00000009 33.4009 090 99 16.78 16.78 0.18
- 7870726K flow/funct image w/o drug A 0.94 0.31 0.31 0.05 1.30 1.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78707TCK flow/funct image w/o drug A 0.00 4.93 4.93NA 0.04 4.97 4.971XXX.00.00.00000009 33.4009 010 99 16.47 16.47 0.13
- 78708 K flow/funct image w/drug A 1.18 3.87 3.87NA 0.11 5.16 5.161XXX.00.00.00000009 33.4009 090 99 16.75 16.75 0.30
- 7870826K flow/funct image w/drug A 1.18 0.38 0.38 0.06 1.62 1.621XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78708TCK flow/funct image w/drug A 0.00 3.49 3.49NA 0.05 3.54 3.541XXX.00.00.00000009 33.4009 010 99 16.37 16.37 0.24
- 78709 K flow/funct image multiple A 1.37 8.27 8.27NA 0.13 9.77 9.771XXX.00.00.00000009 33.4009 090 99 16.93 16.93 0.20
- 7870926K flow/funct image multiple A 1.37 0.45 0.45 0.07 1.89 1.891XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78709TCK flow/funct image multiple A 0.00 7.82 7.82NA 0.06 7.88 7.881XXX.00.00.00000009 33.4009 010 99 16.48 16.48 0.13
- 78725 Kidney function study A 0.37 2.55 2.55NA 0.06 2.98 2.981XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7872526Kidney function study A 0.37 0.12 0.12 0.02 0.51 0.511XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78725TCKidney function study A 0.00 2.43 2.43NA 0.04 2.47 2.471XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78730 Urinary bladder retention A 0.15 2.03 2.03NA 0.01 2.19 2.191ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7873026Urinary bladder retention A 0.15 0.08 0.08 0.00 0.23 0.231ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78730TCUrinary bladder retention A 0.00 1.95 1.95NA 0.01 1.96 1.961ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78740 Ureteral reflux study A 0.56 5.99 5.99NA 0.06 6.61 6.611XXX.00.00.00000009 33.4009 090 99 12.37 12.37 0.11
- 7874026Ureteral reflux study A 0.56 0.23 0.23 0.02 0.81 0.811XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78740TCUreteral reflux study A 0.00 5.76 5.76NA 0.04 5.80 5.801XXX.00.00.00000009 33.4009 010 99 12.14 12.14 0.09
- 78761 Testicular imaging w/flow A 0.69 4.92 4.92NA 0.08 5.69 5.691XXX.00.00.00000009 33.4009 090 99 12.37 12.37 0.14
- 7876126Testicular imaging w/flow A 0.69 0.25 0.25 0.04 0.98 0.981XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78761TCTesticular imaging w/flow A 0.00 4.67 4.67NA 0.04 4.71 4.711XXX.00.00.00000009 33.4009 010 99 12.12 12.12 0.10
- 78799 Unlisted gu px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7879926Unlisted gu px dx nuc med C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78799TCUnlisted gu px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78800 Rp loclzj tum 1 area 1 d img A 0.62 6.22 6.22NA 0.10 6.94 6.941XXX.00.00.00000009 33.4009 090 99 12.40 12.40 0.13
- 7880026Rp loclzj tum 1 area 1 d img A 0.62 0.23 0.23 0.07 0.92 0.921XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78800TCRp loclzj tum 1 area 1 d img A 0.00 5.99 5.99NA 0.03 6.02 6.021XXX.00.00.00000009 33.4009 010 99 12.17 12.17 0.06
- 78801 Rp loclzj tum 2+area 1+d img A 0.71 6.40 6.40NA 0.08 7.19 7.191XXX.00.00.00000009 33.4009 090 99 12.39 12.39 0.12
- 7880126Rp loclzj tum 2+area 1+d img A 0.71 0.24 0.24 0.04 0.99 0.991XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78801TCRp loclzj tum 2+area 1+d img A 0.00 6.16 6.16NA 0.04 6.20 6.201XXX.00.00.00000009 33.4009 010 99 12.15 12.15 0.08
- 78802 Rp loclzj tum whbdy 1 d img A 0.78 7.23 7.23NA 0.08 8.09 8.091XXX.00.00.00400009 33.4009 090 88 16.76 16.76 0.14
- 7880226Rp loclzj tum whbdy 1 d img A 0.78 0.25 0.25 0.04 1.07 1.071XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 78802TCRp loclzj tum whbdy 1 d img A 0.00 6.98 6.98NA 0.04 7.02 7.021XXX.00.00.00400009 33.4009 010 88 16.51 16.51 0.10
- 78803 Rp loclzj tum spect 1 area A 1.06 8.89 8.89NA 0.10 10.05 10.051XXX.00.00.00400009 33.4009 090 88 16.87 16.87 0.15
- 7880326Rp loclzj tum spect 1 area A 1.06 0.36 0.36 0.05 1.47 1.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 78803TCRp loclzj tum spect 1 area A 0.00 8.53 8.53NA 0.05 8.58 8.581XXX.00.00.00400009 33.4009 010 88 16.51 16.51 0.10
- 78804 Rp loclzj tum whbdy 2+d img A 0.98 15.69 15.69NA 0.13 16.80 16.801XXX.00.00.00000009 33.4009 090 99 16.84 16.84 0.14
- 7880426Rp loclzj tum whbdy 2+d img A 0.98 0.32 0.32 0.05 1.35 1.351XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78804TCRp loclzj tum whbdy 2+d img A 0.00 15.37 15.37NA 0.08 15.45 15.451XXX.00.00.00000009 33.4009 010 99 16.52 16.52 0.09
- 78808 Iv inj ra drug dx study A 0.18 1.02 1.02NA 0.03 1.23 1.235XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78811 Pet image ltd area C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 40.08 40.08 0.08
- 7881126Pet image ltd area A 1.50 0.49 0.49 0.07 2.06 2.061XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78811TCPet image ltd area C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 39.59 39.59 0.01
- 78812 Pet image skull-thigh C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.35 44.35 0.10
- 7881226Pet image skull-thigh A 1.88 0.62 0.62 0.09 2.59 2.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78812TCPet image skull-thigh C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78813 Pet image full body C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.34 44.34 0.10
- 7881326Pet image full body A 1.95 0.61 0.61 0.09 2.65 2.651XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78813TCPet image full body C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78814 Pet image w/ct lmtd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.42 44.42 0.12
- 7881426Pet image w/ct lmtd A 2.15 0.69 0.69 0.11 2.95 2.951XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78814TCPet image w/ct lmtd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78815 Pet image w/ct skull-thigh C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.51 44.51 0.13
- 7881526Pet image w/ct skull-thigh A 2.38 0.78 0.78 0.12 3.28 3.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78815TCPet image w/ct skull-thigh C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78816 Pet image w/ct full body C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 44.50 44.50 0.13
- 7881626Pet image w/ct full body A 2.44 0.77 0.77 0.12 3.33 3.331XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78816TCPet image w/ct full body C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 43.73 43.73 0.01
- 78830 Rp loclzj tum spect w/ct 1 A 1.45 11.03 11.03NA 0.12 12.60 12.601XXX.00.00.00000009 33.4009 090 99 39.82 39.82 0.28
- 7883026Rp loclzj tum spect w/ct 1 A 1.45 0.44 0.44 0.06 1.95 1.951XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78830TCRp loclzj tum spect w/ct 1 A 0.00 10.59 10.59NA 0.06 10.65 10.651XXX.00.00.00000009 33.4009 010 99 39.38 39.38 0.22
- 78831 Rp loclzj tum spect 2 areas A 1.77 16.72 16.72NA 0.16 18.65 18.651XXX.00.00.00000009 33.4009 090 99 39.97 39.97 0.28
- 7883126Rp loclzj tum spect 2 areas A 1.77 0.57 0.57 0.08 2.42 2.421XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78831TCRp loclzj tum spect 2 areas A 0.00 16.15 16.15NA 0.08 16.23 16.231XXX.00.00.00000009 33.4009 010 99 39.40 39.40 0.20
- 78832 Rp loclzj tum spect w/ct 2 A 2.07 21.43 21.43NA 0.18 23.68 23.681XXX.00.00.00000009 33.4009 090 99 44.20 44.20 0.28
- 7883226Rp loclzj tum spect w/ct 2 A 2.07 0.65 0.65 0.09 2.81 2.811XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78832TCRp loclzj tum spect w/ct 2 A 0.00 20.78 20.78NA 0.09 20.87 20.871XXX.00.00.00000009 33.4009 010 99 43.55 43.55 0.19
- 78835 Rp quan meas single area A 0.46 2.20 2.20NA 0.03 2.69 2.691ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7883526Rp quan meas single area A 0.46 0.16 0.16 0.02 0.64 0.641ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78835TCRp quan meas single area A 0.00 2.04 2.04NA 0.01 2.05 2.051ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 78999 Unlisted misc px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7899926Unlisted misc px dx nuc med C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 78999TCUnlisted misc px dx nuc med C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79005 Nuclear rx oral admin A 1.76 2.11 2.11NA 0.09 3.96 3.961XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7900526Nuclear rx oral admin A 1.76 0.61 0.61 0.07 2.44 2.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79005TCNuclear rx oral admin A 0.00 1.50 1.50NA 0.02 1.52 1.521XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79101 Nuclear rx iv admin A 1.91 2.28 2.28NA 0.09 4.28 4.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7910126Nuclear rx iv admin A 1.91 0.71 0.71 0.07 2.69 2.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79101TCNuclear rx iv admin A 0.00 1.57 1.57NA 0.02 1.59 1.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79200 Nuclear rx intracav admin A 1.94 1.92 1.92NA 0.05 3.91 3.911XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7920026Nuclear rx intracav admin A 1.94 0.35 0.35 0.03 2.32 2.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79200TCNuclear rx intracav admin A 0.00 1.57 1.57NA 0.02 1.59 1.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79300 Nuclr rx interstit colloid C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7930026Nuclr rx interstit colloid A 1.56 0.28 0.28 0.02 1.86 1.861XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79300TCNuclr rx interstit colloid C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79403 Hematopoietic nuclear tx A 2.19 2.43 2.43NA 0.07 4.69 4.