Hospital_Name,Last_updated_on,Version,Hospital_Location,Hospital_Address,License_Number	"DE,""To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"							
Bayhealth Emergency Physicians,1/1/2025,csv_wide,Bayhealth Hospital Kent Campus	Bayhealth Hospital Sussex Campus	Bayhealth Emergency Smyrna	Bayhealth Total Care	",""640 South State Street, Dover, DE 19901"	100 Wellness Way, Milford, DE 19968	401 North Carter Road, Smyrna, DE 19977	18383 Hudson Road, Milton, DE 19968	",HSPTL005,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESCRIPTION,CODE|1,CODE|1|TYPE,CODE|2,CODE|2|TYPE,MODIFIERS,SETTING,DRUG_UNIT_OF_MEASUREMENT,DRUG_TYPE_OF_MEASUREMENT,STANDARD_CHARGE|GROSS,STANDARD_CHARGE|DISCOUNTED_CASH,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|HMO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|HMO,ADDITIONAL_PAYER_NOTES|AETNA|HMO,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|OPEN_ACCESS|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|OPEN_ACCESS,ADDITIONAL_PAYER_NOTES|AETNA|OPEN_ACCESS,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|POS|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|POS,ADDITIONAL_PAYER_NOTES|AETNA|POS,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|PPO,ADDITIONAL_PAYER_NOTES|AETNA|PPO,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|ACA|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|ACA,ADDITIONAL_PAYER_NOTES|AETNA|ACA,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|TRUSTMARK|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|TRUSTMARK,ADDITIONAL_PAYER_NOTES|AETNA|TRUSTMARK,STANDARD_CHARGE|AMBETTER|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMBETTER|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMBETTER|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMBETTER|METHODOLOGY,ESTIMATED_AMOUNT|AMBETTER,ADDITIONAL_PAYER_NOTES|AMBETTER,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH_CARITAS_NEXT,ADDITIONAL_PAYER_NOTES|MERIHEALTH_CARITAS_NEXT,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|ALLEGIANCE|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|ALLEGIANCE,ADDITIONAL_PAYER_NOTES|CIGNA|ALLEGIANCE,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|OAP|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|OAP,ADDITIONAL_PAYER_NOTES|CIGNA|OAP,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|POS|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|POS,ADDITIONAL_PAYER_NOTES|CIGNA|POS,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|PPO,ADDITIONAL_PAYER_NOTES|CIGNA|PPO,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_DOLLAR,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|FIRST_HEALTH|METHODOLOGY,ESTIMATED_AMOUNT|FIRST_HEALTH,ADDITIONAL_PAYER_NOTES|FIRST_HEALTH,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|EPO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|EPO,ADDITIONAL_PAYER_NOTES|HIGHMARK|EPO,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|FEDERAL|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|FEDERAL,ADDITIONAL_PAYER_NOTES|HIGHMARK|FEDERAL,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|HMO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|HMO,ADDITIONAL_PAYER_NOTES|HIGHMARK|HMO,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|POS|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|POS,ADDITIONAL_PAYER_NOTES|HIGHMARK|POS,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|PPO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|PPO,ADDITIONAL_PAYER_NOTES|HIGHMARK|PPO,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|STATE_OF_DE_EMPLOYEES,ADDITIONAL_PAYER_NOTES|HIGHMARK|STATE_OF_DE_EMPLOYEES,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|DELAWARE_EXCHANGE,ADDITIONAL_PAYER_NOTES|HIGHMARK|DELAWARE_EXCHANGE,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|CHOICE_PLUS|METHODOLOGY,ESTIMATED_AMOUNT|UHC|CHOICE_PLUS,ADDITIONAL_PAYER_NOTES|UHC|CHOICE_PLUS,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|EPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC|EPO,ADDITIONAL_PAYER_NOTES|UHC|EPO,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|HMO|METHODOLOGY,ESTIMATED_AMOUNT|UHC|HMO,ADDITIONAL_PAYER_NOTES|UHC|HMO,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|OXFORD|METHODOLOGY,ESTIMATED_AMOUNT|UHC|OXFORD,ADDITIONAL_PAYER_NOTES|UHC|OXFORD,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_DOLLAR,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|METHODOLOGY,ESTIMATED_AMOUNT|WELSH_AND_ASSOCIATES,ADDITIONAL_PAYER_NOTES|WELSH_AND_ASSOCIATES,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA_MA|PPO,ADDITIONAL_PAYER_NOTES|AETNA_MA|PPO,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH_CARITAS_VIP_CARE,ADDITIONAL_PAYER_NOTES|AMERIHEALTH_CARITAS_VIP_CARE|PPO,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA_MA|PREFERRED|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA_MA|PREFERRED,ADDITIONAL_PAYER_NOTES|CIGNA_MA|PREFERRED,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK_MA|DISTINCT,ADDITIONAL_PAYER_NOTES|HIGHMARK_MA|DISTINCT,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK_MA|SIGNATURE,ADDITIONAL_PAYER_NOTES|HIGHMARK_MA|SIGNATURE,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HUMANA_MA|HMO|METHODOLOGY,ESTIMATED_AMOUNT|HUMANA_MA|HMO,ADDITIONAL_PAYER_NOTES|HUMANA_MA|HMO,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HUMANA_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|HUMANA_MA|PPO,ADDITIONAL_PAYER_NOTES|HUMANA_MA|PPO,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_MA|PPO,ADDITIONAL_PAYER_NOTES|UHC_MA|PPO,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_MA|DSNP|METHODOLOGY,ESTIMATED_AMOUNT|UHC_MA|DSNP,ADDITIONAL_PAYER_NOTES|UHC_MA|DSNP,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_AARP|PPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_AARP|PPO,ADDITIONAL_PAYER_NOTES|UHC_AARP|PPO,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_AARP|HMO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_AARP|HMO,ADDITIONAL_PAYER_NOTES|UHC_AARP|HMO,STANDARD_CHARGE|WELLCARE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|WELLCARE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|WELLCARE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|WELLCARE|METHODOLOGY,ESTIMATED_AMOUNT|WELLCARE,ADDITIONAL_PAYER_NOTES|WELLCARE,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH CARITAS,ADDITIONAL_PAYER_NOTES|AMERIHEALTH_CARITAS,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HEALTH_OPTIONS|METHODOLOGY,ESTIMATED_AMOUNT|HEALTH_OPTIONS,ADDITIONAL_PAYER_NOTES|HEALTH_OPTIONS,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_DOLLAR,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|METHODOLOGY,ESTIMATED_AMOUNT|DELAWARE_FIRST_HEALTH,ADDITIONAL_PAYER_NOTES|DELAWARE_FIRST_HEALTH,STANDARD_CHARGE|MIN,STANDARD_CHARGE|MAX,ADDITIONAL_GENERIC_NOTES,ADDITIONAL_PAYER_SPECIFIC_NOTES,,,,,,,,,,,,,,