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7940326Hematopoietic nuclear tx A 2.19 0.39 0.39 0.03 2.61 2.611XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79403TCHematopoietic nuclear tx A 0.00 2.04 2.04NA 0.04 2.08 2.081XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79440 Nuclear rx intra-articular A 1.94 1.52 1.52NA 0.05 3.51 3.511XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7944026Nuclear rx intra-articular A 1.94 0.35 0.35 0.03 2.32 2.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79440TCNuclear rx intra-articular A 0.00 1.17 1.17NA 0.02 1.19 1.191XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79445 Nuclear rx intra-arterial C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7944526Nuclear rx intra-arterial A 2.34 0.68 0.68 0.16 3.18 3.181XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79445TCNuclear rx intra-arterial C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79999 Rp therapy unlisted px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 7999926Rp therapy unlisted px C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 79999TCRp therapy unlisted px C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.0080000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 80047 Basic metablc pnl ionized ca X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80048 Basic metabolic pnl total ca X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80050 General health panel N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80053 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80055 Obstetric panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80069 Renal function panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80074 Acute hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80076 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80081 Obstetric panel inc hiv tstg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80143 Drug assay acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80145 Drug assay adalimumab X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80150 Assay of amikacin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80151 Drug assay amiodarone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80155 Drug assay caffeine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80156 Assay carbamazepine total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80157 Assay carbamazepine free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80158 Drug assay cyclosporine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80159 Drug assay clozapine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80161 Asy carbamazepin 10,11-epxid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80162 Assay of digoxin total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80163 Assay of digoxin free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80164 Assay dipropylacetic acd tot X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80165 Dipropylacetic acid free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80167 Drug assay felbamate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80168 Assay of ethosuximide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80169 Drug assay everolimus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80170 Assay of gentamicin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80171 Drug screen quant gabapentin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80173 Assay of haloperidol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80175 Drug screen quan lamotrigine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80176 Assay of lidocaine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80177 Drug scrn quan levetiracetam X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80178 Assay of lithium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80179 Drug assay salicylate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80180 Drug scrn quan mycophenolate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80181 Drug assay flecainide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80183 Drug scrn quant oxcarbazepin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80184 Assay of phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80185 Assay of phenytoin total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80186 Assay of phenytoin free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80187 Drug assay posaconazole X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80188 Assay of primidone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80189 Drug assay itraconazole X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80190 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80192 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80193 Drug assay leflunomide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80194 Assay of quinidine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80195 Assay of sirolimus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80197 Assay of tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80198 Assay of theophylline X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80199 Drug screen quant tiagabine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80200 Assay of tobramycin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80201 Assay of topiramate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80202 Assay of vancomycin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80203 Drug screen quant zonisamide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80204 Drug assay methotrexate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80210 Drug assay rufinamide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80220 Drug asy hydroxychloroquine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80230 Drug assay infliximab X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80235 Drug assay lacosamide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80280 Drug assay vedolizumab X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80285 Drug assay voriconazole X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80299 Quantitative assay drug X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80305 Drug test prsmv dir opt obs X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80306 Drug test prsmv instrmnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80307 Drug test prsmv chem anlyzr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80320 Drug screen quantalcohols I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80321 Alcohols biomarkers 1or 2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80322 Alcohols biomarkers 3/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80323 Alkaloids nos I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80324 Drug screen amphetamines 1/2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80325 Amphetamines 3or 4 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80326 Amphetamines 5 or more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80327 Anabolic steroid 1 or 2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80328 Anabolic steroid 3 or more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80329 Analgesics non-opioid 1 or 2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80330 Analgesics non-opioid 3-5 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80331 Analgesics non-opioid 6/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80332 Antidepressants class 1 or 2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80333 Antidepressants class 3-5 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80334 Antidepressants class 6/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80335 Antidepressant tricyclic 1/2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80336 Antidepressant tricyclic 3-5 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80337 Tricyclic & cyclicals 6/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80338 Antidepressant not specified I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80339 Antiepileptics nos 1-3 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80340 Antiepileptics nos 4-6 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80341 Antiepileptics nos 7/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80342 Antipsychotics nos 1-3 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80343 Antipsychotics nos 4-6 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80344 Antipsychotics nos 7/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80345 Drug screening barbiturates I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80346 Benzodiazepines1-12 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80347 Benzodiazepines 13 or more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80348 Drug screening buprenorphine I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80349 Cannabinoids natural I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80350 Cannabinoids synthetic 1-3 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80351 Cannabinoids synthetic 4-6 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80352 Cannabinoid synthetic 7/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80353 Drug screening cocaine I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80354 Drug screening fentanyl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80355 Gabapentin non-blood I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80356 Heroin metabolite I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80357 Ketamine and norketamine I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80358 Drug screening methadone I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80359 Methylenedioxyamphetamines I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80360 Methylphenidate I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80361 Opiates 1 or more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80362 Opioids & opiate analogs 1/2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80363 Opioids & opiate analogs 3/4 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80364 Opioid &opiate analog 5/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80365 Drug screening oxycodone I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80366 Drug screening pregabalin I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80367 Drug screening propoxyphene I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80368 Sedative hypnotics I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80369 Skeletal muscle relaxant 1/2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80370 Skel musc relaxant 3 or more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80371 Stimulants synthetic I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80372 Drug screening tapentadol I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80373 Drug screening tramadol I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80374 Stereoisomer analysis I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80375 Drug/substance nos 1-3 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80376 Drug/substance nos 4-6 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80377 Drug/substance nos 7/more I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80400 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80402 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80406 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80408 Aldosterone suppression eval X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80410 Calcitonin stimul panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80412 Crh stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80414 Testosterone response panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80415 Tot estradiol response panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80416 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80417 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80418 Pituitary evaluation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80422 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80424 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80426 Gonadotropin hormone panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80428 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80430 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80432 Insulin suppression panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80434 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80435 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80438 Trh stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80439 Trh stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 80503 Path clin consltj sf 5-20 A 0.43 0.34 0.10 0.02 0.79 0.550XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 80504 Path clin consltj mod 21-40 A 0.91 0.57 0.20 0.05 1.53 1.160XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 80505 Path clin consltj high 41-60 A 1.71 1.02 0.40 0.09 2.82 2.200XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 80506 Path clin consltj prolng svc A 0.80 0.40 0.40NA 0.05 1.25 1.251ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 81000 Urinalysis nonauto w/scope X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81001 Urinalysis auto w/scope X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81002 Urinalysis nonauto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81003 Urinalysis auto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81007 Urine screen for bacteria X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81015 Microscopic exam of urine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81020 Urinalysis glass test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81025 Urine pregnancy test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81050 Urinalysis volume measure X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81099 Unlisted urinalysis px X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81105 Hpa-1 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81106 Hpa-2 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81107 Hpa-3 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81108 Hpa-4 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81109 Hpa-5 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81110 Hpa-6 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81111 Hpa-9 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81112 Hpa-15 genotyping X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81120 Idh1 common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81121 Idh2 common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81161 Dmd dup/delet analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81162 Brca1&2 gen full seq dup/del X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81163 Brca1&2 gene full seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81164 Brca1&2 gen ful dup/del alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81165 Brca1 gene full seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81166 Brca1 gene full dup/del alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81167 Brca2 gene full dup/del alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81168 Ccnd1/igh translocation alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81170 Abl1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81171 Aff2 gen aly detc abnl allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81172 Aff2 gen alys charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81173 Ar gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81174 Ar gene known famil variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81175 Asxl1 full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81176 Asxl1 gene target seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81177 Atn1 gene detc abnor alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81178 Atxn1 gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81179 Atxn2 gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81180 Atxn3 gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81181 Atxn7 gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81182 Atxn8os gen detc abnor allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81183 Atxn10 gene detc abnor allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81184 Cacna1a gen detc abnor allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81185 Cacna1a gene full gene seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81186 Cacna1a gen known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81187 Cnbp gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81188 Cstb gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81189 Cstb gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81190 Cstb gene known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81191 Ntrk1 translocation analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81192 Ntrk2 translocation analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81193 Ntrk3 translocation analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81194 Ntrk translocation analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81195 Cytog genom-wid alys hem mal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81200 Aspa gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81201 Apc gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81202 Apc gene known fam variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81203 Apc gene dup/delet variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81204 Ar gene charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81205 Bckdhb gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81206 Bcr/abl1 gene major bp X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81207 Bcr/abl1 gene minor bp X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81208 Bcr/abl1 gene other bp X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81209 Blm gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81210 Braf gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81212 Brca1&2 185&5385&6174 vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81215 Brca1 gene known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81216 Brca2 gene full seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81217 Brca2 gene known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81218 Cebpa gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81219 