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,10060,CPT,,,,OUTPATIENT,,,698.25,586.53,300.21,220,,Fee Schedule,236.71,,300.21,220,,Fee Schedule,225.44,,300.21,220,,Fee Schedule,225.44,,300.21,220,,Fee Schedule,225.44,,300.21,220,,Fee Schedule,225.44,,300.21,220,,Fee Schedule,225.44,,259.27,190,,Fee Schedule,233.91,,166.48,122,,Fee Schedule,125.69,,289.30,212,,Fee Schedule,236.01,,289.30,212,,Fee Schedule,224.77,,289.30,212,,Fee Schedule,224.77,,289.30,212,,Fee Schedule,224.77,,300.21,220,,Fee Schedule,225.44,,197.87,145,,Fee Schedule,149.43,,197.87,145,,Fee Schedule,142.31,,197.87,145,,Fee Schedule,142.31,,197.87,145,,Fee Schedule,142.31,,197.87,145,,Fee Schedule,142.31,,197.87,145,,Fee Schedule,142.31,,197.87,145,,Fee Schedule,142.31,,313.86,230,,Fee Schedule,247.88,,313.86,230,,Fee Schedule,236.08,,313.86,230,,Fee Schedule,236.08,,313.86,230,,Fee Schedule,236.08,,544.64,76,,Percent of Billed Charges,544.64,,136.46,100,,Fee Schedule,101.94,,139.19,102,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,,,136.46,100,,Fee Schedule,102.64,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,102.64,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,97.76,,136.46,100,,Fee Schedule,97.76,,134.64,110,,Fee Schedule,111.72,,128.52,105,,Fee Schedule,112.42,,159.12,130,,Fee Schedule,104.74,,128.52,544.64,,,,,,,,,,,,,,,,
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,10061,CPT,,,,OUTPATIENT,,,1287.30,1081.33,507.32,220,,Fee Schedule,436.39,,507.32,220,,Fee Schedule,415.61,,507.32,220,,Fee Schedule,415.61,,507.32,220,,Fee Schedule,415.61,,507.32,220,,Fee Schedule,415.61,,507.32,220,,Fee Schedule,415.61,,438.14,190,,Fee Schedule,431.25,,281.33,122,,Fee Schedule,231.71,,488.87,212,,Fee Schedule,435.11,,488.87,212,,Fee Schedule,414.39,,488.87,212,,Fee Schedule,414.39,,488.87,212,,Fee Schedule,414.39,,507.32,220,,Fee Schedule,415.61,,334.37,145,,Fee Schedule,275.48,,334.37,145,,Fee Schedule,262.36,,334.37,145,,Fee Schedule,262.36,,334.37,145,,Fee Schedule,262.36,,334.37,145,,Fee Schedule,262.36,,334.37,145,,Fee Schedule,262.36,,334.37,145,,Fee Schedule,262.36,,530.38,230,,Fee Schedule,456.99,,530.38,230,,Fee Schedule,435.23,,530.38,230,,Fee Schedule,435.23,,530.38,230,,Fee Schedule,435.23,,1004.09,76,,Percent of Billed Charges,1004.09,,230.60,100,,Fee Schedule,187.95,,235.21,102,,Fee Schedule,180.22,,230.60,100,,Fee Schedule,,,230.60,100,,Fee Schedule,189.23,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,189.23,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,180.22,,230.6,100,,Fee Schedule,180.22,,227.54,110,,Fee Schedule,205.97,,217.19,105,,Fee Schedule,207.26,,268.91,130,,Fee Schedule,193.10,,217.19,1004.09,,,,,,,,,,,,,,,,
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,10120,CPT,,,,OUTPATIENT,,,743.40,624.46,359.46,220,,Fee Schedule,252.01,,359.46,220,,Fee Schedule,240.01,,359.46,220,,Fee Schedule,240.01,,359.46,220,,Fee Schedule,240.01,,359.46,220,,Fee Schedule,240.01,,359.46,220,,Fee Schedule,240.01,,310.44,190,,Fee Schedule,249.04,,199.34,122,,Fee Schedule,133.81,,346.39,212,,Fee Schedule,251.27,,346.39,212,,Fee Schedule,239.30,,346.39,212,,Fee Schedule,239.30,,346.39,212,,Fee Schedule,239.30,,359.46,220,,Fee Schedule,240.01,,236.92,145,,Fee Schedule,159.09,,236.92,145,,Fee Schedule,151.51,,236.92,145,,Fee Schedule,151.51,,236.92,145,,Fee Schedule,151.51,,236.92,145,,Fee Schedule,151.51,,236.92,145,,Fee Schedule,151.51,,236.92,145,,Fee Schedule,151.51,,375.80,230,,Fee Schedule,263.91,,375.80,230,,Fee Schedule,251.34,,375.80,230,,Fee Schedule,251.34,,375.80,230,,Fee Schedule,251.34,,579.85,76,,Percent of Billed Charges,579.85,,163.39,100,,Fee Schedule,108.54,,166.66,102,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,,,163.39,100,,Fee Schedule,109.28,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,109.28,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,104.08,,163.39,100,,Fee Schedule,104.08,,161.23,110,,Fee Schedule,118.94,,153.90,105,,Fee Schedule,119.69,,190.54,130,,Fee Schedule,111.51,,153.90,579.85,,,,,,,,,,,,,,,,
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,10160,CPT,,,,OUTPATIENT,,,683.55,574.18,306.42,220,,Fee Schedule,231.72,,306.42,220,,Fee Schedule,220.69,,306.42,220,,Fee Schedule,220.69,,306.42,220,,Fee Schedule,220.69,,306.42,220,,Fee Schedule,220.69,,306.42,220,,Fee Schedule,220.69,,264.63,190,,Fee Schedule,228.99,,169.92,122,,Fee Schedule,123.04,,295.27,212,,Fee Schedule,231.04,,295.27,212,,Fee Schedule,220.04,,295.27,212,,Fee Schedule,220.04,,295.27,212,,Fee Schedule,220.04,,306.42,220,,Fee Schedule,220.69,,201.96,145,,Fee Schedule,146.28,,201.96,145,,Fee Schedule,139.31,,201.96,145,,Fee Schedule,139.31,,201.96,145,,Fee Schedule,139.31,,201.96,145,,Fee Schedule,139.31,,201.96,145,,Fee Schedule,139.31,,201.96,145,,Fee Schedule,139.31,,320.34,230,,Fee Schedule,242.66,,320.34,230,,Fee Schedule,231.11,,320.34,230,,Fee Schedule,231.11,,320.34,230,,Fee Schedule,231.11,,533.17,76,,Percent of Billed Charges,533.17,,139.28,100,,Fee Schedule,99.80,,142.07,102,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,,,139.28,100,,Fee Schedule,100.48,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,100.48,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,95.70,,139.28,100,,Fee Schedule,95.70,,137.42,110,,Fee Schedule,109.37,,131.18,105,,Fee Schedule,110.05,,162.41,130,,Fee Schedule,102.53,,131.18,533.17,,,,,,,,,,,,,,,,
PR RECONSTRUC OF NAIL BED,11760,CPT,,,,OUTPATIENT,,,815.85,685.31,435.62,220,,Fee Schedule,276.57,,435.62,220,,Fee Schedule,263.40,,435.62,220,,Fee Schedule,263.40,,435.62,220,,Fee Schedule,263.40,,435.62,220,,Fee Schedule,263.40,,435.62,220,,Fee Schedule,263.40,,376.22,190,,Fee Schedule,273.31,,241.57,122,,Fee Schedule,146.85,,419.78,212,,Fee Schedule,275.76,,419.78,212,,Fee Schedule,262.63,,419.78,212,,Fee Schedule,262.63,,419.78,212,,Fee Schedule,262.63,,435.62,220,,Fee Schedule,263.40,,287.11,145,,Fee Schedule,174.59,,287.11,145,,Fee Schedule,166.28,,287.11,145,,Fee Schedule,166.28,,287.11,145,,Fee Schedule,166.28,,287.11,145,,Fee Schedule,166.28,,287.11,145,,Fee Schedule,166.28,,287.11,145,,Fee Schedule,166.28,,455.42,230,,Fee Schedule,289.63,,455.42,230,,Fee Schedule,275.84,,455.42,230,,Fee Schedule,275.84,,455.42,230,,Fee Schedule,275.84,,636.36,76,,Percent of Billed Charges,636.36,,198.01,100,,Fee Schedule,119.11,,201.97,102,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,,,198.01,100,,Fee Schedule,119.93,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,119.93,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,114.22,,198.01,100,,Fee Schedule,114.22,,195.38,110,,Fee Schedule,130.54,,186.50,105,,Fee Schedule,131.35,,230.91,130,,Fee Schedule,122.38,,186.50,636.36,,,,,,,,,,,,,,,,