Calr gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81220 Cftr gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81221 Cftr gene known fam variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81222 Cftr gene dup/delet variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81223 Cftr gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81224 Cftr gene intron poly t X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81225 Cyp2c19 gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81226 Cyp2d6 gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81227 Cyp2c9 gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81228 Cytog alys chrml abnr cgh X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81229 Cytog alys chrml abnr snpcgh X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81230 Cyp3a4 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81231 Cyp3a5 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81232 Dpyd gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81233 Btk gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81234 Dmpk gene detc abnor allele X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81235 Egfr gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81236 Ezh2 gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81237 Ezh2 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81238 F9 full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81239 Dmpk gene charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81240 F2 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81241 F5 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81242 Fancc gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81243 Fmr1 gen aly detc abnl allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81244 Fmr1 gen alys charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81245 Flt3 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81246 Flt3 gene analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81247 G6pd gene alys cmn variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81248 G6pd known familial variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81249 G6pd full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81250 G6pc gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81251 Gba gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81252 Gjb2 gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81253 Gjb2 gene known fam variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81254 Gjb6 gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81255 Hexa gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81256 Hfe gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81257 Hba1/hba2 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81258 Hba1/hba2 gene fam vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81259 Hba1/hba2 full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81260 Ikbkap gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81261 Igh gene rearrange amp meth X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81262 Igh gene rearrang dir probe X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81263 Igh vari regional mutation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81264 Igk rearrangeabn clonal pop X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81265 Str markers specimen anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81266 Str markers spec anal addl X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81267 Chimerism anal no cell selec X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81268 Chimerism anal w/cell select X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81269 Hba1/hba2 gene dup/del vrnts X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81270 Jak2 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81271 Htt gene detc abnor alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81272 Kit gene targeted seq analys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81273 Kit gene analys d816 variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81274 Htt gene charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81275 Kras gene variants exon 2 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81276 Kras gene addl variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81277 Cytogenomic neo microra alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81278 Igh@/bcl2 translocation alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81279 Jak2 gene trgt sequence alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81283 Ifnl3 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81284 Fxn gene detc abnor alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81285 Fxn gene charac alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81286 Fxn gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81287 Mgmt gene prmtr mthyltn alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81288 Mlh1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81289 Fxn gene known famil variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81290 Mcoln1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81291 Mthfr gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81292 Mlh1 gene full seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81293 Mlh1 gene known variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81294 Mlh1 gene dup/delete variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81295 Msh2 gene full seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81296 Msh2 gene known variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81297 Msh2 gene dup/delete variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81298 Msh6 gene full seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81299 Msh6 gene known variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81300 Msh6 gene dup/delete variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81301 Microsatellite instability X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81302 Mecp2 gene full seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81303 Mecp2 gene known variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81304 Mecp2 gene dup/delet variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81305 Myd88 gene p.leu265pro vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81306 Nudt15 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81307 Palb2 gene full gene seq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81308 Palb2 gene known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81309 Pik3ca gene trgt seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81310 Npm1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81311 Nras gene variants exon 2&3 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81312 Pabpn1 gene detc abnor allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81313 Pca3/klk3 antigen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81314 Pdgfra gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81315 Pml/raralpha com breakpoints X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81316 Pml/raralpha 1 breakpoint X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81317 Pms2 gene full seq analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81318 Pms2 known familial variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81319 Pms2 gene dup/delet variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81320 Plcg2 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81321 Pten gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81322 Pten gene known fam variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81323 Pten gene dup/delet variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81324 Pmp22 gene dup/delet X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81325 Pmp22 gene full sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81326 Pmp22 gene known fam variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81327 Sept9 gen prmtr mthyltn alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81328 Slco1b1 gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81329 Smn1 gene dos/deletion alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81330 Smpd1 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81331 Snrpn/ube3a gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81332 Serpina1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81333 Tgfbi gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81334 Runx1 gene targeted seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81335 Tpmt gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81336 Smn1 gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81337 Smn1 gen nown famil seq vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81338 Mpl gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81339 Mpl gene seq alys exon 10 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81340 Trb@ gene rearrange amplify X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81341 Trb@ gene rearrange dirprobe X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81342 Trg gene rearrangement anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81343 Ppp2r2b gen detc abnor allel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81344 Tbp gene detc abnor alleles X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81345 Tert gene targeted seq alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81346 Tyms gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81347 Sf3b1 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81348 Srsf2 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81349 Cytog alys chrml abnr lw-ps X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81350 Ugt1a1 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81351 Tp53 gene full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81352 Tp53 gene trgt sequence alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81353 Tp53 gene known famil vrnt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81354 Cytog alys chrml abnor ogm X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81355 Vkorc1 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81357 U2af1 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81360 Zrsr2 gene common variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81361 Hbb gene com variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81362 Hbb gene known fam variant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81363 Hbb gene dup/del variants X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81364 Hbb full gene sequence X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81370 Hla i & ii typing lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81371 Hla i & ii type verify lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81372 Hla i typing complete lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81373 Hla i typing 1 locus lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81374 Hla i typing 1 antigen lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81375 Hla ii typing ag equiv lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81376 Hla ii typing 1 locus lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81377 Hla ii type 1 ag equiv lr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81378 Hla i & ii typing hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81379 Hla i typing complete hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81380 Hla i typing 1 locus hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81381 Hla i typing 1 allele hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81382 Hla ii typing 1 loc hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81383 Hla ii typing 1 allele hr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81400 Mopath procedure level 1 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81401 Mopath procedure level 2 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81402 Mopath procedure level 3 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81403 Mopath procedure level 4 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81404 Mopath procedure level 5 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81405 Mopath procedure level 6 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81406 Mopath procedure level 7 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81407 Mopath procedure level 8 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81408 Mopath procedure level 9 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81410 Aortic dysfunction/dilation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81411 Aortic dysfunction/dilation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81412 Ashkenazi jewish assoc dis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81413 Car ion chnnlpath inc 10 gns X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81414 Car ion chnnlpath inc 2 gns X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81415 Exome sequence analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81416 Exome sequence analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81417 Exome re-evaluation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81418 Rx metab gen seq alys pnl 6 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81419 Epilepsy gen seq alys panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81420 Fetal chrmoml aneuploidy X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81422 Fetal chrmoml microdeltj X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81425 Genome sequence analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81426 Genome sequence analysis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81427 Genome re-evaluation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81430 Hearing loss sequence analys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81431 Hearing loss dup/del analys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81432 Hrdtry brst ca-rlatd do 5+ X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81434 Hered rta do gen seq 15 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81435 Hered colon ca-rlatd do 5+ X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81437 Hered neuroend tum-rlt do 5+ X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81439 Hrdtry cardmypy gene panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81440 Mitochondrial gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81441 Ibmfs seq alys pnl 30 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81442 Noonan spectrum disorders X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81443 Genetic tstg severe inh cond X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81445 So neo gsap 5-50dna/dna&rna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81448 Hrdtry perph neurphy panel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81449 So neo gsap 5-50 rna alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81450 Hl neo gsap 5-50dna/dna&rna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81451 Hl neo gsap 5-50 rna alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81455 So/hl 51/>gsap dna/dna&rna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81456 So/hl 51/>gsap rna alys X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81457 So neo gsap dna mcrstl ins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81458 So gsap dna cpy nmbr&mcrstl X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81459 So neo gsap dna/dna&rna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81460 Whole mitochondrial genome X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81462 So gsap cll fr dna/dna&rna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81463 So gsap cl fr cpy nmbr&mcrst X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81464 So gsap cll fr mcrstl ins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81465 Whole mitochondrial genome X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81470 X-linked intellectual dblt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81471 X-linked intellectual dblt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81479 Unlisted molecular pathology X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81490 Autoimmune ra alys 12 bmrk X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81493 Cor artery disease mrna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81500 Onco (ovar) two proteins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81503 Onco (ovar) five proteins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81504 Oncology tissue of origin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81506 Endo assay seven anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81507 Fetal aneuploidy trisom risk X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81508 Ftl cgen abnor two proteins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81509 Ftl cgen abnor 3 proteins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81510 Ftl cgen abnor three anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81511 Ftl cgen abnor four anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81512 Ftl cgen abnor five anal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81513 Nfct ds bv rna vag flu alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81514 Nfct ds bv&vaginitis dna alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81515 Nfct ds bv&vaginitis dna alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81517 Liver ds alys 3 bmrk srm alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81518 Onc brst mrna 11 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81519 Oncology breast mrna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81520 Onc breast mrna 58 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81521 Onc breast mrna 70 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81522 Onc breast mrna 12 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81523 Onc brst mrna 70 cnt 31 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81524 Onc cns tum dna mthyl 10,000 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81525 Oncology colon mrna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81528 Oncology colorectal scr X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81529 Onc cutan mlnma mrna 31 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81535 Oncology gynecologic X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81536 Oncology gynecologic X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81538 Oncology lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81539 Oncology prostate prob score