PR RESUPERF WND FACE <2.5 CM,12011,CPT,,,,OUTPATIENT,,,395.85,332.51,264.62,220,,Fee Schedule,134.19,,264.62,220,,Fee Schedule,127.80,,264.62,220,,Fee Schedule,127.80,,264.62,220,,Fee Schedule,127.80,,264.62,220,,Fee Schedule,127.80,,264.62,220,,Fee Schedule,127.80,,228.53,190,,Fee Schedule,132.61,,146.74,122,,Fee Schedule,71.25,,254.99,212,,Fee Schedule,133.80,,254.99,212,,Fee Schedule,127.43,,254.99,212,,Fee Schedule,127.43,,254.99,212,,Fee Schedule,127.43,,264.62,220,,Fee Schedule,127.80,,174.41,145,,Fee Schedule,84.71,,174.41,145,,Fee Schedule,80.68,,174.41,145,,Fee Schedule,80.68,,174.41,145,,Fee Schedule,80.68,,174.41,145,,Fee Schedule,80.68,,174.41,145,,Fee Schedule,80.68,,174.41,145,,Fee Schedule,80.68,,276.64,230,,Fee Schedule,140.53,,276.64,230,,Fee Schedule,133.84,,276.64,230,,Fee Schedule,133.84,,276.64,230,,Fee Schedule,133.84,,308.76,76,,Percent of Billed Charges,308.76,,120.28,100,,Fee Schedule,57.79,,122.69,102,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,,,120.28,100,,Fee Schedule,58.19,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,58.19,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,55.42,,120.28,100,,Fee Schedule,55.42,,118.68,110,,Fee Schedule,63.34,,113.28,105,,Fee Schedule,63.73,,140.26,130,,Fee Schedule,59.38,,113.28,308.76,,,,,,,,,,,,,,,,
PR LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM"",12032,CPT,,,,OUTPATIENT,,,1405.95,1181.00,715.97,220,,Fee Schedule,476.62,,715.97,220,,Fee Schedule,453.92,,715.97,220,,Fee Schedule,453.92,,715.97,220,,Fee Schedule,453.92,,715.97,220,,Fee Schedule,453.92,,715.97,220,,Fee Schedule,453.92,,618.34,190,,Fee Schedule,470.99,,397.04,122,,Fee Schedule,253.07,,689.93,212,,Fee Schedule,475.21,,689.93,212,,Fee Schedule,452.58,,689.93,212,,Fee Schedule,452.58,,689.93,212,,Fee Schedule,452.58,,715.97,220,,Fee Schedule,453.92,,471.89,145,,Fee Schedule,300.87,,471.89,145,,Fee Schedule,286.55,,471.89,145,,Fee Schedule,286.55,,471.89,145,,Fee Schedule,286.55,,471.89,145,,Fee Schedule,286.55,,471.89,145,,Fee Schedule,286.55,,471.89,145,,Fee Schedule,286.55,,748.51,230,,Fee Schedule,499.11,,748.51,230,,Fee Schedule,475.35,,748.51,230,,Fee Schedule,475.35,,748.51,230,,Fee Schedule,475.35,,1096.64,76,,Percent of Billed Charges,1096.64,,325.44,100,,Fee Schedule,205.27,,331.95,102,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,,,325.44,100,,Fee Schedule,206.67,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,206.67,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,196.83,,325.44,100,,Fee Schedule,196.83,,321.11,110,,Fee Schedule,224.95,,306.52,105,,Fee Schedule,226.36,,379.50,130,,Fee Schedule,210.89,,306.52,1096.64,,,,,,,,,,,,,,,,"
PR LAYR CLOS WND REST BODY <2.5 CM,12041,CPT,,,,OUTPATIENT,,,1085.70,911.99,621.04,220,,Fee Schedule,368.05,,621.04,220,,Fee Schedule,350.53,,621.04,220,,Fee Schedule,350.53,,621.04,220,,Fee Schedule,350.53,,621.04,220,,Fee Schedule,350.53,,621.04,220,,Fee Schedule,350.53,,536.35,190,,Fee Schedule,363.71,,344.39,122,,Fee Schedule,195.43,,598.45,212,,Fee Schedule,366.97,,598.45,212,,Fee Schedule,349.49,,598.45,212,,Fee Schedule,349.49,,598.45,212,,Fee Schedule,349.49,,621.04,220,,Fee Schedule,350.53,,409.32,145,,Fee Schedule,232.34,,409.32,145,,Fee Schedule,221.28,,409.32,145,,Fee Schedule,221.28,,409.32,145,,Fee Schedule,221.28,,409.32,145,,Fee Schedule,221.28,,409.32,145,,Fee Schedule,221.28,,409.32,145,,Fee Schedule,221.28,,649.27,230,,Fee Schedule,385.42,,649.27,230,,Fee Schedule,367.07,,649.27,230,,Fee Schedule,367.07,,649.27,230,,Fee Schedule,367.07,,846.85,76,,Percent of Billed Charges,846.85,,282.29,100,,Fee Schedule,158.51,,287.94,102,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,,,282.29,100,,Fee Schedule,159.60,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,159.60,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,152.00,,282.29,100,,Fee Schedule,152.00,,278.54,110,,Fee Schedule,173.71,,265.88,105,,Fee Schedule,174.80,,329.19,130,,Fee Schedule,162.86,,265.88,846.85,,,,,,,,,,,,,,,,								
PR LAYR CLOS WND REST BODY 2.6-7.5 CM,12042,CPT,,,,OUTPATIENT,,,1446.90,1215.40,731.02,220,,Fee Schedule,490.50,,731.02,220,,Fee Schedule,467.14,,731.02,220,,Fee Schedule,467.14,,731.02,220,,Fee Schedule,467.14,,731.02,220,,Fee Schedule,467.14,,731.02,220,,Fee Schedule,467.14,,631.33,190,,Fee Schedule,484.71,,405.38,122,,Fee Schedule,260.44,,704.43,212,,Fee Schedule,489.05,,704.43,212,,Fee Schedule,465.76,,704.43,212,,Fee Schedule,465.76,,704.43,212,,Fee Schedule,465.76,,731.02,220,,Fee Schedule,467.14,,481.81,145,,Fee Schedule,309.64,,481.81,145,,Fee Schedule,294.89,,481.81,145,,Fee Schedule,294.89,,481.81,145,,Fee Schedule,294.89,,481.81,145,,Fee Schedule,294.89,,481.81,145,,Fee Schedule,294.89,,481.81,145,,Fee Schedule,294.89,,764.24,230,,Fee Schedule,513.65,,764.24,230,,Fee Schedule,489.19,,764.24,230,,Fee Schedule,489.19,,764.24,230,,Fee Schedule,489.19,,1128.58,76,,Percent of Billed Charges,1128.58,,332.28,100,,Fee Schedule,211.25,,338.93,102,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,,,332.28,100,,Fee Schedule,212.69,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,212.69,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,202.57,,332.28,100,,Fee Schedule,202.57,,327.88,110,,Fee Schedule,231.50,,312.97,105,,Fee Schedule,232.95,,387.49,130,,Fee Schedule,217.04,,312.97,1128.58,,,,,,,,,,,,,,,,								
PR LAYR CLOS WND FACE,FACIAL <2.5 CM,12051,CPT,,,,OUTPATIENT,,,1239.00,1040.76,667.99,220,,Fee Schedule,420.02,,667.99,220,,Fee Schedule,400.02,,667.99,220,,Fee Schedule,400.02,,667.99,220,,Fee Schedule,400.02,,667.99,220,,Fee Schedule,400.02,,667.99,220,,Fee Schedule,400.02,,576.90,190,,Fee Schedule,415.07,,370.43,122,,Fee Schedule,223.02,,643.70,212,,Fee Schedule,418.78,,643.70,212,,Fee Schedule,398.84,,643.70,212,,Fee Schedule,398.84,,643.70,212,,Fee Schedule,398.84,,667.99,220,,Fee Schedule,400.02,,440.26,145,,Fee Schedule,265.15,,440.26,145,,Fee Schedule,252.52,,440.26,145,,Fee Schedule,252.52,,440.26,145,,Fee Schedule,252.52,,440.26,145,,Fee Schedule,252.52,,440.26,145,,Fee Schedule,252.52,,440.26,145,,Fee Schedule,252.52,,698.35,230,,Fee Schedule,439.85,,698.35,230,,Fee Schedule,418.90,,698.35,230,,Fee Schedule,418.90,,698.35,230,,Fee Schedule,418.90,,966.42,76,,Percent of Billed Charges,966.42,,303.63,100,,Fee Schedule,180.89,,309.70,102,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,,,303.63,100,,Fee Schedule,182.13,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,182.13,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,173.46,,303.63,100,,Fee Schedule,173.46,,299.61,110,,Fee Schedule,198.24,,285.99,105,,Fee Schedule,199.48,,354.08,130,,Fee Schedule,185.85,,285.99,966.42,,,,,,,,,,,,,,,,								
PR INJECT TRIGGER POINTS, > 3,20553,CPT,,,,OUTPATIENT,,,309.75,260.19,142.80,220,,Fee Schedule,105.01,,142.80,220,,Fee Schedule,100.01,,142.80,220,,Fee Schedule,100.01,,142.80,220,,Fee Schedule,100.01,,142.80,220,,Fee Schedule,100.01,,142.80,220,,Fee Schedule,100.01,,123.33,190,,Fee Schedule,103.77,,79.19,122,,Fee Schedule,55.76,,137.61,212,,Fee Schedule,104.70,,137.61,212,,Fee Schedule,99.71,,137.61,212,,Fee Schedule,99.71,,137.61,212,,Fee Schedule,99.71,,142.80,220,,Fee Schedule,100.01,,94.12,145,,Fee Schedule,66.29,,94.12,145,,Fee Schedule,63.13,,94.12,145,,Fee Schedule,63.13,,94.12,145,,Fee Schedule,63.13,,94.12,145,,Fee Schedule,63.13,,94.12,145,,Fee Schedule,63.13,,94.12,145,,Fee Schedule,63.13,,149.29,230,,Fee Schedule,109.96,,149.29,230,,Fee Schedule,104.73,,149.29,230,,Fee Schedule,104.73,,149.29,230,,Fee Schedule,104.73,,241.61,76,,Percent of Billed Charges,241.61,,64.91,100,,Fee Schedule,45.22,,66.21,102,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,,,64.91,100,,Fee Schedule,45.53,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,45.53,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,43.37,,64.91,100,,Fee Schedule,43.37,,64.04,110,,Fee Schedule,49.56,,61.13,105,,Fee Schedule,49.87,,75.69,130,,Fee Schedule,46.46,,61.13,241.61,,,,,,,,,,,,,,,,								
PR ARTHROCENTESIS ASPIR&/INJ I,20605,CPT,,,,OUTPATIENT,,,269.85,226.67,130.20,220,,Fee Schedule,91.48,,130.20,220,,Fee Schedule,87.12,,130.20,220,,Fee Schedule,87.12,,130.20,220,,Fee Schedule,87.12,,130.20,220,,Fee Schedule,87.12,,130.20,220,,Fee Schedule,87.12,,112.44,190,,Fee Schedule,90.40,,72.20,122,,Fee Schedule,48.57,,125.46,212,,Fee Schedule,91.21,,125.46,212,,Fee Schedule,86.87,,125.46,212,,Fee Schedule,86.87,,125.46,212,,Fee Schedule,86.87,,130.20,220,,Fee Schedule,87.12,,85.81,145,,Fee Schedule,57.75,,85.81,145,,Fee Schedule,55.00,,85.81,145,,Fee Schedule,55.00,,85.81,145,,Fee Schedule,55.00,,85.81,145,,Fee Schedule,55.00,,85.81,145,,Fee Schedule,55.00,,85.81,145,,Fee Schedule,55.00,,136.11,230,,Fee Schedule,95.80,,136.11,230,,Fee Schedule,91.24,,136.11,230,,Fee Schedule,91.24,,136.11,230,,Fee Schedule,91.24,,210.48,76,,Percent of Billed Charges,210.48,,59.18,100,,Fee Schedule,39.40,,60.36,102,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,,,59.18,100,,Fee Schedule,39.67,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,39.67,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,37.78,,59.18,100,,Fee Schedule,37.78,,58.40,110,,Fee Schedule,43.18,,55.74,105,,Fee Schedule,43.45,,69.02,130,,Fee Schedule,40.48,,55.74,210.48,,,,,,,,,,,,,,,,								
PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,20610,CPT,,,,OUTPATIENT,,,333.90,280.48,153.63,220,,Fee Schedule,113.19,,153.63,220,,Fee Schedule,107.80,,153.63,220,,Fee Schedule,107.80,,153.63,220,,Fee Schedule,107.80,,153.63,220,,Fee Schedule,107.80,,153.63,220,,Fee Schedule,107.80,,132.68,190,,Fee Schedule,111.86,,85.19,122,,Fee Schedule,60.10,,148.04,212,,Fee Schedule,112.86,,148.04,212,,Fee Schedule,107.48,,148.04,212,,Fee Schedule,107.48,,148.04,212,,Fee Schedule,107.48,,153.63,220,,Fee Schedule,107.80,,101.25,145,,Fee Schedule,71.45,,101.25,145,,Fee Schedule,68.05,,101.25,145,,Fee Schedule,68.05,,101.25,145,,Fee Schedule,68.05,,101.25,145,,Fee Schedule,68.05,,101.25,145,,Fee Schedule,68.05,,101.25,145,,Fee Schedule,68.05,,160.61,230,,Fee Schedule,118.53,,160.61,230,,Fee Schedule,112.89,,160.61,230,,Fee Schedule,112.89,,160.61,230,,Fee Schedule,112.89,,260.44,76,,Percent of Billed Charges,260.44,,69.83,100,,Fee Schedule,48.75,,71.23,102,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,,,69.83,100,,Fee Schedule,49.08,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,49.08,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,46.75,,69.83,100,,Fee Schedule,46.75,,68.90,110,,Fee Schedule,53.42,,65.77,105,,Fee Schedule,53.76,,81.43,130,,Fee Schedule,50.09,,65.77,260.44,,,,,,,,,,,,,,,,								
PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,20611,CPT,,,,OUTPATIENT,,,388.50,326.34,234.39,220,,Fee Schedule,131.70,,234.39,220,,Fee Schedule,125.43,,234.39,220,,Fee Schedule,125.43,,234.39,220,,Fee Schedule,125.43,,234.39,220,,Fee Schedule,125.43,,234.39,220,,Fee Schedule,125.43,,202.43,190,,Fee Schedule,130.15,,129.98,122,,Fee Schedule,69.93,,225.86,212,,Fee Schedule,131.31,,225.86,212,,Fee Schedule,125.06,,225.86,212,,Fee Schedule,125.06,,225.86,212,,Fee Schedule,125.06,,234.39,220,,Fee Schedule,125.43,,154.48,145,,Fee Schedule,83.14,,154.48,145,,Fee Schedule,79.18,,154.48,145,,Fee Schedule,79.18,,154.48,145,,Fee Schedule,79.18,,154.48,145,,Fee Schedule,79.18,,154.48,145,,Fee Schedule,79.18,,154.48,145,,Fee Schedule,79.18,,245.04,230,,Fee Schedule,137.92,,245.04,230,,Fee Schedule,131.35,,245.04,230,,Fee Schedule,131.35,,245.04,230,,Fee Schedule,131.35,,303.03,76,,Percent of Billed Charges,303.03,,106.54,100,,Fee Schedule,56.72,,108.67,102,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,,,106.54,100,,Fee Schedule,57.11,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,57.11,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,54.39,,106.54,100,,Fee Schedule,54.39,,105.13,110,,Fee Schedule,62.16,,100.35,105,,Fee Schedule,62.55,,124.24,130,,Fee Schedule,58.28,,100.35,303.03,,,,,,,,,,,,,,,,								
PR APPLY LONG ARM SPLINT,29105,CPT,,,,OUTPATIENT,,,426.30,358.09,198.81,220,,Fee Schedule,144.52,,198.81,220,,Fee Schedule,137.63,,198.81,220,,Fee Schedule,137.63,,198.81,220,,Fee Schedule,137.63,,198.81,220,,Fee Schedule,137.63,,198.81,220,,Fee Schedule,137.63,,171.70,190,,Fee Schedule,142.81,,110.25,122,,Fee Schedule,76.73,,191.58,212,,Fee Schedule,144.09,,191.58,212,,Fee Schedule,137.23,,191.58,212,,Fee Schedule,137.23,,191.58,212,,Fee Schedule,137.23,,198.81,220,,Fee Schedule,137.63,,131.04,145,,Fee Schedule,91.23,,131.04,145,,Fee Schedule,86.88,,131.04,145,,Fee Schedule,86.88,,131.04,145,,Fee Schedule,86.88,,131.04,145,,Fee Schedule,86.88,,131.04,145,,Fee Schedule,86.88,,131.04,145,,Fee Schedule,86.88,,207.85,230,,Fee Schedule,151.34,,207.85,230,,Fee Schedule,144.13,,207.85,230,,Fee Schedule,144.13,,207.85,230,,Fee Schedule,144.13,,332.51,76,,Percent of Billed Charges,332.51,,90.37,100,,Fee Schedule,62.24,,92.18,102,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,,,90.37,100,,Fee Schedule,62.67,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,62.67,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,59.68,,90.37,100,,Fee Schedule,59.68,,89.18,110,,Fee Schedule,68.21,,85.12,105,,Fee Schedule,68.63,,105.39,130,,Fee Schedule,63.95,,85.12,332.51,,,,,,,,,,,,,,,,								
PR APPLY FOREARM SPLINT,STATIC,29125,CPT,,,,OUTPATIENT,,,285.60,239.90,160.40,220,,Fee Schedule,96.82,,160.40,220,,Fee Schedule,92.21,,160.40,220,,Fee Schedule,92.21,,160.40,220,,Fee Schedule,92.21,,160.40,220,,Fee Schedule,92.21,,160.40,220,,Fee Schedule,92.21,,138.53,190,,Fee Schedule,95.68,,88.95,122,,Fee Schedule,51.41,,154.57,212,,Fee Schedule,96.53,,154.57,212,,Fee Schedule,91.94,,154.57,212,,Fee Schedule,91.94,,154.57,212,,Fee Schedule,91.94,,160.40,220,,Fee Schedule,92.21,,105.72,145,,Fee Schedule,61.12,,105.72,145,,Fee Schedule,58.21,,105.72,145,,Fee Schedule,58.21,,105.72,145,,Fee Schedule,58.21,,105.72,145,,Fee Schedule,58.21,,105.72,145,,Fee Schedule,58.21,,105.72,145,,Fee Schedule,58.21,,167.69,230,,Fee Schedule,101.39,,167.69,230,,Fee Schedule,96.56,,167.69,230,,Fee Schedule,96.56,,167.69,230,,Fee Schedule,96.56,,222.77,76,,Percent of Billed Charges,222.77,,72.91,100,,Fee Schedule,41.70,,74.37,102,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,,,72.91,100,,Fee Schedule,41.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,41.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,39.98,,72.91,100,,Fee Schedule,39.98,,71.95,110,,Fee Schedule,45.70,,68.68,105,,Fee Schedule,45.98,,85.03,130,,Fee Schedule,42.84,,68.68,222.77,,,,,,,,,,,,,,,,								
PR CTRL NOSEBLEED,ANTER,SIMPLE,30901,CPT,,,,OUTPATIENT,,,406.35,341.33,367.75,220,,Fee Schedule,137.75,,367.75,220,,Fee Schedule,131.19,,367.75,220,,Fee Schedule,131.19,,367.75,220,,Fee Schedule,131.19,,367.75,220,,Fee Schedule,131.19,,367.75,220,,Fee Schedule,131.19,,317.60,190,,Fee Schedule,136.13,,203.94,122,,Fee Schedule,73.14,,354.38,212,,Fee Schedule,137.35,,354.38,212,,Fee Schedule,130.81,,354.38,212,,Fee Schedule,130.81,,354.38,212,,Fee Schedule,130.81,,367.75,220,,Fee Schedule,131.19,,242.38,145,,Fee Schedule,86.96,,242.38,145,,Fee Schedule,82.82,,242.38,145,,Fee Schedule,82.82,,242.38,145,,Fee Schedule,82.82,,242.38,145,,Fee Schedule,82.82,,242.38,145,,Fee Schedule,82.82,,242.38,145,,Fee Schedule,82.82,,384.47,230,,Fee Schedule,144.25,,384.47,230,,Fee Schedule,137.39,,384.47,230,,Fee Schedule,137.39,,384.47,230,,Fee Schedule,137.39,,316.95,76,,Percent of Billed Charges,316.95,,167.16,100,,Fee Schedule,59.33,,170.50,102,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,,,167.16,100,,Fee Schedule,59.73,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,59.73,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,56.89,,167.16,100,,Fee Schedule,56.89,,164.95,110,,Fee Schedule,65.02,,157.45,105,,Fee Schedule,65.42,,194.94,130,,Fee Schedule,60.95,,157.45,384.47,,,,,,,,,,,,,,,,								
PR CTRL NOSEBLEED,ANTER,COMPLEX,30903,CPT,,,,OUTPATIENT,,,563.85,473.63,572.66,220,,Fee Schedule,191.15,,572.66,220,,Fee Schedule,182.04,,572.66,220,,Fee Schedule,182.04,,572.66,220,,Fee Schedule,182.04,,572.66,220,,Fee Schedule,182.04,,572.66,220,,Fee Schedule,182.04,,494.57,190,,Fee Schedule,188.89,,317.57,122,,Fee Schedule,101.49,,551.84,212,,Fee Schedule,190.58,,551.84,212,,Fee Schedule,181.51,,551.84,212,,Fee Schedule,181.51,,551.84,212,,Fee Schedule,181.51,,572.66,220,,Fee Schedule,182.04,,377.44,145,,Fee Schedule,120.66,,377.44,145,,Fee Schedule,114.92,,377.44,145,,Fee Schedule,114.92,,377.44,145,,Fee Schedule,114.92,,377.44,145,,Fee Schedule,114.92,,377.44,145,,Fee Schedule,114.92,,377.44,145,,Fee Schedule,114.92,,598.69,230,,Fee Schedule,200.17,,598.69,230,,Fee Schedule,190.64,,598.69,230,,Fee Schedule,190.64,,598.69,230,,Fee Schedule,190.64,,439.80,76,,Percent of Billed Charges,439.80,,260.30,100,,Fee Schedule,82.32,,265.51,102,,Fee Schedule,78.94,,260.30,100,,Fee Schedule,,,260.30,100,,Fee Schedule,82.89,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,82.89,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,78.94,,260.3,100,,Fee Schedule,78.94,,256.84,110,,Fee Schedule,90.22,,245.16,105,,Fee Schedule,90.78,,303.54,130,,Fee Schedule,84.58,,245.16,598.69,,,,,,,,,,,,,,,,								
PR INSERT EMERGENCY ENDOTRACH AIRWAY,31500,CPT,,,,OUTPATIENT,,,1016.40,853.78,328.11,220,,Fee Schedule,344.56,,328.11,220,,Fee Schedule,328.15,,328.11,220,,Fee Schedule,328.15,,328.11,220,,Fee Schedule,328.15,,328.11,220,,Fee Schedule,328.15,,328.11,220,,Fee Schedule,328.15,,283.37,190,,Fee Schedule,340.49,,181.95,122,,Fee Schedule,182.95,,316.18,212,,Fee Schedule,343.54,,316.18,212,,Fee Schedule,327.18,,316.18,212,,Fee Schedule,327.18,,316.18,212,,Fee Schedule,327.18,,328.11,220,,Fee Schedule,328.15,,216.25,145,,Fee Schedule,217.51,,216.25,145,,Fee Schedule,207.15,,216.25,145,,Fee Schedule,207.15,,216.25,145,,Fee Schedule,207.15,,216.25,145,,Fee Schedule,207.15,,216.25,145,,Fee Schedule,207.15,,216.25,145,,Fee Schedule,207.15,,343.02,230,,Fee Schedule,360.82,,343.02,230,,Fee Schedule,343.64,,343.02,230,,Fee Schedule,343.64,,343.02,230,,Fee Schedule,343.64,,792.79,76,,Percent of Billed Charges,792.79,,149.14,100,,Fee Schedule,148.39,,152.12,102,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,,,149.14,100,,Fee Schedule,149.41,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,149.41,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,142.30,,149.14,100,,Fee Schedule,142.30,,147.17,110,,Fee Schedule,162.62,,140.48,105,,Fee Schedule,163.64,,173.93,130,,Fee Schedule,152.46,,140.48,792.79,,,,,,,,,,,,,,,,								
PR TUBE THORACOSTOMY INCLUDES WATER SEAL,32551,CPT,,,,OUTPATIENT,,,1140.30,957.85,360.62,220,,Fee Schedule,386.56,,360.62,220,,Fee Schedule,368.15,,360.62,220,,Fee Schedule,368.15,,360.62,220,,Fee Schedule,368.15,,360.62,220,,Fee Schedule,368.15,,360.62,220,,Fee Schedule,368.15,,311.45,190,,Fee Schedule,382.00,,199.98,122,,Fee Schedule,205.25,,347.51,212,,Fee Schedule,385.42,,347.51,212,,Fee Schedule,367.07,,347.51,212,,Fee Schedule,367.07,,347.51,212,,Fee Schedule,367.07,,360.62,220,,Fee Schedule,368.15,,237.68,145,,Fee Schedule,244.02,,237.68,145,,Fee Schedule,232.40,,237.68,145,,Fee Schedule,232.40,,237.68,145,,Fee Schedule,232.40,,237.68,145,,Fee Schedule,232.40,,237.68,145,,Fee Schedule,232.40,,237.68,145,,Fee Schedule,232.40,,377.02,230,,Fee Schedule,404.81,,377.02,230,,Fee Schedule,385.53,,377.02,230,,Fee Schedule,385.53,,377.02,230,,Fee Schedule,385.53,,889.43,76,,Percent of Billed Charges,889.43,,163.92,100,,Fee Schedule,166.48,,167.20,102,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,,,163.92,100,,Fee Schedule,167.62,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,167.62,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,159.64,,163.92,100,,Fee Schedule,159.64,,161.74,110,,Fee Schedule,182.45,,154.39,105,,Fee Schedule,183.59,,191.15,130,,Fee Schedule,171.05,,154.39,889.43,,,,,,,,,,,,,,,,								
PR INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,33210,CPT,,,,OUTPATIENT,,,1204.35,1011.65,370.44,220,,Fee Schedule,408.27,,370.44,220,,Fee Schedule,388.83,,370.44,220,,Fee Schedule,388.83,,370.44,220,,Fee Schedule,388.83,,370.44,220,,Fee Schedule,388.83,,370.44,220,,Fee Schedule,388.83,,319.92,190,,Fee Schedule,403.46,,205.42,122,,Fee Schedule,216.78,,356.97,212,,Fee Schedule,407.07,,356.97,212,,Fee Schedule,387.69,,356.97,212,,Fee Schedule,387.69,,356.97,212,,Fee Schedule,387.69,,370.44,220,,Fee Schedule,388.83,,244.15,145,,Fee Schedule,257.73,,244.15,145,,Fee Schedule,245.46,,244.15,145,,Fee Schedule,245.46,,244.15,145,,Fee Schedule,245.46,,244.15,145,,Fee Schedule,245.46,,244.15,145,,Fee Schedule,245.46,,244.15,145,,Fee Schedule,245.46,,387.27,230,,Fee Schedule,427.54,,387.27,230,,Fee Schedule,407.19,,387.27,230,,Fee Schedule,407.19,,387.27,230,,Fee Schedule,407.19,,939.39,76,,Percent of Billed Charges,939.39,,168.38,100,,Fee Schedule,175.84,,171.75,102,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,,,168.38,100,,Fee Schedule,177.04,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,177.04,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,168.61,,168.38,100,,Fee Schedule,168.61,,166.16,110,,Fee Schedule,192.70,,158.60,105,,Fee Schedule,193.90,,196.37,130,,Fee Schedule,180.65,,158.60,939.39,,,,,,,,,,,,,,,,								
PR INSERT NON-TUNNEL CV CATH,36556,CPT,,,,OUTPATIENT,,,705.60,592.70,497.29,220,,Fee Schedule,239.20,,497.29,220,,Fee Schedule,227.81,,497.29,220,,Fee Schedule,227.81,,497.29,220,,Fee Schedule,227.81,,497.29,220,,Fee Schedule,227.81,,497.29,220,,Fee Schedule,227.81,,429.48,190,,Fee Schedule,236.38,,275.77,122,,Fee Schedule,127.01,,479.20,212,,Fee Schedule,238.49,,479.20,212,,Fee Schedule,227.14,,479.20,212,,Fee Schedule,227.14,,479.20,212,,Fee Schedule,227.14,,497.29,220,,Fee Schedule,227.81,,327.76,145,,Fee Schedule,151.00,,327.76,145,,Fee Schedule,143.81,,327.76,145,,Fee Schedule,143.81,,327.76,145,,Fee Schedule,143.81,,327.76,145,,Fee Schedule,143.81,,327.76,145,,Fee Schedule,143.81,,327.76,145,,Fee Schedule,143.81,,519.89,230,,Fee Schedule,250.49,,519.89,230,,Fee Schedule,238.56,,519.89,230,,Fee Schedule,238.56,,519.89,230,,Fee Schedule,238.56,,550.37,76,,Percent of Billed Charges,550.37,,226.04,100,,Fee Schedule,103.02,,230.56,102,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,,,226.04,100,,Fee Schedule,103.72,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,103.72,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,98.78,,226.04,100,,Fee Schedule,98.78,,223.05,110,,Fee Schedule,112.90,,212.91,105,,Fee Schedule,113.60,,263.60,130,,Fee Schedule,105.84,,212.91,550.37,,,,,,,,,,,,,,,,								
PR INSERT CATH,ART,PERCUT,SHORTTERM,36620,CPT,,,,OUTPATIENT,,,317.10,266.36,102.54,220,,Fee Schedule,107.50,,102.54,220,,Fee Schedule,102.38,,102.54,220,,Fee Schedule,102.38,,102.54,220,,Fee Schedule,102.38,,102.54,220,,Fee Schedule,102.38,,102.54,220,,Fee Schedule,102.38,,88.56,190,,Fee Schedule,106.23,,56.86,122,,Fee Schedule,57.08,,98.81,212,,Fee Schedule,107.18,,98.81,212,,Fee Schedule,102.08,,98.81,212,,Fee Schedule,102.08,,98.81,212,,Fee Schedule,102.08,,102.54,220,,Fee Schedule,102.38,,67.58,145,,Fee Schedule,67.86,,67.58,145,,Fee Schedule,64.63,,67.58,145,,Fee Schedule,64.63,,67.58,145,,Fee Schedule,64.63,,67.58,145,,Fee Schedule,64.63,,67.58,145,,Fee Schedule,64.63,,67.58,145,,Fee Schedule,64.63,,107.20,230,,Fee Schedule,112.57,,107.20,230,,Fee Schedule,107.21,,107.20,230,,Fee Schedule,107.21,,107.20,230,,Fee Schedule,107.21,,247.34,76,,Percent of Billed Charges,247.34,,46.61,100,,Fee Schedule,46.30,,47.54,102,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,,,46.61,100,,Fee Schedule,46.61,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,46.61,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,44.39,,46.61,100,,Fee Schedule,44.39,,45.99,110,,Fee Schedule,50.74,,43.90,105,,Fee Schedule,51.05,,54.35,130,,Fee Schedule,47.57,,43.90,247.34,,,,,,,,,,,,,,,,								
PR INC/DRAIN PERITONSIL ABSCESS,42700,CPT,,,,OUTPATIENT,,,972.30,816.73,455.75,220,,Fee Schedule,329.61,,455.75,220,,Fee Schedule,313.91,,455.75,220,,Fee Schedule,313.91,,455.75,220,,Fee Schedule,313.91,,455.75,220,,Fee Schedule,313.91,,455.75,220,,Fee Schedule,313.91,,393.60,190,,Fee Schedule,325.72,,252.74,122,,Fee Schedule,175.01,,439.18,212,,Fee Schedule,328.64,,439.18,212,,Fee Schedule,312.99,,439.18,212,,Fee Schedule,312.99,,439.18,212,,Fee Schedule,312.99,,455.75,220,,Fee Schedule,313.91,,300.38,145,,Fee Schedule,208.07,,300.38,145,,Fee Schedule,198.16,,300.38,145,,Fee Schedule,198.16,,300.38,145,,Fee Schedule,198.16,,300.38,145,,Fee Schedule,198.16,,300.38,145,,Fee Schedule,198.16,,300.38,145,,Fee Schedule,198.16,,476.47,230,,Fee Schedule,345.17,,476.47,230,,Fee Schedule,328.73,,476.47,230,,Fee Schedule,328.73,,476.47,230,,Fee Schedule,328.73,,758.39,76,,Percent of Billed Charges,758.39,,207.16,100,,Fee Schedule,141.96,,211.30,102,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,,,207.16,100,,Fee Schedule,142.93,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,142.93,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,136.12,,207.16,100,,Fee Schedule,136.12,,204.41,110,,Fee Schedule,155.57,,195.12,105,,Fee Schedule,156.54,,241.58,130,,Fee Schedule,145.85,,195.12,758.39,,,,,,,,,,,,,,,,								
PR PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,43762,CPT,,,,OUTPATIENT,,,274.05,230.20,528.29,220,,Fee Schedule,92.90,,528.29,220,,Fee Schedule,88.48,,528.29,220,,Fee Schedule,88.48,,528.29,220,,Fee Schedule,88.48,,528.29,220,,Fee Schedule,88.48,,528.29,220,,Fee Schedule,88.48,,456.25,190,,Fee Schedule,91.81,,292.96,122,,Fee Schedule,49.33,,509.08,212,,Fee Schedule,92.63,,509.08,212,,Fee Schedule,88.22,,509.08,212,,Fee Schedule,88.22,,509.08,212,,Fee Schedule,88.22,,528.29,220,,Fee Schedule,88.48,,348.19,145,,Fee Schedule,58.65,,348.19,145,,Fee Schedule,55.85,,348.19,145,,Fee Schedule,55.85,,348.19,145,,Fee Schedule,55.85,,348.19,145,,Fee Schedule,55.85,,348.19,145,,Fee Schedule,55.85,,348.19,145,,Fee Schedule,55.85,,552.30,230,,Fee Schedule,97.29,,552.30,230,,Fee Schedule,92.66,,552.30,230,,Fee Schedule,92.66,,552.30,230,,Fee Schedule,92.66,,213.76,76,,Percent of Billed Charges,213.76,,240.13,100,,Fee Schedule,40.01,,244.93,102,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,,,240.13,100,,Fee Schedule,40.29,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,40.29,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,38.37,,240.13,100,,Fee Schedule,38.37,,236.94,110,,Fee Schedule,43.85,,226.17,105,,Fee Schedule,44.12,,280.02,130,,Fee Schedule,41.11,,213.76,552.30,,,,,,,,,,,,,,,,								
PR CHANGE OF BLADDER TUBE,SIMPLE,51705,CPT,,,,OUTPATIENT,,,378.00,317.52,229.57,220,,Fee Schedule,128.14,,229.57,220,,Fee Schedule,122.04,,229.57,220,,Fee Schedule,122.04,,229.57,220,,Fee Schedule,122.04,,229.57,220,,Fee Schedule,122.04,,229.57,220,,Fee Schedule,122.04,,198.27,190,,Fee Schedule,126.63,,127.31,122,,Fee Schedule,68.04,,221.22,212,,Fee Schedule,127.76,,221.22,212,,Fee Schedule,121.68,,221.22,212,,Fee Schedule,121.68,,221.22,212,,Fee Schedule,121.68,,229.57,220,,Fee Schedule,122.04,,151.31,145,,Fee Schedule,80.89,,151.31,145,,Fee Schedule,77.04,,151.31,145,,Fee Schedule,77.04,,151.31,145,,Fee Schedule,77.04,,151.31,145,,Fee Schedule,77.04,,151.31,145,,Fee Schedule,77.04,,151.31,145,,Fee Schedule,77.04,,240.01,230,,Fee Schedule,134.19,,240.01,230,,Fee Schedule,127.80,,240.01,230,,Fee Schedule,127.80,,240.01,230,,Fee Schedule,127.80,,294.84,76,,Percent of Billed Charges,294.84,,104.35,100,,Fee Schedule,55.19,,106.44,102,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,,,104.35,100,,Fee Schedule,55.57,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,55.57,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,52.92,,104.35,100,,Fee Schedule,52.92,,102.97,110,,Fee Schedule,60.48,,98.29,105,,Fee Schedule,60.86,,121.69,130,,Fee Schedule,56.70,,98.29,294.84,,,,,,,,,,,,,,,,								
PR I&D BARTHOLIN GLAND ABSCESS,56420,CPT,,,,OUTPATIENT,,,645.75,542.43,440.66,220,,Fee Schedule,218.91,,440.66,220,,Fee Schedule,208.49,,440.66,220,,Fee Schedule,208.49,,440.66,220,,Fee Schedule,208.49,,440.66,220,,Fee Schedule,208.49,,440.66,220,,Fee Schedule,208.49,,380.57,190,,Fee Schedule,216.33,,244.37,122,,Fee Schedule,116.24,,424.64,212,,Fee Schedule,218.26,,424.64,212,,Fee Schedule,207.87,,424.64,212,,Fee Schedule,207.87,,424.64,212,,Fee Schedule,207.87,,440.66,220,,Fee Schedule,208.49,,290.44,145,,Fee Schedule,138.19,,290.44,145,,Fee Schedule,131.61,,290.44,145,,Fee Schedule,131.61,,290.44,145,,Fee Schedule,131.61,,290.44,145,,Fee Schedule,131.61,,290.44,145,,Fee Schedule,131.61,,290.44,145,,Fee Schedule,131.61,,460.69,230,,Fee Schedule,229.24,,460.69,230,,Fee Schedule,218.33,,460.69,230,,Fee Schedule,218.33,,460.69,230,,Fee Schedule,218.33,,503.69,76,,Percent of Billed Charges,503.69,,200.30,100,,Fee Schedule,94.28,,204.31,102,,Fee Schedule,90.41,,200.30,100,,Fee Schedule,,,200.30,100,,Fee Schedule,94.93,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,94.93,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,90.41,,200.3,100,,Fee Schedule,90.41,,197.64,110,,Fee Schedule,103.32,,188.65,105,,Fee Schedule,103.97,,233.57,130,,Fee Schedule,96.86,,188.65,503.69,,,,,,,,,,,,,,,,								
PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE,62270,CPT,,,,OUTPATIENT,,,563.85,473.63,343.46,220,,Fee Schedule,191.15,,343.46,220,,Fee Schedule,182.04,,343.46,220,,Fee Schedule,182.04,,343.46,220,,Fee Schedule,182.04,,343.46,220,,Fee Schedule,182.04,,343.46,220,,Fee Schedule,182.04,,296.63,190,,Fee Schedule,188.89,,190.47,122,,Fee Schedule,101.49,,330.97,212,,Fee Schedule,190.58,,330.97,212,,Fee Schedule,181.51,,330.97,212,,Fee Schedule,181.51,,330.97,212,,Fee Schedule,181.51,,343.46,220,,Fee Schedule,182.04,,226.37,145,,Fee Schedule,120.66,,226.37,145,,Fee Schedule,114.92,,226.37,145,,Fee Schedule,114.92,,226.37,145,,Fee Schedule,114.92,,226.37,145,,Fee Schedule,114.92,,226.37,145,,Fee Schedule,114.92,,226.37,145,,Fee Schedule,114.92,,359.08,230,,Fee Schedule,200.17,,359.08,230,,Fee Schedule,190.64,,359.08,230,,Fee Schedule,190.64,,359.08,230,,Fee Schedule,190.64,,439.80,76,,Percent of Billed Charges,439.80,,156.12,100,,Fee Schedule,82.32,,159.24,102,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,,,156.12,100,,Fee Schedule,82.89,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,82.89,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,78.94,,156.12,100,,Fee Schedule,78.94,,154.04,110,,Fee Schedule,90.22,,147.04,105,,Fee Schedule,90.78,,182.05,130,,Fee Schedule,84.58,,147.04,439.80,,,,,,,,,,,,,,,,								
PR REMV EXT CANAL FOREIGN BODY,69200,CPT,,,,OUTPATIENT,,,338.10,284.00,189.60,220,,Fee Schedule,114.62,,189.60,220,,Fee Schedule,109.16,,189.60,220,,Fee Schedule,109.16,,189.60,220,,Fee Schedule,109.16,,189.60,220,,Fee Schedule,109.16,,189.60,220,,Fee Schedule,109.16,,163.74,190,,Fee Schedule,113.26,,105.14,122,,Fee Schedule,60.86,,182.70,212,,Fee Schedule,114.28,,182.70,212,,Fee Schedule,108.84,,182.70,212,,Fee Schedule,108.84,,182.70,212,,Fee Schedule,108.84,,189.60,220,,Fee Schedule,109.16,,124.96,145,,Fee Schedule,72.35,,124.96,145,,Fee Schedule,68.91,,124.96,145,,Fee Schedule,68.91,,124.96,145,,Fee Schedule,68.91,,124.96,145,,Fee Schedule,68.91,,124.96,145,,Fee Schedule,68.91,,124.96,145,,Fee Schedule,68.91,,198.21,230,,Fee Schedule,120.03,,198.21,230,,Fee Schedule,114.31,,198.21,230,,Fee Schedule,114.31,,198.21,230,,Fee Schedule,114.31,,263.72,76,,Percent of Billed Charges,263.72,,86.18,100,,Fee Schedule,49.36,,87.90,102,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,,,86.18,100,,Fee Schedule,49.70,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,49.70,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,47.33,,86.18,100,,Fee Schedule,47.33,,85.03,110,,Fee Schedule,54.10,,81.17,105,,Fee Schedule,54.43,,100.49,130,,Fee Schedule,50.72,,81.17,263.72,,,,,,,,,,,,,,,,								
PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,69209,CPT,,,,OUTPATIENT,,,100.80,84.67,37.44,220,,Fee Schedule,34.17,,37.44,220,,Fee Schedule,32.54,,37.44,220,,Fee Schedule,32.54,,37.44,220,,Fee Schedule,32.54,,37.44,220,,Fee Schedule,32.54,,37.44,220,,Fee Schedule,32.54,,32.34,190,,Fee Schedule,33.77,,20.76,122,,Fee Schedule,18.14,,36.08,212,,Fee Schedule,34.07,,36.08,212,,Fee Schedule,32.45,,36.08,212,,Fee Schedule,32.45,,36.08,212,,Fee Schedule,32.45,,37.44,220,,Fee Schedule,32.54,,24.68,145,,Fee Schedule,21.57,,24.68,145,,Fee Schedule,20.54,,24.68,145,,Fee Schedule,20.54,,24.68,145,,Fee Schedule,20.54,,24.68,145,,Fee Schedule,20.54,,24.68,145,,Fee Schedule,20.54,,24.68,145,,Fee Schedule,20.54,,39.15,230,,Fee Schedule,35.78,,39.15,230,,Fee Schedule,34.08,,39.15,230,,Fee Schedule,34.08,,39.15,230,,Fee Schedule,34.08,,78.62,76,,Percent of Billed Charges,78.62,,17.02,100,,Fee Schedule,14.72,,17.36,102,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,,,17.02,100,,Fee Schedule,14.82,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.82,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.11,,17.02,100,,Fee Schedule,14.11,,16.80,110,,Fee Schedule,16.13,,16.03,105,,Fee Schedule,16.23,,19.85,130,,Fee Schedule,15.12,,16.03,78.62,,,,,,,,,,,,,,,,								
PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,69210,CPT,,,,OUTPATIENT,,,235.20,197.57,112.97,220,,Fee Schedule,79.73,,112.97,220,,Fee Schedule,75.94,,112.97,220,,Fee Schedule,75.94,,112.97,220,,Fee Schedule,75.94,,112.97,220,,Fee Schedule,75.94,,112.97,220,,Fee Schedule,75.94,,97.57,190,,Fee Schedule,78.79,,62.65,122,,Fee Schedule,42.34,,108.86,212,,Fee Schedule,79.50,,108.86,212,,Fee Schedule,75.71,,108.86,212,,Fee Schedule,75.71,,108.86,212,,Fee Schedule,75.71,,112.97,220,,Fee Schedule,75.94,,74.46,145,,Fee Schedule,50.33,,74.46,145,,Fee Schedule,47.94,,74.46,145,,Fee Schedule,47.94,,74.46,145,,Fee Schedule,47.94,,74.46,145,,Fee Schedule,47.94,,74.46,145,,Fee Schedule,47.94,,74.46,145,,Fee Schedule,47.94,,118.11,230,,Fee Schedule,83.50,,118.11,230,,Fee Schedule,79.52,,118.11,230,,Fee Schedule,79.52,,118.11,230,,Fee Schedule,79.52,,183.46,76,,Percent of Billed Charges,183.46,,51.35,100,,Fee Schedule,34.34,,52.38,102,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,,,51.35,100,,Fee Schedule,34.57,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,34.57,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,32.93,,51.35,100,,Fee Schedule,32.93,,50.67,110,,Fee Schedule,37.63,,48.36,105,,Fee Schedule,37.87,,59.88,130,,Fee Schedule,35.28,,48.36,183.46,,,,,,,,,,,,,,,,								
PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL,92960,CPT,,,,OUTPATIENT,,,783.30,657.97,360.54,220,,Fee Schedule,265.54,,360.54,220,,Fee Schedule,252.89,,360.54,220,,Fee Schedule,252.89,,360.54,220,,Fee Schedule,252.89,,360.54,220,,Fee Schedule,252.89,,360.54,220,,Fee Schedule,252.89,,311.37,190,,Fee Schedule,262.41,,199.93,122,,Fee Schedule,140.99,,347.43,212,,Fee Schedule,264.76,,347.43,212,,Fee Schedule,252.15,,347.43,212,,Fee Schedule,252.15,,347.43,212,,Fee Schedule,252.15,,360.54,220,,Fee Schedule,252.89,,237.63,145,,Fee Schedule,167.63,,237.63,145,,Fee Schedule,159.64,,237.63,145,,Fee Schedule,159.64,,237.63,145,,Fee Schedule,159.64,,237.63,145,,Fee Schedule,159.64,,237.63,145,,Fee Schedule,159.64,,237.63,145,,Fee Schedule,159.64,,376.92,230,,Fee Schedule,278.07,,376.92,230,,Fee Schedule,264.83,,376.92,230,,Fee Schedule,264.83,,376.92,230,,Fee Schedule,264.83,,610.97,76,,Percent of Billed Charges,610.97,,163.88,100,,Fee Schedule,114.36,,167.16,102,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,,,163.88,100,,Fee Schedule,115.15,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,115.15,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,109.66,,163.88,100,,Fee Schedule,109.66,,161.70,110,,Fee Schedule,125.33,,154.35,105,,Fee Schedule,126.11,,191.10,130,,Fee Schedule,117.50,,154.35,610.97,,,,,,,,,,,,,,,,								
PR MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,99152,CPT,,,,OUTPATIENT,,,90.30,75.85,118.12,220,,Fee Schedule,30.61,,118.12,220,,Fee Schedule,29.15,,118.12,220,,Fee Schedule,29.15,,118.12,220,,Fee Schedule,29.15,,118.12,220,,Fee Schedule,29.15,,118.12,220,,Fee Schedule,29.15,,102.01,190,,Fee Schedule,30.25,,65.50,122,,Fee Schedule,16.25,,113.82,212,,Fee Schedule,30.52,,113.82,212,,Fee Schedule,29.07,,113.82,212,,Fee Schedule,29.07,,113.82,212,,Fee Schedule,29.07,,118.12,220,,Fee Schedule,29.15,,77.85,145,,Fee Schedule,19.32,,77.85,145,,Fee Schedule,18.40,,77.85,145,,Fee Schedule,18.40,,77.85,145,,Fee Schedule,18.40,,77.85,145,,Fee Schedule,18.40,,77.85,145,,Fee Schedule,18.40,,77.85,145,,Fee Schedule,18.40,,123.49,230,,Fee Schedule,32.06,,123.49,230,,Fee Schedule,30.53,,123.49,230,,Fee Schedule,30.53,,123.49,230,,Fee Schedule,30.53,,70.43,76,,Percent of Billed Charges,70.43,,53.69,100,,Fee Schedule,13.18,,54.76,102,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,,,53.69,100,,Fee Schedule,13.27,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,13.27,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,12.64,,53.69,100,,Fee Schedule,12.64,,52.99,110,,Fee Schedule,14.45,,50.58,105,,Fee Schedule,14.54,,62.62,130,,Fee Schedule,13.55,,50.58,123.49,,,,,,,,,,,,,,,,								
PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM,99282,CPT,,,,OUTPATIENT,,,291.90,245.20,97.70,220,,Fee Schedule,98.95,,97.70,220,,Fee Schedule,94.24,,97.70,220,,Fee Schedule,94.24,,97.70,220,,Fee Schedule,94.24,,97.70,220,,Fee Schedule,94.24,,97.70,220,,Fee Schedule,94.24,,84.38,190,,Fee Schedule,97.79,,54.18,122,,Fee Schedule,52.54,,94.15,212,,Fee Schedule,98.66,,94.15,212,,Fee Schedule,93.96,,94.15,212,,Fee Schedule,93.96,,94.15,212,,Fee Schedule,93.96,,97.70,220,,Fee Schedule,94.24,,64.39,145,,Fee Schedule,62.47,,64.39,145,,Fee Schedule,59.49,,64.39,145,,Fee Schedule,59.49,,64.39,145,,Fee Schedule,59.49,,64.39,145,,Fee Schedule,59.49,,64.39,145,,Fee Schedule,59.49,,64.39,145,,Fee Schedule,59.49,,102.14,230,,Fee Schedule,103.62,,102.14,230,,Fee Schedule,98.69,,102.14,230,,Fee Schedule,98.69,,102.14,230,,Fee Schedule,98.69,,227.68,76,,Percent of Billed Charges,227.68,,44.41,100,,Fee Schedule,42.62,,45.30,102,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,,,44.41,100,,Fee Schedule,42.91,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,42.91,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,40.87,,44.41,100,,Fee Schedule,40.87,,43.82,110,,Fee Schedule,46.70,,41.83,105,,Fee Schedule,47.00,,51.79,130,,Fee Schedule,43.79,,41.83,227.68,,,,,,,,,,,,,,,,								
PR EMERGENCY DEPARTMENT VISIT LOW MDM,99283,CPT,,,,OUTPATIENT,,,436.80,366.91,166.30,220,,Fee Schedule,148.08,,166.30,220,,Fee Schedule,141.02,,166.30,220,,Fee Schedule,141.02,,166.30,220,,Fee Schedule,141.02,,166.30,220,,Fee Schedule,141.02,,166.30,220,,Fee Schedule,141.02,,143.62,190,,Fee Schedule,146.33,,92.22,122,,Fee Schedule,78.62,,160.25,212,,Fee Schedule,147.64,,160.25,212,,Fee Schedule,140.61,,160.25,212,,Fee Schedule,140.61,,160.25,212,,Fee Schedule,140.61,,166.30,220,,Fee Schedule,141.02,,109.61,145,,Fee Schedule,93.48,,109.61,145,,Fee Schedule,89.02,,109.61,145,,Fee Schedule,89.02,,109.61,145,,Fee Schedule,89.02,,109.61,145,,Fee Schedule,89.02,,109.61,145,,Fee Schedule,89.02,,109.61,145,,Fee Schedule,89.02,,173.86,230,,Fee Schedule,155.06,,173.86,230,,Fee Schedule,147.68,,173.86,230,,Fee Schedule,147.68,,173.86,230,,Fee Schedule,147.68,,340.70,76,,Percent of Billed Charges,340.70,,75.59,100,,Fee Schedule,63.77,,77.10,102,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,,,75.59,100,,Fee Schedule,64.21,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,64.21,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,61.15,,75.59,100,,Fee Schedule,61.15,,74.59,110,,Fee Schedule,69.89,,71.20,105,,Fee Schedule,70.32,,88.15,130,,Fee Schedule,65.52,,71.20,340.70,,,,,,,,,,,,,,,,								
PR EMERGENCY DEPARTMENT VISIT MODERATE MDM,99284,CPT,,,,OUTPATIENT,,,829.50,696.78,282.96,220,,Fee Schedule,281.20,,282.96,220,,Fee Schedule,267.81,,282.96,220,,Fee Schedule,267.81,,282.96,220,,Fee Schedule,267.81,,282.96,220,,Fee Schedule,267.81,,282.96,220,,Fee Schedule,267.81,,244.38,190,,Fee Schedule,277.88,,156.92,122,,Fee Schedule,149.31,,272.67,212,,Fee Schedule,280.37,,272.67,212,,Fee Schedule,267.02,,272.67,212,,Fee Schedule,267.02,,272.67,212,,Fee Schedule,267.02,,282.96,220,,Fee Schedule,267.81,,186.50,145,,Fee Schedule,177.51,,186.50,145,,Fee Schedule,169.06,,186.50,145,,Fee Schedule,169.06,,186.50,145,,Fee Schedule,169.06,,186.50,145,,Fee Schedule,169.06,,186.50,145,,Fee Schedule,169.06,,186.50,145,,Fee Schedule,169.06,,295.83,230,,Fee Schedule,294.47,,295.83,230,,Fee Schedule,280.45,,295.83,230,,Fee Schedule,280.45,,295.83,230,,Fee Schedule,280.45,,647.01,76,,Percent of Billed Charges,647.01,,128.62,100,,Fee Schedule,121.11,,131.19,102,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,,,128.62,100,,Fee Schedule,121.94,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,121.94,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,116.13,,128.62,100,,Fee Schedule,116.13,,126.92,110,,Fee Schedule,132.72,,121.15,105,,Fee Schedule,133.55,,149.99,130,,Fee Schedule,124.43,,121.15,647.01,,,,,,,,,,,,,,,,								
PR CRITICAL CARE, E/M 30-74 MINUTES,99291,CPT,,,,OUTPATIENT,,,1572.90,1321.24,643.24,220,,Fee Schedule,533.21,,643.24,220,,Fee Schedule,507.82,,643.24,220,,Fee Schedule,507.82,,643.24,220,,Fee Schedule,507.82,,643.24,220,,Fee Schedule,507.82,,643.24,220,,Fee Schedule,507.82,,555.52,190,,Fee Schedule,526.92,,356.70,122,,Fee Schedule,283.12,,619.85,212,,Fee Schedule,531.64,,619.85,212,,Fee Schedule,506.32,,619.85,212,,Fee Schedule,506.32,,619.85,212,,Fee Schedule,506.32,,643.24,220,,Fee Schedule,507.82,,423.95,145,,Fee Schedule,336.60,,423.95,145,,Fee Schedule,320.57,,423.95,145,,Fee Schedule,320.57,,423.95,145,,Fee Schedule,320.57,,423.95,145,,Fee Schedule,320.57,,423.95,145,,Fee Schedule,320.57,,423.95,145,,Fee Schedule,320.57,,672.47,230,,Fee Schedule,558.38,,672.47,230,,Fee Schedule,531.79,,672.47,230,,Fee Schedule,531.79,,672.47,230,,Fee Schedule,531.79,,1226.86,76,,Percent of Billed Charges,1226.86,,292.38,100,,Fee Schedule,229.64,,298.23,102,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,,,292.38,100,,Fee Schedule,231.22,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,231.22,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,220.21,,292.38,100,,Fee Schedule,220.21,,288.50,110,,Fee Schedule,251.66,,275.38,105,,Fee Schedule,253.24,,340.95,130,,Fee Schedule,235.94,,275.38,1226.86,,,,,,,,,,,,,,,,								
UNUSUAL PROCEDURAL SERVICES,,,,,22,OUTPATIENT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,,,,,,,,,,,,,,,,,								
BILATERAL PROCEDURE,,,,,50,OUTPATIENT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,150,,,,,,,,,,,,,,,,,,,,,,								
MULTIPLE PROCEDURES,,,,,51,OUTPATIENT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,								
REDUCED SERVICES,,,,,52,OUTPATIENT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,								
DISCONTINUED PROCEDURE,,,,,53,OUTPATIENT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,50,,,,,,,,,,,,,,,,,,,,,,