X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81540 Oncology tum unknown origin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81541 Onc prostate mrna 46 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81542 Onc prostate mrna 22 cnt gen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81546 Onc thyr mrna 10,196 gen alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81551 Onc prostate 3 genes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81552 Onc uveal mlnma mrna 15 gene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81554 Pulm ds ipf mrna 190 gen alg X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81558 Trnspl rej kdn mrna qpcr 139 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81560 Trnsplj pd lvr&bwl cd154+cll X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81595 Cardiology hrt trnspl mrna X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81596 Nfct ds chrnc hcv 6 assays X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 81599 Unlisted maaa X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82009 Ketone bodys qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82010 Ketone bodys quan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82016 Acylcarnitines qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82017 Acylcarnitines quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82024 Assay of acth X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82030 Assay of adp & amp X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82040 Assay of serum albumin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82042 Other source albumin quan ea X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82043 Ur albumin quantitative X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82044 Ur albumin semiquantitative X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82045 Albumin ischemia modified X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82075 Assay of breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82077 Assay spec xcp ur&breath ia X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82085 Assay of aldolase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82088 Assay of aldosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82103 Alpha-1-antitrypsin total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82104 Alpha-1-antitrypsin pheno X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82105 Alpha-fetoprotein serum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82106 Alpha-fetoprotein amniotic X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82107 Alpha-fetoprotein l3 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82108 Assay of aluminum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82120 Amines vaginal fluid qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82127 Amino acid single qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82128 Amino acids mult qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82131 Amino acids single quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82135 Assay aminolevulinic acid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82136 Amino acids quant 2-5 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82139 Amino acids quan 6 or more X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82140 Assay of ammonia X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82143 Amniotic fluid scan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82150 Assay of amylase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82157 Assay of androstenedione X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82160 Assay of androsterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82163 Assay of angiotensin ii X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82164 Angiotensin i enzyme test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82166 Assay anti-mullerian horm X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82172 Assay of apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82175 Assay of arsenic X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82180 Assay of ascorbic acid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82232 Assay of beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82233 Beta-amyloid 1-40 (abeta 40) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82234 Beta-amyloid 1-42 (abeta 42) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82239 Bile acids total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82240 Bile acids cholylglycine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82247 Bilirubin total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82248 Bilirubin direct X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82252 Fecal bilirubin test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82261 Assay of biotinidase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82270 Occult blood feces X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82271 Occult blood other sources X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82272 Occult bld feces 1-3 tests X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82274 Assay test for blood fecal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82286 Assay of bradykinin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82300 Assay of cadmium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82306 Vitamin d 25 hydroxy X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82308 Assay of calcitonin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82310 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82330 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82331 Calcium infusion test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82340 Assay of calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82355 Calculus analysis qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82360 Calculus assay quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82365 Calculus spectroscopy X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82370 X-ray assay calculus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82373 Assay c-d transfer measure X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82374 Assay blood carbon dioxide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82375 Assay carboxyhb quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82376 Assay carboxyhb qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82379 Assay of carnitine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82380 Assay of carotene X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82382 Assay urine catecholamines X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82383 Assay blood catecholamines X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82384 Assay three catecholamines X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82387 Assay of cathepsin-d X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82390 Assay of ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82415 Assay of chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82435 Assay of blood chloride X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82436 Assay of urine chloride X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82438 Assay other fluid chlorides X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82441 Test for chlorohydrocarbons X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82465 Assay bld/serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82480 Assay serum cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82482 Assay rbc cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82485 Assay chondroitin sulfate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82495 Assay of chromium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82507 Assay of citrate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82525 Assay of copper X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82528 Assay of corticosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82530 Cortisol free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82540 Assay of creatine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82542 Col chromotography qual/quan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82550 Assay of ck (cpk) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82552 Assay of cpk in blood X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82553 Creatine mb fraction X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82554 Creatine isoforms X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82565 Assay of creatinine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82570 Assay of urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82575 Creatinine clearance test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82585 Assay of cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82595 Assay of cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82600 Assay of cyanide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82607 Vitamin b-12 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82608 B-12 binding capacity X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82610 Cystatin c X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82615 Test for urine cystines X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82638 Assay of dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82642 Dihydrotestosterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82652 Vit d 1 25-dihydroxy X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82653 El-1 fecal quantitative X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82656 El-1 fecal qual/semiq X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82657 Enzyme cell activity X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82658 Enzyme cell activity ra X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82668 Assay of erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82670 Assay of total estradiol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82671 Assay of estrogens X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82672 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82677 Assay of estriol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82679 Assay of estrone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82681 Assay dir meas fr estradiol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82693 Assay of ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82696 Assay of etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82705 Fats/lipids feces qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82710 Fats/lipids feces quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82715 Assay of fecal fat X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82725 Assay of blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82726 Long chain fatty acids X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82728 Assay of ferritin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82731 Assay of fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82735 Assay of fluoride X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82746 Assay of folic acid serum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82747 Assay of folic acid rbc X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82757 Assay of semen fructose X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82759 Assay of rbc galactokinase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82760 Assay of galactose X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82775 Assay galactose transferase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82776 Galactose transferase test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82777 Galectin-3 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82784 Assay iga/igd/igg/igm each X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82785 Assay of ige X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82787 Igg 1 2 3 or 4 each X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82800 Blood ph X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82803 Blood gases any combination X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82805 Blood gases w/o2 saturation X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82810 Blood gases o2 sat only X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82820 Hemoglobin-oxygen affinity X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82930 Gastric analy w/ph ea spec X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82941 Assay of gastrin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82943 Assay of glucagon X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82945 Glucose other fluid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82946 Glucagon tolerance test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82947 Assay glucose blood quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82948 Reagent strip/blood glucose X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82951 Glucose tolerance test (gtt) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82952 Gtt-added samples X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82955 Assay of g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82960 Test for g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82962 Glucose blood test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82963 Assay of glucosidase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82965 Assay of gdh enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82977 Assay of ggt X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82978 Assay of glutathione X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82979 Assay rbc glutathione X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 82985 Assay of glycated protein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83001 Assay of gonadotropin (fsh) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83002 Assay of gonadotropin (lh) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83003 Assay growth hormone (hgh) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83006 Growth stimulation gene 2 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83009 H pylori (c-13) blood X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83010 Assay of haptoglobin quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83012 Assay of haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83013 H pylori (c-13) breath X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83014 H pylori drug admin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83015 Heavy metal qual any number X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83018 Heavy metal quan each nes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83020 Hemoglobin electrophoresis X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 8302026Hemoglobin electrophoresis A 0.36 0.16 0.16 0.01 0.53 0.536XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 83021 Hemoglobin chromotography X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83026 Hemoglobin copper sulfate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83030 Hemoglobin f fetal chemical X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83033 Hemoglobin ftl f assay qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83036 Hemoglobin glycosylated a1c X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83037 Hb glycosylated a1c home dev X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83045 Hgb methemoglobin qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83050 Hgb methemoglobin quan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83051 Hemoglobin plasma X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83060 Hgb sulfhemoglobin quan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83065 Hemoglobin thermolabile X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83068 Hemoglobin unstable screen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83069 Hemoglobin urine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83070 Assay of hemosiderin qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83080 Assay of b hexosaminidase ea X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83088 Assay of histamine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83090 Assay of homocysteine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83150 Assay of homovanillic acid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83491 Asy hydroxycorticosteroids17 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83497 Assay of 5-hiaa X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83498 Asy hydroxyprogesterone 17-d X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83500 Assay free hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83505 Assay total hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83516 Immunoassay nonantibody X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83518 Immunoassay dipstick X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83519 Ria nonantibody X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83520 Immunoassay quant nos nonab X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83521 Ig light chains free each X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83525 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83527 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83528 Assay of intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83529 Asay of interleukin-6 (il-6) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83540 Assay of iron X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83550 Iron binding test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83570 Assay of idh enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83582 Assay of ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83586 Assay 17- ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83593 Fractionation ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83605 Assay of lactic acid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83615 Lactate (ld) (ldh) enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83625 Assay of ldh enzymes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83630 Lactoferrin fecal (qual) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83631 Lactoferrin fecal (quant) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83633 Test urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83655 Assay of lead X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83661 L/s ratio fetal lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83662 Foam stability fetal lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83663 Fluoro polarize fetal lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83664 Lamellar bdy fetal lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83670 Assay of lap enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83690 Assay of lipase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83695 Assay of lipoprotein(a) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83698 Assay lipoprotein pla2 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83700 Lipopro bld electrophoretic X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83701 Lipoprotein bld hr fraction X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83704 Lipoprotein bld quan part X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83718 Assay of lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83719 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83721 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83722 Lipoprtn dir meas sd ldl chl X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83727 Assay of lrh hormone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83735 Assay of magnesium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83775 Assay malate dehydrogenase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83785 Assay of manganese X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83789 Mass spectrometry qual/quan X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83825 Assay of mercury X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83835 Assay of metanephrines X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83857 Assay of methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83861 Microfluid analy tears X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83872 Assay synovial fluid mucin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83873 Assay of csf protein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83874 Assay of myoglobin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83876 Assay myeloperoxidase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83880 Assay of natriuretic peptide X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83883 Assay nephelometry not spec X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83884 Assay neurflmnt light chain X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83885 Assay of nickel X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83915 Assay of nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83918 Organic acids total quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83919 Organic acids qual each X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83921 Organic acid single quant X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83930 Assay of blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83935 Assay of urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83937 Assay of osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83945 Assay of oxalate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83950 Oncoprotein her-2/neu X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83951 Oncoprotein dcp X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83970 Assay of parathormone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83986 Assay ph body fluid nos X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83987 Exhaled breath condensate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83992 Assay for phencyclidine I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 83993 Assay for calprotectin fecal X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84030 Assay of blood pku X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84035 Assay of phenylketones X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84060 Assay acid phosphatase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84066 Assay prostate phosphatase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84075 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84078 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84080 Assay alkaline phosphatases X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84081 Assay phosphatidylglycerol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84085 Assay of rbc pg6d enzyme X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84087 Assay phosphohexose enzymes X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84100 Assay of phosphorus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84105 Assay of urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84106 Test for porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84110 Assay of porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84112 Eval amniotic fluid protein X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84119 Test urine for porphyrins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84120 Assay of urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84126 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84132 Assay of serum potassium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84133 Assay of urine potassium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84134 Assay of prealbumin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84135 Assay of pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84138 Assay of pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84140 Assay of pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84143 Assay of 17-hydroxypregneno X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84144 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84145 Procalcitonin (pct) X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84146 Assay of prolactin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84150 Assay of prostaglandin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84152 Assay of psa complexed X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84153 Assay of psa total X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84154 Assay of psa free X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84155 Assay of protein serum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84156 Assay of protein urine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84157 Assay of protein other X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84160 Assay of protein any source X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84163 Pappa serum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84165 Protein e-phoresis serum X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84165 26Protein e-phoresis serum A 0.36 0.16 0.16 0.01 0.53 0.536XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 84166 Protein e-phoresis/urine/csf X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84166 26Protein e-phoresis/urine/csf A 0.36 0.16 0.16 0.01 0.53 0.536XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 84181 Western blot test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84181 26Western blot test A 0.36 0.16 0.16 0.01 0.53 0.536XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 84182 Protein western blot test X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84182 26Protein western blot test A 0.36 0.16 0.16 0.01 0.53 0.536XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 84202 Assay rbc protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84203 Test rbc protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84206 Assay of proinsulin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84207 Assay of vitamin b-6 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84210 Assay of pyruvate X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84220 Assay of pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84228 Assay of quinine X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84233 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84234 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84235 Assay of endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84238 Assay nonendocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84244 Assay of renin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84252 Assay of vitamin b-2 X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84255 Assay of selenium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84260 Assay of serotonin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84270 Assay of sex hormone globul X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84275 Assay of sialic acid X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84285 Assay of silica X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84295 Assay of serum sodium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84300 Assay of urine sodium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84302 Assay of sweat sodium X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84305 Assay of somatomedin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84307 Assay of somatostatin X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84315 Body fluid specific gravity X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84375 Chromatogram assay sugars X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84376 Sugars single qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 84377 Sugars multiple qual X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |