hospital_name last_updated_on version hospital_location hospital_address license_number|CA "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." general_contract_provisions Henry County Hospital 5/30/2024 2.0.0 Henry County Hospital 1600 E Riverview Ave 344477047 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|PPO|negotiated_dollar standard_charge|Aetna|PPO|negotiated_percentage standard_charge|Aetna|PPO|negotiated_algorithm estimated_amount|Aetna|PPO standard_charge|Aetna|PPO|methodology additional_payer_notes|Aetna|PPO standard_charge|Anthem|HMO|negotiated_dollar standard_charge|Anthem|HMO|negotiated_percentage standard_charge|Anthem|HMO|negotiated_algorithm estimated_amount|Anthem|HMO standard_charge|Anthem|HMO|methodology additional_payer_notes|Anthem|HMO standard_charge|AnthemHICPOSHMOPPO|negotiated_dollar standard_charge|AnthemHICPOSHMOPPO|negotiated_percentage standard_charge|AnthemHICPOSHMOPPO|negotiated_algorithm estimated_amount|AnthemHICPOSHMOPPO standard_charge|AnthemHICPOSHMO|methodology additional_payer_notes|AnthemHICPOSHMOPPO standard_charge|Cigna|negotiated_dollar standard_charge|Cigna|negotiated_percentage standard_charge|Cigna|negotiated_algorithm estimated_amount|Cigna standard_charge|Cigna|methodology additional_payer_notes|Cigna standard_charge|LutheranPreferredNetwork|negotiated_dollar standard_charge|LutheranPreferredNetwork|negotiated_percentage standard_charge|LutheranPreferredNetwork|negotiated_algorithm estimated_amount|LutheranPreferredNetwork standard_charge|LutheranPreferredNetwork|methodology additional_payer_notes|LutheranPreferredNetwork standard_charge|McLarenHealthplan|negotiated_dollar standard_charge|McLarenHealthplan|negotiated_percentage standard_charge|McLarenHealthplan|negotiated_algorithm estimated_amount|McLarenHealthplan standard_charge|McLarenHealthplan|methodology additional_payer_notes|McLarenHealthplan standard_charge|MedicalMutual|negotiated_dollar standard_charge|MedicalMutual|negotiated_percentage standard_charge|MedicalMutual|negotiated_algorithm estimated_amount|MedicalMutual standard_charge|MedicalMutual|methodology additional_payer_notes|MedicalMutual standard_charge|ParamountCommercial|negotiated_dollar standard_charge|ParamountCommercial|negotiated_percentage standard_charge|ParamountCommercial|negotiated_algorithm estimated_amount|ParamountCommercial standard_charge|ParamountCommercial|methodology additional_payer_notes|ParamountCommercial standard_charge|UnitedHealthcare|negotiated_dollar standard_charge|UnitedHealthcare|negotiated_percentage standard_charge|UnitedHealthcare|negotiated_algorithm estimated_amount|UnitedHealthcare standard_charge|UnitedHealthcare|methodology additional_payer_notes|UnitedHealthcare standard_charge|min standard_charge|max additional_generic_notes "<1YR INIT PREV COMP EXAM,-PRO" 99381 CPT 99381P LOCAL 26 both 248 248 248 181.04 Percent of total billed charges 73% of charges 248 151.28 Percent of total billed charges 61% of chages 248 143.84 Percent of charges 58% of charges 248 121.52 Percent of charges 49% of charges 248 210.8 Percent of charges 85% of charges 248 190.96 Percent of charges 77% of charges 248 161.2 Percent of charges 65% of charges 248 193.44 Percent of charges 78% of charges 248 119.04 Percent of charges 48% of charges 248 248 <1YR INIT PREV COMP EXAM-FAC 99381 CPT 99381F LOCAL TC both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 <1YR INIT PREV COMP EXAM-TOT 99381 CPT 99381 LOCAL both 470 470 470 343.1 Percent of total billed charges 73% of charges 470 286.7 Percent of total billed charges 61% of chages 470 272.6 Percent of charges 58% of charges 470 230.3 Percent of charges 49% of charges 470 399.5 Percent of charges 85% of charges 470 361.9 Percent of charges 77% of charges 470 305.5 Percent of charges 65% of charges 470 366.6 Percent of charges 78% of charges 470 225.6 Percent of charges 48% of charges 470 470 "<1YR PER PREV COMP EXAM, -FAC" 99391 CPT 99391F LOCAL TC both 175 175 175 127.75 Percent of total billed charges 73% of charges 175 106.75 Percent of total billed charges 61% of chages 175 101.5 Percent of charges 58% of charges 175 85.75 Percent of charges 49% of charges 175 148.75 Percent of charges 85% of charges 175 134.75 Percent of charges 77% of charges 175 113.75 Percent of charges 65% of charges 175 136.5 Percent of charges 78% of charges 175 84 Percent of charges 48% of charges 175 175 "<1YR PER PREV COMP EXAM, -PRO" 99391 CPT 99391P LOCAL 26 both 44 44 44 32.12 Percent of total billed charges 73% of charges 44 26.84 Percent of total billed charges 61% of chages 44 25.52 Percent of charges 58% of charges 44 21.56 Percent of charges 49% of charges 44 37.4 Percent of charges 85% of charges 44 33.88 Percent of charges 77% of charges 44 28.6 Percent of charges 65% of charges 44 34.32 Percent of charges 78% of charges 44 21.12 Percent of charges 48% of charges 44 44 "<1YR PER PREV COMP EXAM,I-TOT" 99391 CPT 99391 LOCAL both 219 219 219 159.87 Percent of total billed charges 73% of charges 219 133.59 Percent of total billed charges 61% of chages 219 127.02 Percent of charges 58% of charges 219 107.31 Percent of charges 49% of charges 219 186.15 Percent of charges 85% of charges 219 168.63 Percent of charges 77% of charges 219 142.35 Percent of charges 65% of charges 219 170.82 Percent of charges 78% of charges 219 105.12 Percent of charges 48% of charges 219 219 ">4LES,PAR/CUT BEN LESION -FAC" 11057 CPT 11057F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 ">4LES,PAR/CUT BEN LESION -PRO" 11057 CPT 11057P LOCAL 26 outpatient 59 59 59 43.07 Percent of total billed charges 73% of charges 59 35.99 Percent of total billed charges 61% of chages 59 34.22 Percent of charges 58% of charges 59 28.91 Percent of charges 49% of charges 59 50.15 Percent of charges 85% of charges 59 45.43 Percent of charges 77% of charges 59 38.35 Percent of charges 65% of charges 59 46.02 Percent of charges 78% of charges 59 28.32 Percent of charges 48% of charges 59 59 ">4LES,PAR/CUT BEN LESION-TOTAL" 11057 CPT 11057 LOCAL outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 1 AVUL PLAT PART/CMPL SMP -FAC 11730 CPT 11730F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 1 AVUL PLAT PART/CMPL SMP -PRO 11730 CPT 11730P LOCAL 26 outpatient 106 106 106 77.38 Percent of total billed charges 73% of charges 106 64.66 Percent of total billed charges 61% of chages 106 61.48 Percent of charges 58% of charges 106 51.94 Percent of charges 49% of charges 106 90.1 Percent of charges 85% of charges 106 81.62 Percent of charges 77% of charges 106 68.9 Percent of charges 65% of charges 106 82.68 Percent of charges 78% of charges 106 50.88 Percent of charges 48% of charges 106 106 1 AVUL PLAT PART/CMPL SMP-TOT 11730 CPT 11730 LOCAL outpatient 441 441 441 321.93 Percent of total billed charges 73% of charges 441 269.01 Percent of total billed charges 61% of chages 441 255.78 Percent of charges 58% of charges 441 216.09 Percent of charges 49% of charges 441 374.85 Percent of charges 85% of charges 441 339.57 Percent of charges 77% of charges 441 286.65 Percent of charges 65% of charges 441 343.98 Percent of charges 78% of charges 441 211.68 Percent of charges 48% of charges 441 441 1-14 BEN LES DESTRUCTION -FAC 17110 CPT 17110F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 1-14 BEN LES DESTRUCTION -PRO 17110 CPT 17110P LOCAL 26 outpatient 127 127 127 92.71 Percent of total billed charges 73% of charges 127 77.47 Percent of total billed charges 61% of chages 127 73.66 Percent of charges 58% of charges 127 62.23 Percent of charges 49% of charges 127 107.95 Percent of charges 85% of charges 127 97.79 Percent of charges 77% of charges 127 82.55 Percent of charges 65% of charges 127 99.06 Percent of charges 78% of charges 127 60.96 Percent of charges 48% of charges 127 127 1-14BEN LES DESTRUCTION-TOT 17110 CPT 17110 LOCAL outpatient 462 462 462 337.26 Percent of total billed charges 73% of charges 462 281.82 Percent of total billed charges 61% of chages 462 267.96 Percent of charges 58% of charges 462 226.38 Percent of charges 49% of charges 462 392.7 Percent of charges 85% of charges 462 355.74 Percent of charges 77% of charges 462 300.3 Percent of charges 65% of charges 462 360.36 Percent of charges 78% of charges 462 221.76 Percent of charges 48% of charges 462 462 12-17YR INIT PREV COMP EX-FAC 99384 CPT 99384F LOCAL TC both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 12-17YR INIT PREV COMP EX-PRO 99384 CPT 99384P LOCAL 26 both 280 280 280 204.4 Percent of total billed charges 73% of charges 280 170.8 Percent of total billed charges 61% of chages 280 162.4 Percent of charges 58% of charges 280 137.2 Percent of charges 49% of charges 280 238 Percent of charges 85% of charges 280 215.6 Percent of charges 77% of charges 280 182 Percent of charges 65% of charges 280 218.4 Percent of charges 78% of charges 280 134.4 Percent of charges 48% of charges 280 280 12-17YR INIT PREV COMP EX-TOT 99384 CPT 99384 LOCAL both 502 502 502 366.46 Percent of total billed charges 73% of charges 502 306.22 Percent of total billed charges 61% of chages 502 291.16 Percent of charges 58% of charges 502 245.98 Percent of charges 49% of charges 502 426.7 Percent of charges 85% of charges 502 386.54 Percent of charges 77% of charges 502 326.3 Percent of charges 65% of charges 502 391.56 Percent of charges 78% of charges 502 240.96 Percent of charges 48% of charges 502 502 12-17YR PER PREV COMP EXA -FAC 99394 CPT 99394F LOCAL TC both 214 214 214 156.22 Percent of total billed charges 73% of charges 214 130.54 Percent of total billed charges 61% of chages 214 124.12 Percent of charges 58% of charges 214 104.86 Percent of charges 49% of charges 214 181.9 Percent of charges 85% of charges 214 164.78 Percent of charges 77% of charges 214 139.1 Percent of charges 65% of charges 214 166.92 Percent of charges 78% of charges 214 102.72 Percent of charges 48% of charges 214 214 12-17YR PER PREV COMP EXA -PRO 99394 CPT 99394P LOCAL 26 both 54 54 54 39.42 Percent of total billed charges 73% of charges 54 32.94 Percent of total billed charges 61% of chages 54 31.32 Percent of charges 58% of charges 54 26.46 Percent of charges 49% of charges 54 45.9 Percent of charges 85% of charges 54 41.58 Percent of charges 77% of charges 54 35.1 Percent of charges 65% of charges 54 42.12 Percent of charges 78% of charges 54 25.92 Percent of charges 48% of charges 54 54 12-17YR PER PREV COMP EXA-TOT 99394 CPT 99394 LOCAL both 268 268 268 195.64 Percent of total billed charges 73% of charges 268 163.48 Percent of total billed charges 61% of chages 268 155.44 Percent of charges 58% of charges 268 131.32 Percent of charges 49% of charges 268 227.8 Percent of charges 85% of charges 268 206.36 Percent of charges 77% of charges 268 174.2 Percent of charges 65% of charges 268 209.04 Percent of charges 78% of charges 268 128.64 Percent of charges 48% of charges 268 268 1-4 YR PER PREV COMP EXAM -FAC 99392 CPT 99392F LOCAL TC both 187 187 187 136.51 Percent of total billed charges 73% of charges 187 114.07 Percent of total billed charges 61% of chages 187 108.46 Percent of charges 58% of charges 187 91.63 Percent of charges 49% of charges 187 158.95 Percent of charges 85% of charges 187 143.99 Percent of charges 77% of charges 187 121.55 Percent of charges 65% of charges 187 145.86 Percent of charges 78% of charges 187 89.76 Percent of charges 48% of charges 187 187 1-4 YR PER PREV COMP EXAM -PRO 99392 CPT 99392P LOCAL 26 both 46 46 46 33.58 Percent of total billed charges 73% of charges 46 28.06 Percent of total billed charges 61% of chages 46 26.68 Percent of charges 58% of charges 46 22.54 Percent of charges 49% of charges 46 39.1 Percent of charges 85% of charges 46 35.42 Percent of charges 77% of charges 46 29.9 Percent of charges 65% of charges 46 35.88 Percent of charges 78% of charges 46 22.08 Percent of charges 48% of charges 46 46 1-4YR INIT PREV COMP EXAM-FAC 99382 CPT 99382F LOCAL TC both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 1-4YR INIT PREV COMP EXAM-PRO 99382 CPT 99382P LOCAL 26 both 252 252 252 183.96 Percent of total billed charges 73% of charges 252 153.72 Percent of total billed charges 61% of chages 252 146.16 Percent of charges 58% of charges 252 123.48 Percent of charges 49% of charges 252 214.2 Percent of charges 85% of charges 252 194.04 Percent of charges 77% of charges 252 163.8 Percent of charges 65% of charges 252 196.56 Percent of charges 78% of charges 252 120.96 Percent of charges 48% of charges 252 252 1-4YR INIT PREV COMP EXAM-TOT 99382 CPT 99382 LOCAL both 474 474 474 346.02 Percent of total billed charges 73% of charges 474 289.14 Percent of total billed charges 61% of chages 474 274.92 Percent of charges 58% of charges 474 232.26 Percent of charges 49% of charges 474 402.9 Percent of charges 85% of charges 474 364.98 Percent of charges 77% of charges 474 308.1 Percent of charges 65% of charges 474 369.72 Percent of charges 78% of charges 474 227.52 Percent of charges 48% of charges 474 474 "1-4YR PER PREV COMP EXAM,-TOT" 99392 CPT 99392 LOCAL both 233 233 233 170.09 Percent of total billed charges 73% of charges 233 142.13 Percent of total billed charges 61% of chages 233 135.14 Percent of charges 58% of charges 233 114.17 Percent of charges 49% of charges 233 198.05 Percent of charges 85% of charges 233 179.41 Percent of charges 77% of charges 233 151.45 Percent of charges 65% of charges 233 181.74 Percent of charges 78% of charges 233 111.84 Percent of charges 48% of charges 233 233 15/>BEN LES DESRUC W ART-TOT 17111 CPT 17111 LOCAL outpatient 490 490 490 357.7 Percent of total billed charges 73% of charges 490 298.9 Percent of total billed charges 61% of chages 490 284.2 Percent of charges 58% of charges 490 240.1 Percent of charges 49% of charges 490 416.5 Percent of charges 85% of charges 490 377.3 Percent of charges 77% of charges 490 318.5 Percent of charges 65% of charges 490 382.2 Percent of charges 78% of charges 490 235.2 Percent of charges 48% of charges 490 490 15/>BEN LES DESTRU W ART -FAC 17111 CPT 17111F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 15/>BEN LES DESTRU W ART -PRO 17111 CPT 17111P LOCAL 26 outpatient 155 155 155 113.15 Percent of total billed charges 73% of charges 155 94.55 Percent of total billed charges 61% of chages 155 89.9 Percent of charges 58% of charges 155 75.95 Percent of charges 49% of charges 155 131.75 Percent of charges 85% of charges 155 119.35 Percent of charges 77% of charges 155 100.75 Percent of charges 65% of charges 155 120.9 Percent of charges 78% of charges 155 74.4 Percent of charges 48% of charges 155 155 17 HYDROXYPROGESTERONE 83498 CPT 4303498 LOCAL 26 both 389 389 389 283.97 Percent of total billed charges 73% of charges 389 237.29 Percent of total billed charges 61% of chages 389 225.62 Percent of charges 58% of charges 389 190.61 Percent of charges 49% of charges 389 330.65 Percent of charges 85% of charges 389 299.53 Percent of charges 77% of charges 389 252.85 Percent of charges 65% of charges 389 303.42 Percent of charges 78% of charges 389 186.72 Percent of charges 48% of charges 389 389 17-HYDROXYCORTICOSTEROIDS 83491 CPT 4303491 LOCAL both 280 280 280 204.4 Percent of total billed charges 73% of charges 280 170.8 Percent of total billed charges 61% of chages 280 162.4 Percent of charges 58% of charges 280 137.2 Percent of charges 49% of charges 280 238 Percent of charges 85% of charges 280 215.6 Percent of charges 77% of charges 280 182 Percent of charges 65% of charges 280 218.4 Percent of charges 78% of charges 280 134.4 Percent of charges 48% of charges 280 280 17-HYDROXYPREGNENLONE 84143 CPT 4304143 LOCAL both 276 276 276 201.48 Percent of total billed charges 73% of charges 276 168.36 Percent of total billed charges 61% of chages 276 160.08 Percent of charges 58% of charges 276 135.24 Percent of charges 49% of charges 276 234.6 Percent of charges 85% of charges 276 212.52 Percent of charges 77% of charges 276 179.4 Percent of charges 65% of charges 276 215.28 Percent of charges 78% of charges 276 132.48 Percent of charges 48% of charges 276 276 18-39YR INIT PREV COMP EX-PRO 99385 CPT 99385P LOCAL 26 both 300 300 300 219 Percent of total billed charges 73% of charges 300 183 Percent of total billed charges 61% of chages 300 174 Percent of charges 58% of charges 300 147 Percent of charges 49% of charges 300 255 Percent of charges 85% of charges 300 231 Percent of charges 77% of charges 300 195 Percent of charges 65% of charges 300 234 Percent of charges 78% of charges 300 144 Percent of charges 48% of charges 300 300 18-39YR PER PREV COMP EXA -FAC 99395 CPT 99395F LOCAL TC both 235 235 235 171.55 Percent of total billed charges 73% of charges 235 143.35 Percent of total billed charges 61% of chages 235 136.3 Percent of charges 58% of charges 235 115.15 Percent of charges 49% of charges 235 199.75 Percent of charges 85% of charges 235 180.95 Percent of charges 77% of charges 235 152.75 Percent of charges 65% of charges 235 183.3 Percent of charges 78% of charges 235 112.8 Percent of charges 48% of charges 235 235 18-39YR PER PREV COMP EXA -PRO 99395 CPT 99395P LOCAL 26 both 60 60 60 43.8 Percent of total billed charges 73% of charges 60 36.6 Percent of total billed charges 61% of chages 60 34.8 Percent of charges 58% of charges 60 29.4 Percent of charges 49% of charges 60 51 Percent of charges 85% of charges 60 46.2 Percent of charges 77% of charges 60 39 Percent of charges 65% of charges 60 46.8 Percent of charges 78% of charges 60 28.8 Percent of charges 48% of charges 60 60 18-39YR PER PREV COMP EXAM-TOT 99395 CPT 99395 LOCAL both 295 295 295 215.35 Percent of total billed charges 73% of charges 295 179.95 Percent of total billed charges 61% of chages 295 171.1 Percent of charges 58% of charges 295 144.55 Percent of charges 49% of charges 295 250.75 Percent of charges 85% of charges 295 227.15 Percent of charges 77% of charges 295 191.75 Percent of charges 65% of charges 295 230.1 Percent of charges 78% of charges 295 141.6 Percent of charges 48% of charges 295 295 "1LES,PAR/CUT BEN LESION -FAC" 11055 CPT 11055F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 "1LES,PAR/CUT BEN LESION -PRO" 11055 CPT 11055P LOCAL 26 outpatient 32 32 32 23.36 Percent of total billed charges 73% of charges 32 19.52 Percent of total billed charges 61% of chages 32 18.56 Percent of charges 58% of charges 32 15.68 Percent of charges 49% of charges 32 27.2 Percent of charges 85% of charges 32 24.64 Percent of charges 77% of charges 32 20.8 Percent of charges 65% of charges 32 24.96 Percent of charges 78% of charges 32 15.36 Percent of charges 48% of charges 32 32 "1LES,PAR/CUT BEN LESION-TOTAL" 11055 CPT 11055 LOCAL outpatient 367 367 367 267.91 Percent of total billed charges 73% of charges 367 223.87 Percent of total billed charges 61% of chages 367 212.86 Percent of charges 58% of charges 367 179.83 Percent of charges 49% of charges 367 311.95 Percent of charges 85% of charges 367 282.59 Percent of charges 77% of charges 367 238.55 Percent of charges 65% of charges 367 286.26 Percent of charges 78% of charges 367 176.16 Percent of charges 48% of charges 367 367 1ST PERML LES DESTRUCTION -FAC 17000 CPT 17000F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 1ST PERML LES DESTRUCTION -PRO 17000 CPT 17000P LOCAL 26 outpatient 101 101 101 73.73 Percent of total billed charges 73% of charges 101 61.61 Percent of total billed charges 61% of chages 101 58.58 Percent of charges 58% of charges 101 49.49 Percent of charges 49% of charges 101 85.85 Percent of charges 85% of charges 101 77.77 Percent of charges 77% of charges 101 65.65 Percent of charges 65% of charges 101 78.78 Percent of charges 78% of charges 101 48.48 Percent of charges 48% of charges 101 101 1ST PERML LES DESTRUCTION-TOT 17000 CPT 17000 LOCAL outpatient 436 436 436 318.28 Percent of total billed charges 73% of charges 436 265.96 Percent of total billed charges 61% of chages 436 252.88 Percent of charges 58% of charges 436 213.64 Percent of charges 49% of charges 436 370.6 Percent of charges 85% of charges 436 335.72 Percent of charges 77% of charges 436 283.4 Percent of charges 65% of charges 436 340.08 Percent of charges 78% of charges 436 209.28 Percent of charges 48% of charges 436 436 1ST TR SCR NB/NL EACH ADDL 76814 CPT 4656816 LOCAL outpatient 187 187 187 136.51 Percent of total billed charges 73% of charges 187 114.07 Percent of total billed charges 61% of chages 187 108.46 Percent of charges 58% of charges 187 91.63 Percent of charges 49% of charges 187 158.95 Percent of charges 85% of charges 187 143.99 Percent of charges 77% of charges 187 121.55 Percent of charges 65% of charges 187 145.86 Percent of charges 78% of charges 187 89.76 Percent of charges 48% of charges 187 187 1ST TRI SCR NB/NL 76813 CPT 4656814 LOCAL outpatient 662 662 662 483.26 Percent of total billed charges 73% of charges 662 403.82 Percent of total billed charges 61% of chages 662 383.96 Percent of charges 58% of charges 662 324.38 Percent of charges 49% of charges 662 562.7 Percent of charges 85% of charges 662 509.74 Percent of charges 77% of charges 662 430.3 Percent of charges 65% of charges 662 516.36 Percent of charges 78% of charges 662 317.76 Percent of charges 48% of charges 662 662 2-14 EA PREMAL LES DESTRU -FAC 17003 CPT 17003F LOCAL TC outpatient 41 41 41 29.93 Percent of total billed charges 73% of charges 41 25.01 Percent of total billed charges 61% of chages 41 23.78 Percent of charges 58% of charges 41 20.09 Percent of charges 49% of charges 41 34.85 Percent of charges 85% of charges 41 31.57 Percent of charges 77% of charges 41 26.65 Percent of charges 65% of charges 41 31.98 Percent of charges 78% of charges 41 19.68 Percent of charges 48% of charges 41 41 2-14 EA PREMAL LES DESTRU -PRO 17003 CPT 17003P LOCAL 26 outpatient 5 5 5 3.65 Percent of total billed charges 73% of charges 5 3.05 Percent of total billed charges 61% of chages 5 2.9 Percent of charges 58% of charges 5 2.45 Percent of charges 49% of charges 5 4.25 Percent of charges 85% of charges 5 3.85 Percent of charges 77% of charges 5 3.25 Percent of charges 65% of charges 5 3.9 Percent of charges 78% of charges 5 2.4 Percent of charges 48% of charges 5 5 2-14EA PREMAL LES DESTRUC-TOT 17003 CPT 17003 LOCAL outpatient 46 46 46 33.58 Percent of total billed charges 73% of charges 46 28.06 Percent of total billed charges 61% of chages 46 26.68 Percent of charges 58% of charges 46 22.54 Percent of charges 49% of charges 46 39.1 Percent of charges 85% of charges 46 35.42 Percent of charges 77% of charges 46 29.9 Percent of charges 65% of charges 46 35.88 Percent of charges 78% of charges 46 22.08 Percent of charges 48% of charges 46 46 "2-4LES,PAR/CUT BEN LESION -FAC" 11056 CPT 11056F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 "2-4LES,PAR/CUT BEN LESION -PRO" 11056 CPT 11056P LOCAL 26 outpatient 46 46 46 33.58 Percent of total billed charges 73% of charges 46 28.06 Percent of total billed charges 61% of chages 46 26.68 Percent of charges 58% of charges 46 22.54 Percent of charges 49% of charges 46 39.1 Percent of charges 85% of charges 46 35.42 Percent of charges 77% of charges 46 29.9 Percent of charges 65% of charges 46 35.88 Percent of charges 78% of charges 46 22.08 Percent of charges 48% of charges 46 46 "2-4LES,PAR/CUT BEN LESION-TOTL" 11056 CPT 11056 LOCAL outpatient 381 381 381 278.13 Percent of total billed charges 73% of charges 381 232.41 Percent of total billed charges 61% of chages 381 220.98 Percent of charges 58% of charges 381 186.69 Percent of charges 49% of charges 381 323.85 Percent of charges 85% of charges 381 293.37 Percent of charges 77% of charges 381 247.65 Percent of charges 65% of charges 381 297.18 Percent of charges 78% of charges 381 182.88 Percent of charges 48% of charges 381 381 2PK STERILE TOWEL 5109003 LOCAL both 2 ea 12 12 12 8.76 Percent of total billed charges 73% of charges 12 7.32 Percent of total billed charges 61% of chages 12 6.96 Percent of charges 58% of charges 12 5.88 Percent of charges 49% of charges 12 10.2 Percent of charges 85% of charges 12 9.24 Percent of charges 77% of charges 12 7.8 Percent of charges 65% of charges 12 9.36 Percent of charges 78% of charges 12 5.76 Percent of charges 48% of charges 12 12 2PK STERILE TOWEL 5110102 LOCAL both 2 ea 12 12 12 8.76 Percent of total billed charges 73% of charges 12 7.32 Percent of total billed charges 61% of chages 12 6.96 Percent of charges 58% of charges 12 5.88 Percent of charges 49% of charges 12 10.2 Percent of charges 85% of charges 12 9.24 Percent of charges 77% of charges 12 7.8 Percent of charges 65% of charges 12 9.36 Percent of charges 78% of charges 12 5.76 Percent of charges 48% of charges 12 12 40-64 YR PER PREV COMP EX -FAC 99396 CPT 99396F LOCAL TC both 259 259 259 189.07 Percent of total billed charges 73% of charges 259 157.99 Percent of total billed charges 61% of chages 259 150.22 Percent of charges 58% of charges 259 126.91 Percent of charges 49% of charges 259 220.15 Percent of charges 85% of charges 259 199.43 Percent of charges 77% of charges 259 168.35 Percent of charges 65% of charges 259 202.02 Percent of charges 78% of charges 259 124.32 Percent of charges 48% of charges 259 259 40-64 YR PER PREV COMP EX -PRO 99396 CPT 99396P LOCAL 26 both 65 65 65 47.45 Percent of total billed charges 73% of charges 65 39.65 Percent of total billed charges 61% of chages 65 37.7 Percent of charges 58% of charges 65 31.85 Percent of charges 49% of charges 65 55.25 Percent of charges 85% of charges 65 50.05 Percent of charges 77% of charges 65 42.25 Percent of charges 65% of charges 65 50.7 Percent of charges 78% of charges 65 31.2 Percent of charges 48% of charges 65 65 40-64YR INIT PREV COMP EX-FAC 99386 CPT 99386F LOCAL TC both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 40-64YR INIT PREV COMP EX-PRO 99386 CPT 99386P LOCAL 26 both 331 331 331 241.63 Percent of total billed charges 73% of charges 331 201.91 Percent of total billed charges 61% of chages 331 191.98 Percent of charges 58% of charges 331 162.19 Percent of charges 49% of charges 331 281.35 Percent of charges 85% of charges 331 254.87 Percent of charges 77% of charges 331 215.15 Percent of charges 65% of charges 331 258.18 Percent of charges 78% of charges 331 158.88 Percent of charges 48% of charges 331 331 40-64YR PER PREV COMP EXA-TOT 99396 CPT 99396 LOCAL both 324 324 324 236.52 Percent of total billed charges 73% of charges 324 197.64 Percent of total billed charges 61% of chages 324 187.92 Percent of charges 58% of charges 324 158.76 Percent of charges 49% of charges 324 275.4 Percent of charges 85% of charges 324 249.48 Percent of charges 77% of charges 324 210.6 Percent of charges 65% of charges 324 252.72 Percent of charges 78% of charges 324 155.52 Percent of charges 48% of charges 324 324 5 NULEOTIDASE 83915 CPT 4303915 LOCAL both 133 133 133 97.09 Percent of total billed charges 73% of charges 133 81.13 Percent of total billed charges 61% of chages 133 77.14 Percent of charges 58% of charges 133 65.17 Percent of charges 49% of charges 133 113.05 Percent of charges 85% of charges 133 102.41 Percent of charges 77% of charges 133 86.45 Percent of charges 65% of charges 133 103.74 Percent of charges 78% of charges 133 63.84 Percent of charges 48% of charges 133 133 5-11YR INIT PREV COMP EXA-FAC 99383 CPT 99383F LOCAL TC both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 5-11YR INIT PREV COMP EXA-PRO 99383 CPT 99383P LOCAL 26 both 269 269 269 196.37 Percent of total billed charges 73% of charges 269 164.09 Percent of total billed charges 61% of chages 269 156.02 Percent of charges 58% of charges 269 131.81 Percent of charges 49% of charges 269 228.65 Percent of charges 85% of charges 269 207.13 Percent of charges 77% of charges 269 174.85 Percent of charges 65% of charges 269 209.82 Percent of charges 78% of charges 269 129.12 Percent of charges 48% of charges 269 269 5-11YR INIT PREV COMP EXA-TOT 99383 CPT 99383 LOCAL both 491 491 491 358.43 Percent of total billed charges 73% of charges 491 299.51 Percent of total billed charges 61% of chages 491 284.78 Percent of charges 58% of charges 491 240.59 Percent of charges 49% of charges 491 417.35 Percent of charges 85% of charges 491 378.07 Percent of charges 77% of charges 491 319.15 Percent of charges 65% of charges 491 382.98 Percent of charges 78% of charges 491 235.68 Percent of charges 48% of charges 491 491 5-11YR PER PREV COMP EXAM -FAC 99393 CPT 99393F LOCAL TC both 205 205 205 149.65 Percent of total billed charges 73% of charges 205 125.05 Percent of total billed charges 61% of chages 205 118.9 Percent of charges 58% of charges 205 100.45 Percent of charges 49% of charges 205 174.25 Percent of charges 85% of charges 205 157.85 Percent of charges 77% of charges 205 133.25 Percent of charges 65% of charges 205 159.9 Percent of charges 78% of charges 205 98.4 Percent of charges 48% of charges 205 205 5-11YR PER PREV COMP EXAM -PRO 99393 CPT 99393P LOCAL 26 both 50 50 50 36.5 Percent of total billed charges 73% of charges 50 30.5 Percent of total billed charges 61% of chages 50 29 Percent of charges 58% of charges 50 24.5 Percent of charges 49% of charges 50 42.5 Percent of charges 85% of charges 50 38.5 Percent of charges 77% of charges 50 32.5 Percent of charges 65% of charges 50 39 Percent of charges 78% of charges 50 24 Percent of charges 48% of charges 50 50 5-11YR PER PREV COMP EXAM-TOT 99393 CPT 99393 LOCAL both 255 255 255 186.15 Percent of total billed charges 73% of charges 255 155.55 Percent of total billed charges 61% of chages 255 147.9 Percent of charges 58% of charges 255 124.95 Percent of charges 49% of charges 255 216.75 Percent of charges 85% of charges 255 196.35 Percent of charges 77% of charges 255 165.75 Percent of charges 65% of charges 255 198.9 Percent of charges 78% of charges 255 122.4 Percent of charges 48% of charges 255 255 5COMP UR DRUG SCR-NON DOT 5500018 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 5-HIAA 24 HR 83497 CPT 4303497 LOCAL both 232 232 232 169.36 Percent of total billed charges 73% of charges 232 141.52 Percent of total billed charges 61% of chages 232 134.56 Percent of charges 58% of charges 232 113.68 Percent of charges 49% of charges 232 197.2 Percent of charges 85% of charges 232 178.64 Percent of charges 77% of charges 232 150.8 Percent of charges 65% of charges 232 180.96 Percent of charges 78% of charges 232 111.36 Percent of charges 48% of charges 232 232 5HIAA URINE RANDOM 83497 CPT 4300850 LOCAL both 94 94 94 68.62 Percent of total billed charges 73% of charges 94 57.34 Percent of total billed charges 61% of chages 94 54.52 Percent of charges 58% of charges 94 46.06 Percent of charges 49% of charges 94 79.9 Percent of charges 85% of charges 94 72.38 Percent of charges 77% of charges 94 61.1 Percent of charges 65% of charges 94 73.32 Percent of charges 78% of charges 94 45.12 Percent of charges 48% of charges 94 94 6 - MONOACETYLMORPHINE 80356 CPT 4301021 LOCAL both 339 339 339 247.47 Percent of total billed charges 73% of charges 339 206.79 Percent of total billed charges 61% of chages 339 196.62 Percent of charges 58% of charges 339 166.11 Percent of charges 49% of charges 339 288.15 Percent of charges 85% of charges 339 261.03 Percent of charges 77% of charges 339 220.35 Percent of charges 65% of charges 339 264.42 Percent of charges 78% of charges 339 162.72 Percent of charges 48% of charges 339 339 6 MINUTE TREADMILL 94618 CPT 5000158 LOCAL outpatient 568 568 568 414.64 Percent of total billed charges 73% of charges 568 346.48 Percent of total billed charges 61% of chages 568 329.44 Percent of charges 58% of charges 568 278.32 Percent of charges 49% of charges 568 482.8 Percent of charges 85% of charges 568 437.36 Percent of charges 77% of charges 568 369.2 Percent of charges 65% of charges 568 443.04 Percent of charges 78% of charges 568 272.64 Percent of charges 48% of charges 568 568 "6"" ACE WRAP" 5109005 LOCAL both 9 9 9 6.57 Percent of total billed charges 73% of charges 9 5.49 Percent of total billed charges 61% of chages 9 5.22 Percent of charges 58% of charges 9 4.41 Percent of charges 49% of charges 9 7.65 Percent of charges 85% of charges 9 6.93 Percent of charges 77% of charges 9 5.85 Percent of charges 65% of charges 9 7.02 Percent of charges 78% of charges 9 4.32 Percent of charges 48% of charges 9 9 65YR> INIT PREV COMP EXAM -FAC 99387 CPT 99387F LOCAL TC both 334 334 334 243.82 Percent of total billed charges 73% of charges 334 203.74 Percent of total billed charges 61% of chages 334 193.72 Percent of charges 58% of charges 334 163.66 Percent of charges 49% of charges 334 283.9 Percent of charges 85% of charges 334 257.18 Percent of charges 77% of charges 334 217.1 Percent of charges 65% of charges 334 260.52 Percent of charges 78% of charges 334 160.32 Percent of charges 48% of charges 334 334 65YR> INIT PREV COMP EXAM -PRO 99387 CPT 99387P LOCAL 26 both 83 83 83 60.59 Percent of total billed charges 73% of charges 83 50.63 Percent of total billed charges 61% of chages 83 48.14 Percent of charges 58% of charges 83 40.67 Percent of charges 49% of charges 83 70.55 Percent of charges 85% of charges 83 63.91 Percent of charges 77% of charges 83 53.95 Percent of charges 65% of charges 83 64.74 Percent of charges 78% of charges 83 39.84 Percent of charges 48% of charges 83 83 65YR> INIT PREV COMP EXAM -TOT 99387 CPT 99387 LOCAL both 417 417 417 304.41 Percent of total billed charges 73% of charges 417 254.37 Percent of total billed charges 61% of chages 417 241.86 Percent of charges 58% of charges 417 204.33 Percent of charges 49% of charges 417 354.45 Percent of charges 85% of charges 417 321.09 Percent of charges 77% of charges 417 271.05 Percent of charges 65% of charges 417 325.26 Percent of charges 78% of charges 417 200.16 Percent of charges 48% of charges 417 417 65YR> PER PREV COMP EXAM -FAC 99397 CPT 99397F LOCAL TC both 269 269 269 196.37 Percent of total billed charges 73% of charges 269 164.09 Percent of total billed charges 61% of chages 269 156.02 Percent of charges 58% of charges 269 131.81 Percent of charges 49% of charges 269 228.65 Percent of charges 85% of charges 269 207.13 Percent of charges 77% of charges 269 174.85 Percent of charges 65% of charges 269 209.82 Percent of charges 78% of charges 269 129.12 Percent of charges 48% of charges 269 269 65YR> PER PREV COMP EXAM -PRO 99397 CPT 99397P LOCAL 26 both 68 68 68 49.64 Percent of total billed charges 73% of charges 68 41.48 Percent of total billed charges 61% of chages 68 39.44 Percent of charges 58% of charges 68 33.32 Percent of charges 49% of charges 68 57.8 Percent of charges 85% of charges 68 52.36 Percent of charges 77% of charges 68 44.2 Percent of charges 65% of charges 68 53.04 Percent of charges 78% of charges 68 32.64 Percent of charges 48% of charges 68 68 65YR> PER PREV COMP EXAM-TOTAL 99397 CPT 99397 LOCAL both 337 337 337 246.01 Percent of total billed charges 73% of charges 337 205.57 Percent of total billed charges 61% of chages 337 195.46 Percent of charges 58% of charges 337 165.13 Percent of charges 49% of charges 337 286.45 Percent of charges 85% of charges 337 259.49 Percent of charges 77% of charges 337 219.05 Percent of charges 65% of charges 337 262.86 Percent of charges 78% of charges 337 161.76 Percent of charges 48% of charges 337 337 AB ID/EACH SEL REAGNT CEL 86885 CPT 4356885 LOCAL both 181 181 181 132.13 Percent of total billed charges 73% of charges 181 110.41 Percent of total billed charges 61% of chages 181 104.98 Percent of charges 58% of charges 181 88.69 Percent of charges 49% of charges 181 153.85 Percent of charges 85% of charges 181 139.37 Percent of charges 77% of charges 181 117.65 Percent of charges 65% of charges 181 141.18 Percent of charges 78% of charges 181 86.88 Percent of charges 48% of charges 181 181 ABD PARACENTESIS INCGD W IMAGE 49083 CPT 4653051 LOCAL outpatient 1458 1458 1458 1064.34 Percent of total billed charges 73% of charges 1458 889.38 Percent of total billed charges 61% of chages 1458 845.64 Percent of charges 58% of charges 1458 714.42 Percent of charges 49% of charges 1458 1239.3 Percent of charges 85% of charges 1458 1122.66 Percent of charges 77% of charges 1458 947.7 Percent of charges 65% of charges 1458 1137.24 Percent of charges 78% of charges 1458 699.84 Percent of charges 48% of charges 1458 1458 ABD PARACENTIESIS 49082 CPT 49082F LOCAL outpatient 1504 1504 1504 1097.92 Percent of total billed charges 73% of charges 1504 917.44 Percent of total billed charges 61% of chages 1504 872.32 Percent of charges 58% of charges 1504 736.96 Percent of charges 49% of charges 1504 1278.4 Percent of charges 85% of charges 1504 1158.08 Percent of charges 77% of charges 1504 977.6 Percent of charges 65% of charges 1504 1173.12 Percent of charges 78% of charges 1504 721.92 Percent of charges 48% of charges 1504 1504 ABDOMEN - 3 VIEWS 74021 CPT 4603050 LOCAL outpatient 328 328 328 239.44 Percent of total billed charges 73% of charges 328 200.08 Percent of total billed charges 61% of chages 328 190.24 Percent of charges 58% of charges 328 160.72 Percent of charges 49% of charges 328 278.8 Percent of charges 85% of charges 328 252.56 Percent of charges 77% of charges 328 213.2 Percent of charges 65% of charges 328 255.84 Percent of charges 78% of charges 328 157.44 Percent of charges 48% of charges 328 328 ABDOMEN- 1 VIEW 74018 CPT 4603049 LOCAL outpatient 264 264 264 192.72 Percent of total billed charges 73% of charges 264 161.04 Percent of total billed charges 61% of chages 264 153.12 Percent of charges 58% of charges 264 129.36 Percent of charges 49% of charges 264 224.4 Percent of charges 85% of charges 264 203.28 Percent of charges 77% of charges 264 171.6 Percent of charges 65% of charges 264 205.92 Percent of charges 78% of charges 264 126.72 Percent of charges 48% of charges 264 264 ABDOMEN -2 VIEWS 74019 CPT 4603069 LOCAL outpatient 419 419 419 305.87 Percent of total billed charges 73% of charges 419 255.59 Percent of total billed charges 61% of chages 419 243.02 Percent of charges 58% of charges 419 205.31 Percent of charges 49% of charges 419 356.15 Percent of charges 85% of charges 419 322.63 Percent of charges 77% of charges 419 272.35 Percent of charges 65% of charges 419 326.82 Percent of charges 78% of charges 419 201.12 Percent of charges 48% of charges 419 419 ABDOMINAL ULTRASOUND 76700 CPT 4650074 LOCAL outpatient 782 782 782 570.86 Percent of total billed charges 73% of charges 782 477.02 Percent of total billed charges 61% of chages 782 453.56 Percent of charges 58% of charges 782 383.18 Percent of charges 49% of charges 782 664.7 Percent of charges 85% of charges 782 602.14 Percent of charges 77% of charges 782 508.3 Percent of charges 65% of charges 782 609.96 Percent of charges 78% of charges 782 375.36 Percent of charges 48% of charges 782 782 ABD-VAG VESIL NECK SUSP-PRO 51845 CPT 51845P LOCAL 26 outpatient 1132 1132 1132 826.36 Percent of total billed charges 73% of charges 1132 690.52 Percent of total billed charges 61% of chages 1132 656.56 Percent of charges 58% of charges 1132 554.68 Percent of charges 49% of charges 1132 962.2 Percent of charges 85% of charges 1132 871.64 Percent of charges 77% of charges 1132 735.8 Percent of charges 65% of charges 1132 882.96 Percent of charges 78% of charges 1132 543.36 Percent of charges 48% of charges 1132 1132 ABLATION NOVASURE 3801099 LOCAL both 5208 5208 5208 3801.84 Percent of total billed charges 73% of charges 5208 3176.88 Percent of total billed charges 61% of chages 5208 3020.64 Percent of charges 58% of charges 5208 2551.92 Percent of charges 49% of charges 5208 4426.8 Percent of charges 85% of charges 5208 4010.16 Percent of charges 77% of charges 5208 3385.2 Percent of charges 65% of charges 5208 4062.24 Percent of charges 78% of charges 5208 2499.84 Percent of charges 48% of charges 5208 5208 ABO TYPE 86900 CPT 4356900 LOCAL both 81 81 81 59.13 Percent of total billed charges 73% of charges 81 49.41 Percent of total billed charges 61% of chages 81 46.98 Percent of charges 58% of charges 81 39.69 Percent of charges 49% of charges 81 68.85 Percent of charges 85% of charges 81 62.37 Percent of charges 77% of charges 81 52.65 Percent of charges 65% of charges 81 63.18 Percent of charges 78% of charges 81 38.88 Percent of charges 48% of charges 81 81 ABR-AUDITORY BRAINSTM RES 92650 CPT 92585F LOCAL both 485 485 485 354.05 Percent of total billed charges 73% of charges 485 295.85 Percent of total billed charges 61% of chages 485 281.3 Percent of charges 58% of charges 485 237.65 Percent of charges 49% of charges 485 412.25 Percent of charges 85% of charges 485 373.45 Percent of charges 77% of charges 485 315.25 Percent of charges 65% of charges 485 378.3 Percent of charges 78% of charges 485 232.8 Percent of charges 48% of charges 485 485 AC JOINT-BILATERAL 73050 CPT 4602398 LOCAL outpatient 381 381 381 278.13 Percent of total billed charges 73% of charges 381 232.41 Percent of total billed charges 61% of chages 381 220.98 Percent of charges 58% of charges 381 186.69 Percent of charges 49% of charges 381 323.85 Percent of charges 85% of charges 381 293.37 Percent of charges 77% of charges 381 247.65 Percent of charges 65% of charges 381 297.18 Percent of charges 78% of charges 381 182.88 Percent of charges 48% of charges 381 381 ACE (ANGIO-TENSIN CON ENZ 82164 CPT 4302164 LOCAL both 194 194 194 141.62 Percent of total billed charges 73% of charges 194 118.34 Percent of total billed charges 61% of chages 194 112.52 Percent of charges 58% of charges 194 95.06 Percent of charges 49% of charges 194 164.9 Percent of charges 85% of charges 194 149.38 Percent of charges 77% of charges 194 126.1 Percent of charges 65% of charges 194 151.32 Percent of charges 78% of charges 194 93.12 Percent of charges 48% of charges 194 194 ACE POLYMORPHISM 81400 CPT 4301129 LOCAL both 541 541 541 394.93 Percent of total billed charges 73% of charges 541 330.01 Percent of total billed charges 61% of chages 541 313.78 Percent of charges 58% of charges 541 265.09 Percent of charges 49% of charges 541 459.85 Percent of charges 85% of charges 541 416.57 Percent of charges 77% of charges 541 351.65 Percent of charges 65% of charges 541 421.98 Percent of charges 78% of charges 541 259.68 Percent of charges 48% of charges 541 541 ACETAMIN. ES 500MG TAB J3490 HCPCS 4810194 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 ACETAMINOPHEN 80329 CPT 4302003 LOCAL both 195 195 195 142.35 Percent of total billed charges 73% of charges 195 118.95 Percent of total billed charges 61% of chages 195 113.1 Percent of charges 58% of charges 195 95.55 Percent of charges 49% of charges 195 165.75 Percent of charges 85% of charges 195 150.15 Percent of charges 77% of charges 195 126.75 Percent of charges 65% of charges 195 152.1 Percent of charges 78% of charges 195 93.6 Percent of charges 48% of charges 195 195 ACETAMINOPHEN 120MLBTL OR SUSP A9150 HCPCS 4811985 LOCAL both 5.5 5.5 5.5 4.02 Percent of total billed charges 73% of charges 5.5 3.355 Percent of total billed charges 61% of chages 5.5 3.19 Percent of charges 58% of charges 5.5 2.695 Percent of charges 49% of charges 5.5 4.675 Percent of charges 85% of charges 5.5 4.235 Percent of charges 77% of charges 5.5 3.575 Percent of charges 65% of charges 5.5 4.29 Percent of charges 78% of charges 5.5 2.64 Percent of charges 48% of charges 5.5 5.5 ACETAMINOPHEN 325MG TAB A9150 HCPCS 4810196 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 ACETAMINOPHEN 325MG TAB J3490 HCPCS 4810196 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 ACETAMINOPHEN-MED TOX 80299 CPT 4301146 LOCAL both 211 211 211 154.03 Percent of total billed charges 73% of charges 211 128.71 Percent of total billed charges 61% of chages 211 122.38 Percent of charges 58% of charges 211 103.39 Percent of charges 49% of charges 211 179.35 Percent of charges 85% of charges 211 162.47 Percent of charges 77% of charges 211 137.15 Percent of charges 65% of charges 211 164.58 Percent of charges 78% of charges 211 101.28 Percent of charges 48% of charges 211 211 ACETONE GC 82010 CPT 4300986 LOCAL both 104 104 104 75.92 Percent of total billed charges 73% of charges 104 63.44 Percent of total billed charges 61% of chages 104 60.32 Percent of charges 58% of charges 104 50.96 Percent of charges 49% of charges 104 88.4 Percent of charges 85% of charges 104 80.08 Percent of charges 77% of charges 104 67.6 Percent of charges 65% of charges 104 81.12 Percent of charges 78% of charges 104 49.92 Percent of charges 48% of charges 104 104 ACETYCHOLINE (ACHR) MODUL 83516 CPT 4300957 LOCAL both 111 111 111 81.03 Percent of total billed charges 73% of charges 111 67.71 Percent of total billed charges 61% of chages 111 64.38 Percent of charges 58% of charges 111 54.39 Percent of charges 49% of charges 111 94.35 Percent of charges 85% of charges 111 85.47 Percent of charges 77% of charges 111 72.15 Percent of charges 65% of charges 111 86.58 Percent of charges 78% of charges 111 53.28 Percent of charges 48% of charges 111 111 ACETYCHOLINE(ACHR)BLOCKNG 83516 CPT 4300797 LOCAL both 169 169 169 123.37 Percent of total billed charges 73% of charges 169 103.09 Percent of total billed charges 61% of chages 169 98.02 Percent of charges 58% of charges 169 82.81 Percent of charges 49% of charges 169 143.65 Percent of charges 85% of charges 169 130.13 Percent of charges 77% of charges 169 109.85 Percent of charges 65% of charges 169 131.82 Percent of charges 78% of charges 169 81.12 Percent of charges 48% of charges 169 169 ACETYLCHOLINE(ACHR)BINDNG 83519 CPT 4300805 LOCAL both 245 245 245 178.85 Percent of total billed charges 73% of charges 245 149.45 Percent of total billed charges 61% of chages 245 142.1 Percent of charges 58% of charges 245 120.05 Percent of charges 49% of charges 245 208.25 Percent of charges 85% of charges 245 188.65 Percent of charges 77% of charges 245 159.25 Percent of charges 65% of charges 245 191.1 Percent of charges 78% of charges 245 117.6 Percent of charges 48% of charges 245 245 ACNE SUREGERY-PRO 10040 CPT 10040P LOCAL 26 outpatient 258 258 258 188.34 Percent of total billed charges 73% of charges 258 157.38 Percent of total billed charges 61% of chages 258 149.64 Percent of charges 58% of charges 258 126.42 Percent of charges 49% of charges 258 219.3 Percent of charges 85% of charges 258 198.66 Percent of charges 77% of charges 258 167.7 Percent of charges 65% of charges 258 201.24 Percent of charges 78% of charges 258 123.84 Percent of charges 48% of charges 258 258 ACNE SURGERY-FAC 10040 CPT 10040F LOCAL TC outpatient 241 241 241 175.93 Percent of total billed charges 73% of charges 241 147.01 Percent of total billed charges 61% of chages 241 139.78 Percent of charges 58% of charges 241 118.09 Percent of charges 49% of charges 241 204.85 Percent of charges 85% of charges 241 185.57 Percent of charges 77% of charges 241 156.65 Percent of charges 65% of charges 241 187.98 Percent of charges 78% of charges 241 115.68 Percent of charges 48% of charges 241 241 ACNE SURGERY-TOT 10040 CPT 10040T LOCAL outpatient 499 499 499 364.27 Percent of total billed charges 73% of charges 499 304.39 Percent of total billed charges 61% of chages 499 289.42 Percent of charges 58% of charges 499 244.51 Percent of charges 49% of charges 499 424.15 Percent of charges 85% of charges 499 384.23 Percent of charges 77% of charges 499 324.35 Percent of charges 65% of charges 499 389.22 Percent of charges 78% of charges 499 239.52 Percent of charges 48% of charges 499 499 ACROMINOPL/ACROMIONECT PT-PRO 23130 CPT 23130P LOCAL 26 outpatient 1176 1176 1176 858.48 Percent of total billed charges 73% of charges 1176 717.36 Percent of total billed charges 61% of chages 1176 682.08 Percent of charges 58% of charges 1176 576.24 Percent of charges 49% of charges 1176 999.6 Percent of charges 85% of charges 1176 905.52 Percent of charges 77% of charges 1176 764.4 Percent of charges 65% of charges 1176 917.28 Percent of charges 78% of charges 1176 564.48 Percent of charges 48% of charges 1176 1176 ACTH(ADRENOCORTICOTROPIC) 82024 CPT 4302024 LOCAL both 262 262 262 191.26 Percent of total billed charges 73% of charges 262 159.82 Percent of total billed charges 61% of chages 262 151.96 Percent of charges 58% of charges 262 128.38 Percent of charges 49% of charges 262 222.7 Percent of charges 85% of charges 262 201.74 Percent of charges 77% of charges 262 170.3 Percent of charges 65% of charges 262 204.36 Percent of charges 78% of charges 262 125.76 Percent of charges 48% of charges 262 262 ACTIVATED PROTEIN C(APCR) 85307 CPT 4305307 LOCAL 26 both 149 149 149 108.77 Percent of total billed charges 73% of charges 149 90.89 Percent of total billed charges 61% of chages 149 86.42 Percent of charges 58% of charges 149 73.01 Percent of charges 49% of charges 149 126.65 Percent of charges 85% of charges 149 114.73 Percent of charges 77% of charges 149 96.85 Percent of charges 65% of charges 149 116.22 Percent of charges 78% of charges 149 71.52 Percent of charges 48% of charges 149 149 ACUTE ABD SERIES-CHEST 74022 CPT 4603059 LOCAL outpatient 495 495 495 361.35 Percent of total billed charges 73% of charges 495 301.95 Percent of total billed charges 61% of chages 495 287.1 Percent of charges 58% of charges 495 242.55 Percent of charges 49% of charges 495 420.75 Percent of charges 85% of charges 495 381.15 Percent of charges 77% of charges 495 321.75 Percent of charges 65% of charges 495 386.1 Percent of charges 78% of charges 495 237.6 Percent of charges 48% of charges 495 495 ADALIMUMAB LEVEL 80145 CPT 4301180 LOCAL both 776 776 776 566.48 Percent of total billed charges 73% of charges 776 473.36 Percent of total billed charges 61% of chages 776 450.08 Percent of charges 58% of charges 776 380.24 Percent of charges 49% of charges 776 659.6 Percent of charges 85% of charges 776 597.52 Percent of charges 77% of charges 776 504.4 Percent of charges 65% of charges 776 605.28 Percent of charges 78% of charges 776 372.48 Percent of charges 48% of charges 776 776 Adapter Ped/Adult Single Use 3700128 LOCAL both 61 61 61 44.53 Percent of total billed charges 73% of charges 61 37.21 Percent of total billed charges 61% of chages 61 35.38 Percent of charges 58% of charges 61 29.89 Percent of charges 49% of charges 61 51.85 Percent of charges 85% of charges 61 46.97 Percent of charges 77% of charges 61 39.65 Percent of charges 65% of charges 61 47.58 Percent of charges 78% of charges 61 29.28 Percent of charges 48% of charges 61 61 ADDED ASSIST PERSONNEL EA 30M 3800006 LOCAL both 93 93 93 67.89 Percent of total billed charges 73% of charges 93 56.73 Percent of total billed charges 61% of chages 93 53.94 Percent of charges 58% of charges 93 45.57 Percent of charges 49% of charges 93 79.05 Percent of charges 85% of charges 93 71.61 Percent of charges 77% of charges 93 60.45 Percent of charges 65% of charges 93 72.54 Percent of charges 78% of charges 93 44.64 Percent of charges 48% of charges 93 93 ADDERALL 80325 CPT 4300325 LOCAL both 13 13 13 9.49 Percent of total billed charges 73% of charges 13 7.93 Percent of total billed charges 61% of chages 13 7.54 Percent of charges 58% of charges 13 6.37 Percent of charges 49% of charges 13 11.05 Percent of charges 85% of charges 13 10.01 Percent of charges 77% of charges 13 8.45 Percent of charges 65% of charges 13 10.14 Percent of charges 78% of charges 13 6.24 Percent of charges 48% of charges 13 13 ADENO VIRUS Ab IgG 86603 CPT 4306603 LOCAL both 129 129 129 94.17 Percent of total billed charges 73% of charges 129 78.69 Percent of total billed charges 61% of chages 129 74.82 Percent of charges 58% of charges 129 63.21 Percent of charges 49% of charges 129 109.65 Percent of charges 85% of charges 129 99.33 Percent of charges 77% of charges 129 83.85 Percent of charges 65% of charges 129 100.62 Percent of charges 78% of charges 129 61.92 Percent of charges 48% of charges 129 129 ADENOVIRUS AG 87301 CPT 4307301 LOCAL both 75 75 75 54.75 Percent of total billed charges 73% of charges 75 45.75 Percent of total billed charges 61% of chages 75 43.5 Percent of charges 58% of charges 75 36.75 Percent of charges 49% of charges 75 63.75 Percent of charges 85% of charges 75 57.75 Percent of charges 77% of charges 75 48.75 Percent of charges 65% of charges 75 58.5 Percent of charges 78% of charges 75 36 Percent of charges 48% of charges 75 75 "ADJ TIS FLP, H/H/F 10SQCM<-PRO" 14040 CPT 14040P LOCAL 26 outpatient 1187 1187 1187 866.51 Percent of total billed charges 73% of charges 1187 724.07 Percent of total billed charges 61% of chages 1187 688.46 Percent of charges 58% of charges 1187 581.63 Percent of charges 49% of charges 1187 1008.95 Percent of charges 85% of charges 1187 913.99 Percent of charges 77% of charges 1187 771.55 Percent of charges 65% of charges 1187 925.86 Percent of charges 78% of charges 1187 569.76 Percent of charges 48% of charges 1187 1187 ADL/SELF HOME MGT TR 15MN 97535 CPT 5100101 LOCAL outpatient 116 116 116 84.68 Percent of total billed charges 73% of charges 116 70.76 Percent of total billed charges 61% of chages 116 67.28 Percent of charges 58% of charges 116 56.84 Percent of charges 49% of charges 116 98.6 Percent of charges 85% of charges 116 89.32 Percent of charges 77% of charges 116 75.4 Percent of charges 65% of charges 116 90.48 Percent of charges 78% of charges 116 55.68 Percent of charges 48% of charges 116 116 ADL-HOME MGT 15 MIN 97535 CPT 5110035 LOCAL outpatient 116 116 116 84.68 Percent of total billed charges 73% of charges 116 70.76 Percent of total billed charges 61% of chages 116 67.28 Percent of charges 58% of charges 116 56.84 Percent of charges 49% of charges 116 98.6 Percent of charges 85% of charges 116 89.32 Percent of charges 77% of charges 116 75.4 Percent of charges 65% of charges 116 90.48 Percent of charges 78% of charges 116 55.68 Percent of charges 48% of charges 116 116 ADM JANSSEN VACCINE 0031A CPT 0031A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM MODERNA 1ST DOSE 0011A CPT 0011A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM MODERNA 2ND DOSE 0012A CPT 0012A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM MODERNA 3RD DOSE 0013A CPT 0013A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM MODERNA BIVALENT COVID VAC 0134A LOCAL both 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM PFIZER 1ST DOSE 0001A CPT 0001A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM PFIZER 2ND DOSE 0002A CPT 0002A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM PFIZER 3RD DOSE 0003A CPT 0003A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM PFIZER BIVALENT COVID VACC 0124A LOCAL both 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADM PFIZER BOOSTER 0004A CPT 0004A LOCAL both 1 ea 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 ADRENAL AB 86255 86255 CPT 4300611 LOCAL outpatient 221 221 221 161.33 Percent of total billed charges 73% of charges 221 134.81 Percent of total billed charges 61% of chages 221 128.18 Percent of charges 58% of charges 221 108.29 Percent of charges 49% of charges 221 187.85 Percent of charges 85% of charges 221 170.17 Percent of charges 77% of charges 221 143.65 Percent of charges 65% of charges 221 172.38 Percent of charges 78% of charges 221 106.08 Percent of charges 48% of charges 221 221 AEROSOL/MDI 94640 CPT 5004640 LOCAL outpatient 402 402 402 293.46 Percent of total billed charges 73% of charges 402 245.22 Percent of total billed charges 61% of chages 402 233.16 Percent of charges 58% of charges 402 196.98 Percent of charges 49% of charges 402 341.7 Percent of charges 85% of charges 402 309.54 Percent of charges 77% of charges 402 261.3 Percent of charges 65% of charges 402 313.56 Percent of charges 78% of charges 402 192.96 Percent of charges 48% of charges 402 402 AFLURIA 90686 CPT 4802125 LOCAL both 100.25 100.25 100.25 73.18 Percent of total billed charges 73% of charges 100.25 61.1525 Percent of total billed charges 61% of chages 100.25 58.145 Percent of charges 58% of charges 100.25 49.1225 Percent of charges 49% of charges 100.25 85.2125 Percent of charges 85% of charges 100.25 77.1925 Percent of charges 77% of charges 100.25 65.1625 Percent of charges 65% of charges 100.25 78.195 Percent of charges 78% of charges 100.25 48.12 Percent of charges 48% of charges 100.25 100.25 AGT PHASE OF CROSSMATCH 86922 CPT 4356922 LOCAL both 178 178 178 129.94 Percent of total billed charges 73% of charges 178 108.58 Percent of total billed charges 61% of chages 178 103.24 Percent of charges 58% of charges 178 87.22 Percent of charges 49% of charges 178 151.3 Percent of charges 85% of charges 178 137.06 Percent of charges 77% of charges 178 115.7 Percent of charges 65% of charges 178 138.84 Percent of charges 78% of charges 178 85.44 Percent of charges 48% of charges 178 178 ALBUMIN NON-BLOOD 82042 CPT 4302042 LOCAL both 52 52 52 37.96 Percent of total billed charges 73% of charges 52 31.72 Percent of total billed charges 61% of chages 52 30.16 Percent of charges 58% of charges 52 25.48 Percent of charges 49% of charges 52 44.2 Percent of charges 85% of charges 52 40.04 Percent of charges 77% of charges 52 33.8 Percent of charges 65% of charges 52 40.56 Percent of charges 78% of charges 52 24.96 Percent of charges 48% of charges 52 52 ALBUMIN-SERUM 82040 CPT 4302040 LOCAL both 42 42 42 30.66 Percent of total billed charges 73% of charges 42 25.62 Percent of total billed charges 61% of chages 42 24.36 Percent of charges 58% of charges 42 20.58 Percent of charges 49% of charges 42 35.7 Percent of charges 85% of charges 42 32.34 Percent of charges 77% of charges 42 27.3 Percent of charges 65% of charges 42 32.76 Percent of charges 78% of charges 42 20.16 Percent of charges 48% of charges 42 42 ALBUTEROL INH SOLN 0.083% J7613 HCPCS 4811433 LOCAL both 4 4 4 2.92 Percent of total billed charges 73% of charges 4 2.44 Percent of total billed charges 61% of chages 4 2.32 Percent of charges 58% of charges 4 1.96 Percent of charges 49% of charges 4 3.4 Percent of charges 85% of charges 4 3.08 Percent of charges 77% of charges 4 2.6 Percent of charges 65% of charges 4 3.12 Percent of charges 78% of charges 4 1.92 Percent of charges 48% of charges 4 4 ALBUTEROL INH SOLN 0.63MG J7613 HCPCS 4811431 LOCAL both 8.75 8.75 8.75 6.39 Percent of total billed charges 73% of charges 8.75 5.3375 Percent of total billed charges 61% of chages 8.75 5.075 Percent of charges 58% of charges 8.75 4.2875 Percent of charges 49% of charges 8.75 7.4375 Percent of charges 85% of charges 8.75 6.7375 Percent of charges 77% of charges 8.75 5.6875 Percent of charges 65% of charges 8.75 6.825 Percent of charges 78% of charges 8.75 4.2 Percent of charges 48% of charges 8.75 8.75 ALBUT-IPRATROPRUM NEB J7620 HCPCS 4811434 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 ALCOHOL ETHANOL ANY SPEC 80320 CPT 4302055 LOCAL both 126 126 126 91.98 Percent of total billed charges 73% of charges 126 76.86 Percent of total billed charges 61% of chages 126 73.08 Percent of charges 58% of charges 126 61.74 Percent of charges 49% of charges 126 107.1 Percent of charges 85% of charges 126 97.02 Percent of charges 77% of charges 126 81.9 Percent of charges 65% of charges 126 98.28 Percent of charges 78% of charges 126 60.48 Percent of charges 48% of charges 126 126 "ALCOHOL, BLOOD-LEGAL" 80320 CPT 4300468 LOCAL both 211 211 211 154.03 Percent of total billed charges 73% of charges 211 128.71 Percent of total billed charges 61% of chages 211 122.38 Percent of charges 58% of charges 211 103.39 Percent of charges 49% of charges 211 179.35 Percent of charges 85% of charges 211 162.47 Percent of charges 77% of charges 211 137.15 Percent of charges 65% of charges 211 164.58 Percent of charges 78% of charges 211 101.28 Percent of charges 48% of charges 211 211 ALDOLASE 82085 CPT 4302085 LOCAL both 126 126 126 91.98 Percent of total billed charges 73% of charges 126 76.86 Percent of total billed charges 61% of chages 126 73.08 Percent of charges 58% of charges 126 61.74 Percent of charges 49% of charges 126 107.1 Percent of charges 85% of charges 126 97.02 Percent of charges 77% of charges 126 81.9 Percent of charges 65% of charges 126 98.28 Percent of charges 78% of charges 126 60.48 Percent of charges 48% of charges 126 126 ALDOSTERONE 82088 CPT 4302088 LOCAL both 313 313 313 228.49 Percent of total billed charges 73% of charges 313 190.93 Percent of total billed charges 61% of chages 313 181.54 Percent of charges 58% of charges 313 153.37 Percent of charges 49% of charges 313 266.05 Percent of charges 85% of charges 313 241.01 Percent of charges 77% of charges 313 203.45 Percent of charges 65% of charges 313 244.14 Percent of charges 78% of charges 313 150.24 Percent of charges 48% of charges 313 313 ALEXIS LARGE RETRACTOR 3801501 LOCAL both 449 449 449 327.77 Percent of total billed charges 73% of charges 449 273.89 Percent of total billed charges 61% of chages 449 260.42 Percent of charges 58% of charges 449 220.01 Percent of charges 49% of charges 449 381.65 Percent of charges 85% of charges 449 345.73 Percent of charges 77% of charges 449 291.85 Percent of charges 65% of charges 449 350.22 Percent of charges 78% of charges 449 215.52 Percent of charges 48% of charges 449 449 ALEXIS MED RETRACTOR 3801503 LOCAL both 325 325 325 237.25 Percent of total billed charges 73% of charges 325 198.25 Percent of total billed charges 61% of chages 325 188.5 Percent of charges 58% of charges 325 159.25 Percent of charges 49% of charges 325 276.25 Percent of charges 85% of charges 325 250.25 Percent of charges 77% of charges 325 211.25 Percent of charges 65% of charges 325 253.5 Percent of charges 78% of charges 325 156 Percent of charges 48% of charges 325 325 ALK PHOS 84075 CPT 4304075 LOCAL both 45 45 45 32.85 Percent of total billed charges 73% of charges 45 27.45 Percent of total billed charges 61% of chages 45 26.1 Percent of charges 58% of charges 45 22.05 Percent of charges 49% of charges 45 38.25 Percent of charges 85% of charges 45 34.65 Percent of charges 77% of charges 45 29.25 Percent of charges 65% of charges 45 35.1 Percent of charges 78% of charges 45 21.6 Percent of charges 48% of charges 45 45 ALK PHOS ISO ENZYMES 84080 CPT 4304080 LOCAL both 176 176 176 128.48 Percent of total billed charges 73% of charges 176 107.36 Percent of total billed charges 61% of chages 176 102.08 Percent of charges 58% of charges 176 86.24 Percent of charges 49% of charges 176 149.6 Percent of charges 85% of charges 176 135.52 Percent of charges 77% of charges 176 114.4 Percent of charges 65% of charges 176 137.28 Percent of charges 78% of charges 176 84.48 Percent of charges 48% of charges 176 176 "ALK PHOS, BONE SPECIFIC" 84075 CPT 4301095 LOCAL both 41 41 41 29.93 Percent of total billed charges 73% of charges 41 25.01 Percent of total billed charges 61% of chages 41 23.78 Percent of charges 58% of charges 41 20.09 Percent of charges 49% of charges 41 34.85 Percent of charges 85% of charges 41 31.57 Percent of charges 77% of charges 41 26.65 Percent of charges 65% of charges 41 31.98 Percent of charges 78% of charges 41 19.68 Percent of charges 48% of charges 41 41 ALLERGEN SPECIFIC IgE 86003 CPT 4306003 LOCAL both 41 41 41 29.93 Percent of total billed charges 73% of charges 41 25.01 Percent of total billed charges 61% of chages 41 23.78 Percent of charges 58% of charges 41 20.09 Percent of charges 49% of charges 41 34.85 Percent of charges 85% of charges 41 31.57 Percent of charges 77% of charges 41 26.65 Percent of charges 65% of charges 41 31.98 Percent of charges 78% of charges 41 19.68 Percent of charges 48% of charges 41 41 ALLERGEN SPECIFIC IgG 86001 CPT 4306001 LOCAL both 36 36 36 26.28 Percent of total billed charges 73% of charges 36 21.96 Percent of total billed charges 61% of chages 36 20.88 Percent of charges 58% of charges 36 17.64 Percent of charges 49% of charges 36 30.6 Percent of charges 85% of charges 36 27.72 Percent of charges 77% of charges 36 23.4 Percent of charges 65% of charges 36 28.08 Percent of charges 78% of charges 36 17.28 Percent of charges 48% of charges 36 36 ALLERGY MULT W/O EXT PROF 95117 CPT 95117P LOCAL 26 outpatient 104 104 104 75.92 Percent of total billed charges 73% of charges 104 63.44 Percent of total billed charges 61% of chages 104 60.32 Percent of charges 58% of charges 104 50.96 Percent of charges 49% of charges 104 88.4 Percent of charges 85% of charges 104 80.08 Percent of charges 77% of charges 104 67.6 Percent of charges 65% of charges 104 81.12 Percent of charges 78% of charges 104 49.92 Percent of charges 48% of charges 104 104 ALLERGY SGL W/O EXT PROF-FAC 95115 CPT 95115P LOCAL TC outpatient 65 65 65 47.45 Percent of total billed charges 73% of charges 65 39.65 Percent of total billed charges 61% of chages 65 37.7 Percent of charges 58% of charges 65 31.85 Percent of charges 49% of charges 65 55.25 Percent of charges 85% of charges 65 50.05 Percent of charges 77% of charges 65 42.25 Percent of charges 65% of charges 65 50.7 Percent of charges 78% of charges 65 31.2 Percent of charges 48% of charges 65 65 ALPHA 1 ANTITRYPSIN PHENO 82104 CPT 4302104 LOCAL both 259 259 259 189.07 Percent of total billed charges 73% of charges 259 157.99 Percent of total billed charges 61% of chages 259 150.22 Percent of charges 58% of charges 259 126.91 Percent of charges 49% of charges 259 220.15 Percent of charges 85% of charges 259 199.43 Percent of charges 77% of charges 259 168.35 Percent of charges 65% of charges 259 202.02 Percent of charges 78% of charges 259 124.32 Percent of charges 48% of charges 259 259 ALPHA 1 ANTI-TRYSPIN 82103 CPT 4302103 LOCAL both 110 110 110 80.3 Percent of total billed charges 73% of charges 110 67.1 Percent of total billed charges 61% of chages 110 63.8 Percent of charges 58% of charges 110 53.9 Percent of charges 49% of charges 110 93.5 Percent of charges 85% of charges 110 84.7 Percent of charges 77% of charges 110 71.5 Percent of charges 65% of charges 110 85.8 Percent of charges 78% of charges 110 52.8 Percent of charges 48% of charges 110 110 ALPHA 2 MACROGLOBULIN 83883 CPT 4300792 LOCAL both 161 161 161 117.53 Percent of total billed charges 73% of charges 161 98.21 Percent of total billed charges 61% of chages 161 93.38 Percent of charges 58% of charges 161 78.89 Percent of charges 49% of charges 161 136.85 Percent of charges 85% of charges 161 123.97 Percent of charges 77% of charges 161 104.65 Percent of charges 65% of charges 161 125.58 Percent of charges 78% of charges 161 77.28 Percent of charges 48% of charges 161 161 ALPHA MELANOCYTE STIM HORMONE 83519 CPT 4301181 LOCAL both 324 324 324 236.52 Percent of total billed charges 73% of charges 324 197.64 Percent of total billed charges 61% of chages 324 187.92 Percent of charges 58% of charges 324 158.76 Percent of charges 49% of charges 324 275.4 Percent of charges 85% of charges 324 249.48 Percent of charges 77% of charges 324 210.6 Percent of charges 65% of charges 324 252.72 Percent of charges 78% of charges 324 155.52 Percent of charges 48% of charges 324 324 ALPHA SUBUNIT 82397 CPT 4301084 LOCAL both 202 202 202 147.46 Percent of total billed charges 73% of charges 202 123.22 Percent of total billed charges 61% of chages 202 117.16 Percent of charges 58% of charges 202 98.98 Percent of charges 49% of charges 202 171.7 Percent of charges 85% of charges 202 155.54 Percent of charges 77% of charges 202 131.3 Percent of charges 65% of charges 202 157.56 Percent of charges 78% of charges 202 96.96 Percent of charges 48% of charges 202 202 ALPHA-FETOPROTEIN SERUM 82105 CPT 4302105 LOCAL 26 both 137 137 137 100.01 Percent of total billed charges 73% of charges 137 83.57 Percent of total billed charges 61% of chages 137 79.46 Percent of charges 58% of charges 137 67.13 Percent of charges 49% of charges 137 116.45 Percent of charges 85% of charges 137 105.49 Percent of charges 77% of charges 137 89.05 Percent of charges 65% of charges 137 106.86 Percent of charges 78% of charges 137 65.76 Percent of charges 48% of charges 137 137 ALUM & MAG HYDR 30ML UD J3490 HCPCS 4810261 LOCAL both 19 19 19 13.87 Percent of total billed charges 73% of charges 19 11.59 Percent of total billed charges 61% of chages 19 11.02 Percent of charges 58% of charges 19 9.31 Percent of charges 49% of charges 19 16.15 Percent of charges 85% of charges 19 14.63 Percent of charges 77% of charges 19 12.35 Percent of charges 65% of charges 19 14.82 Percent of charges 78% of charges 19 9.12 Percent of charges 48% of charges 19 19 ALUMINUM 82108 CPT 4302108 LOCAL both 188 188 188 137.24 Percent of total billed charges 73% of charges 188 114.68 Percent of total billed charges 61% of chages 188 109.04 Percent of charges 58% of charges 188 92.12 Percent of charges 49% of charges 188 159.8 Percent of charges 85% of charges 188 144.76 Percent of charges 77% of charges 188 122.2 Percent of charges 65% of charges 188 146.64 Percent of charges 78% of charges 188 90.24 Percent of charges 48% of charges 188 188 AMBIEN 80359 CPT 4300359 LOCAL both 13 13 13 9.49 Percent of total billed charges 73% of charges 13 7.93 Percent of total billed charges 61% of chages 13 7.54 Percent of charges 58% of charges 13 6.37 Percent of charges 49% of charges 13 11.05 Percent of charges 85% of charges 13 10.01 Percent of charges 77% of charges 13 8.45 Percent of charges 65% of charges 13 10.14 Percent of charges 78% of charges 13 6.24 Percent of charges 48% of charges 13 13 AMIKACIN 80150 CPT 4301157 LOCAL both 34 34 34 24.82 Percent of total billed charges 73% of charges 34 20.74 Percent of total billed charges 61% of chages 34 19.72 Percent of charges 58% of charges 34 16.66 Percent of charges 49% of charges 34 28.9 Percent of charges 85% of charges 34 26.18 Percent of charges 77% of charges 34 22.1 Percent of charges 65% of charges 34 26.52 Percent of charges 78% of charges 34 16.32 Percent of charges 48% of charges 34 34 AMINO ACIDS QUANT 82139 CPT 4302139 LOCAL both 536 536 536 391.28 Percent of total billed charges 73% of charges 536 326.96 Percent of total billed charges 61% of chages 536 310.88 Percent of charges 58% of charges 536 262.64 Percent of charges 49% of charges 536 455.6 Percent of charges 85% of charges 536 412.72 Percent of charges 77% of charges 536 348.4 Percent of charges 65% of charges 536 418.08 Percent of charges 78% of charges 536 257.28 Percent of charges 48% of charges 536 536 AMIODARONE + METABOLITE 80299 CPT 4300306 LOCAL both 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 AMLODIPINE 5MG TAB J3490 HCPCS 4810517 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 AMMONIA 82140 CPT 4302140 LOCAL both 149 149 149 108.77 Percent of total billed charges 73% of charges 149 90.89 Percent of total billed charges 61% of chages 149 86.42 Percent of charges 58% of charges 149 73.01 Percent of charges 49% of charges 149 126.65 Percent of charges 85% of charges 149 114.73 Percent of charges 77% of charges 149 96.85 Percent of charges 65% of charges 149 116.22 Percent of charges 78% of charges 149 71.52 Percent of charges 48% of charges 149 149 AMMONIA INHALANTS J3490 HCPCS 4810270 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 AMNIOCENTESIS 59000 CPT 4655900 LOCAL outpatient 773 773 773 564.29 Percent of total billed charges 73% of charges 773 471.53 Percent of total billed charges 61% of chages 773 448.34 Percent of charges 58% of charges 773 378.77 Percent of charges 49% of charges 773 657.05 Percent of charges 85% of charges 773 595.21 Percent of charges 77% of charges 773 502.45 Percent of charges 65% of charges 773 602.94 Percent of charges 78% of charges 773 371.04 Percent of charges 48% of charges 773 773 AMNIOCENTESIS - PRO 59000 CPT 59000P LOCAL 26 outpatient 160 160 160 116.8 Percent of total billed charges 73% of charges 160 97.6 Percent of total billed charges 61% of chages 160 92.8 Percent of charges 58% of charges 160 78.4 Percent of charges 49% of charges 160 136 Percent of charges 85% of charges 160 123.2 Percent of charges 77% of charges 160 104 Percent of charges 65% of charges 160 124.8 Percent of charges 78% of charges 160 76.8 Percent of charges 48% of charges 160 160 AMNIOFILL 1000MG AF-1000 3802510 LOCAL both 10130 10130 10130 7394.9 Percent of total billed charges 73% of charges 10130 6179.3 Percent of total billed charges 61% of chages 10130 5875.4 Percent of charges 58% of charges 10130 4963.7 Percent of charges 49% of charges 10130 8610.5 Percent of charges 85% of charges 10130 7800.1 Percent of charges 77% of charges 10130 6584.5 Percent of charges 65% of charges 10130 7901.4 Percent of charges 78% of charges 10130 4862.4 Percent of charges 48% of charges 10130 10130 AMPHETAMINES 80305 CPT 4300448 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 AMPHETAMINES QUANT GC/MS 80324 CPT 4300859 LOCAL both 181 181 181 132.13 Percent of total billed charges 73% of charges 181 110.41 Percent of total billed charges 61% of chages 181 104.98 Percent of charges 58% of charges 181 88.69 Percent of charges 49% of charges 181 153.85 Percent of charges 85% of charges 181 139.37 Percent of charges 77% of charges 181 117.65 Percent of charges 65% of charges 181 141.18 Percent of charges 78% of charges 181 86.88 Percent of charges 48% of charges 181 181 AMPLIFIED PROB EA ORGANISM 87798 CPT 4300996 LOCAL 26 both 127 127 127 92.71 Percent of total billed charges 73% of charges 127 77.47 Percent of total billed charges 61% of chages 127 73.66 Percent of charges 58% of charges 127 62.23 Percent of charges 49% of charges 127 107.95 Percent of charges 85% of charges 127 97.79 Percent of charges 77% of charges 127 82.55 Percent of charges 65% of charges 127 99.06 Percent of charges 78% of charges 127 60.96 Percent of charges 48% of charges 127 127 AMYLASE 82150 CPT 4302150 LOCAL both 52 52 52 37.96 Percent of total billed charges 73% of charges 52 31.72 Percent of total billed charges 61% of chages 52 30.16 Percent of charges 58% of charges 52 25.48 Percent of charges 49% of charges 52 44.2 Percent of charges 85% of charges 52 40.04 Percent of charges 77% of charges 52 33.8 Percent of charges 65% of charges 52 40.56 Percent of charges 78% of charges 52 24.96 Percent of charges 48% of charges 52 52 AMYLASE ISOENZYME/SALIVAR 82150 CPT 4300432 LOCAL both 147 147 147 107.31 Percent of total billed charges 73% of charges 147 89.67 Percent of total billed charges 61% of chages 147 85.26 Percent of charges 58% of charges 147 72.03 Percent of charges 49% of charges 147 124.95 Percent of charges 85% of charges 147 113.19 Percent of charges 77% of charges 147 95.55 Percent of charges 65% of charges 147 114.66 Percent of charges 78% of charges 147 70.56 Percent of charges 48% of charges 147 147 AMYLASE NON-BLOOD 82150 CPT 4308101 LOCAL both 93 93 93 67.89 Percent of total billed charges 73% of charges 93 56.73 Percent of total billed charges 61% of chages 93 53.94 Percent of charges 58% of charges 93 45.57 Percent of charges 49% of charges 93 79.05 Percent of charges 85% of charges 93 71.61 Percent of charges 77% of charges 93 60.45 Percent of charges 65% of charges 93 72.54 Percent of charges 78% of charges 93 44.64 Percent of charges 48% of charges 93 93 ANA SCREEN W/ REFLEX TITER 86038 CPT 4306038 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 ANA TITER 86039 CPT 4306039 LOCAL both 157 157 157 114.61 Percent of total billed charges 73% of charges 157 95.77 Percent of total billed charges 61% of chages 157 91.06 Percent of charges 58% of charges 157 76.93 Percent of charges 49% of charges 157 133.45 Percent of charges 85% of charges 157 120.89 Percent of charges 77% of charges 157 102.05 Percent of charges 65% of charges 157 122.46 Percent of charges 78% of charges 157 75.36 Percent of charges 48% of charges 157 157 ANAL STENOSIS-PRO 45905 CPT 45905P LOCAL 26 outpatient 324 324 324 236.52 Percent of total billed charges 73% of charges 324 197.64 Percent of total billed charges 61% of chages 324 187.92 Percent of charges 58% of charges 324 158.76 Percent of charges 49% of charges 324 275.4 Percent of charges 85% of charges 324 249.48 Percent of charges 77% of charges 324 210.6 Percent of charges 65% of charges 324 252.72 Percent of charges 78% of charges 324 155.52 Percent of charges 48% of charges 324 324 ANCA 83516 CPT 4306021 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 ANCA TITER 83516 CPT 4300537 LOCAL both 107 107 107 78.11 Percent of total billed charges 73% of charges 107 65.27 Percent of total billed charges 61% of chages 107 62.06 Percent of charges 58% of charges 107 52.43 Percent of charges 49% of charges 107 90.95 Percent of charges 85% of charges 107 82.39 Percent of charges 77% of charges 107 69.55 Percent of charges 65% of charges 107 83.46 Percent of charges 78% of charges 107 51.36 Percent of charges 48% of charges 107 107 ANDROSTEREDIONE 82157 CPT 4302157 LOCAL both 164 164 164 119.72 Percent of total billed charges 73% of charges 164 100.04 Percent of total billed charges 61% of chages 164 95.12 Percent of charges 58% of charges 164 80.36 Percent of charges 49% of charges 164 139.4 Percent of charges 85% of charges 164 126.28 Percent of charges 77% of charges 164 106.6 Percent of charges 65% of charges 164 127.92 Percent of charges 78% of charges 164 78.72 Percent of charges 48% of charges 164 164 ANEROBIC SENS 87181 CPT 4307181 LOCAL both 108 108 108 78.84 Percent of total billed charges 73% of charges 108 65.88 Percent of total billed charges 61% of chages 108 62.64 Percent of charges 58% of charges 108 52.92 Percent of charges 49% of charges 108 91.8 Percent of charges 85% of charges 108 83.16 Percent of charges 77% of charges 108 70.2 Percent of charges 65% of charges 108 84.24 Percent of charges 78% of charges 108 51.84 Percent of charges 48% of charges 108 108 ANES - TAP BLOCK BILATERAL 64488 CPT 64488F LOCAL outpatient 576 576 576 420.48 Percent of total billed charges 73% of charges 576 351.36 Percent of total billed charges 61% of chages 576 334.08 Percent of charges 58% of charges 576 282.24 Percent of charges 49% of charges 576 489.6 Percent of charges 85% of charges 576 443.52 Percent of charges 77% of charges 576 374.4 Percent of charges 65% of charges 576 449.28 Percent of charges 78% of charges 576 276.48 Percent of charges 48% of charges 576 576 ANES - TAP BLOCK UNILATERAL 64486 CPT 64486F LOCAL outpatient 386 386 386 281.78 Percent of total billed charges 73% of charges 386 235.46 Percent of total billed charges 61% of chages 386 223.88 Percent of charges 58% of charges 386 189.14 Percent of charges 49% of charges 386 328.1 Percent of charges 85% of charges 386 297.22 Percent of charges 77% of charges 386 250.9 Percent of charges 65% of charges 386 301.08 Percent of charges 78% of charges 386 185.28 Percent of charges 48% of charges 386 386 ANESTH PROF BASE+TIME UNT 4900400 LOCAL 26 both 134 134 134 97.82 Percent of total billed charges 73% of charges 134 81.74 Percent of total billed charges 61% of chages 134 77.72 Percent of charges 58% of charges 134 65.66 Percent of charges 49% of charges 134 113.9 Percent of charges 85% of charges 134 103.18 Percent of charges 77% of charges 134 87.1 Percent of charges 65% of charges 134 104.52 Percent of charges 78% of charges 134 64.32 Percent of charges 48% of charges 134 134 ANESTHESIA EACH HOUR 4900000 LOCAL both 450 450 450 328.5 Percent of total billed charges 73% of charges 450 274.5 Percent of total billed charges 61% of chages 450 261 Percent of charges 58% of charges 450 220.5 Percent of charges 49% of charges 450 382.5 Percent of charges 85% of charges 450 346.5 Percent of charges 77% of charges 450 292.5 Percent of charges 65% of charges 450 351 Percent of charges 78% of charges 450 216 Percent of charges 48% of charges 450 450 ANGIO PERC INIT VEIN-PRO 37248 CPT 37248P LOCAL 26 outpatient 589 589 589 429.97 Percent of total billed charges 73% of charges 589 359.29 Percent of total billed charges 61% of chages 589 341.62 Percent of charges 58% of charges 589 288.61 Percent of charges 49% of charges 589 500.65 Percent of charges 85% of charges 589 453.53 Percent of charges 77% of charges 589 382.85 Percent of charges 65% of charges 589 459.42 Percent of charges 78% of charges 589 282.72 Percent of charges 48% of charges 589 589 "ANGIO PERCUTAN, INIT VEIN-FAC" 37248 CPT 37248F LOCAL TC outpatient 9474 9474 9474 6916.02 Percent of total billed charges 73% of charges 9474 5779.14 Percent of total billed charges 61% of chages 9474 5494.92 Percent of charges 58% of charges 9474 4642.26 Percent of charges 49% of charges 9474 8052.9 Percent of charges 85% of charges 9474 7294.98 Percent of charges 77% of charges 9474 6158.1 Percent of charges 65% of charges 9474 7389.72 Percent of charges 78% of charges 9474 4547.52 Percent of charges 48% of charges 9474 9474 "ANGIO, BALLN, EA ADD VEIN-FAC" 37249 CPT 37249F LOCAL TC outpatient 8325 8325 8325 6077.25 Percent of total billed charges 73% of charges 8325 5078.25 Percent of total billed charges 61% of chages 8325 4828.5 Percent of charges 58% of charges 8325 4079.25 Percent of charges 49% of charges 8325 7076.25 Percent of charges 85% of charges 8325 6410.25 Percent of charges 77% of charges 8325 5411.25 Percent of charges 65% of charges 8325 6493.5 Percent of charges 78% of charges 8325 3996 Percent of charges 48% of charges 8325 8325 "ANGIO, BALLN, EA ADL VEIN-PRO" 37249 CPT 37249P LOCAL 26 outpatient 289 289 289 210.97 Percent of total billed charges 73% of charges 289 176.29 Percent of total billed charges 61% of chages 289 167.62 Percent of charges 58% of charges 289 141.61 Percent of charges 49% of charges 289 245.65 Percent of charges 85% of charges 289 222.53 Percent of charges 77% of charges 289 187.85 Percent of charges 65% of charges 289 225.42 Percent of charges 78% of charges 289 138.72 Percent of charges 48% of charges 289 289 ANGIOGRAM PELVIC SEL/SUPRA SEL 75736 CPT 4605736 LOCAL outpatient 8621 8621 8621 6293.33 Percent of total billed charges 73% of charges 8621 5258.81 Percent of total billed charges 61% of chages 8621 5000.18 Percent of charges 58% of charges 8621 4224.29 Percent of charges 49% of charges 8621 7327.85 Percent of charges 85% of charges 8621 6638.17 Percent of charges 77% of charges 8621 5603.65 Percent of charges 65% of charges 8621 6724.38 Percent of charges 78% of charges 8621 4138.08 Percent of charges 48% of charges 8621 8621 ANGIOGRAM SELECT EA ADD VESSEL 75774 CPT 4605774 LOCAL outpatient 4725 4725 4725 3449.25 Percent of total billed charges 73% of charges 4725 2882.25 Percent of total billed charges 61% of chages 4725 2740.5 Percent of charges 58% of charges 4725 2315.25 Percent of charges 49% of charges 4725 4016.25 Percent of charges 85% of charges 4725 3638.25 Percent of charges 77% of charges 4725 3071.25 Percent of charges 65% of charges 4725 3685.5 Percent of charges 78% of charges 4725 2268 Percent of charges 48% of charges 4725 4725 ANGIOGRAPHY VISCERAL SELECTIVE 75726 CPT 4605726 LOCAL outpatient 8621 8621 8621 6293.33 Percent of total billed charges 73% of charges 8621 5258.81 Percent of total billed charges 61% of chages 8621 5000.18 Percent of charges 58% of charges 8621 4224.29 Percent of charges 49% of charges 8621 7327.85 Percent of charges 85% of charges 8621 6638.17 Percent of charges 77% of charges 8621 5603.65 Percent of charges 65% of charges 8621 6724.38 Percent of charges 78% of charges 8621 4138.08 Percent of charges 48% of charges 8621 8621 ANIOGRAPHY SEL EA ADL VESS-PRO 75774 CPT 75774P LOCAL 26 outpatient 200 200 200 146 Percent of total billed charges 73% of charges 200 122 Percent of total billed charges 61% of chages 200 116 Percent of charges 58% of charges 200 98 Percent of charges 49% of charges 200 170 Percent of charges 85% of charges 200 154 Percent of charges 77% of charges 200 130 Percent of charges 65% of charges 200 156 Percent of charges 78% of charges 200 96 Percent of charges 48% of charges 200 200 ANITBODY INDENTIFICATION 86870 CPT 4306870 LOCAL both 540 540 540 394.2 Percent of total billed charges 73% of charges 540 329.4 Percent of total billed charges 61% of chages 540 313.2 Percent of charges 58% of charges 540 264.6 Percent of charges 49% of charges 540 459 Percent of charges 85% of charges 540 415.8 Percent of charges 77% of charges 540 351 Percent of charges 65% of charges 540 421.2 Percent of charges 78% of charges 540 259.2 Percent of charges 48% of charges 540 540 ANNUAL WELL MCR ESTAB PT-TOT G0439 HCPCS G0439 LOCAL outpatient 437 437 437 319.01 Percent of total billed charges 73% of charges 437 266.57 Percent of total billed charges 61% of chages 437 253.46 Percent of charges 58% of charges 437 214.13 Percent of charges 49% of charges 437 371.45 Percent of charges 85% of charges 437 336.49 Percent of charges 77% of charges 437 284.05 Percent of charges 65% of charges 437 340.86 Percent of charges 78% of charges 437 209.76 Percent of charges 48% of charges 437 437 ANNUAL WELL MCR INIT VISIT-TOT G0438 HCPCS G0438 LOCAL outpatient 540 540 540 394.2 Percent of total billed charges 73% of charges 540 329.4 Percent of total billed charges 61% of chages 540 313.2 Percent of charges 58% of charges 540 264.6 Percent of charges 49% of charges 540 459 Percent of charges 85% of charges 540 415.8 Percent of charges 77% of charges 540 351 Percent of charges 65% of charges 540 421.2 Percent of charges 78% of charges 540 259.2 Percent of charges 48% of charges 540 540 ANOSCOPY REMOVE LESION 46610 CPT 46610F LOCAL outpatient 4484 4484 4484 3273.32 Percent of total billed charges 73% of charges 4484 2735.24 Percent of total billed charges 61% of chages 4484 2600.72 Percent of charges 58% of charges 4484 2197.16 Percent of charges 49% of charges 4484 3811.4 Percent of charges 85% of charges 4484 3452.68 Percent of charges 77% of charges 4484 2914.6 Percent of charges 65% of charges 4484 3497.52 Percent of charges 78% of charges 4484 2152.32 Percent of charges 48% of charges 4484 4484 ANOSCOPY; DX W/WO CLCT SP-TOT 46600 CPT 46600 LOCAL outpatient 287 287 287 209.51 Percent of total billed charges 73% of charges 287 175.07 Percent of total billed charges 61% of chages 287 166.46 Percent of charges 58% of charges 287 140.63 Percent of charges 49% of charges 287 243.95 Percent of charges 85% of charges 287 220.99 Percent of charges 77% of charges 287 186.55 Percent of charges 65% of charges 287 223.86 Percent of charges 78% of charges 287 137.76 Percent of charges 48% of charges 287 287 ANOSCOPY; WITH DILATION- PRO 46604 CPT 46604P LOCAL 26 outpatient 128 128 128 93.44 Percent of total billed charges 73% of charges 128 78.08 Percent of total billed charges 61% of chages 128 74.24 Percent of charges 58% of charges 128 62.72 Percent of charges 49% of charges 128 108.8 Percent of charges 85% of charges 128 98.56 Percent of charges 77% of charges 128 83.2 Percent of charges 65% of charges 128 99.84 Percent of charges 78% of charges 128 61.44 Percent of charges 48% of charges 128 128 ANOSCOPY;DX W/WO CLCT SPE -FAC 46600 CPT 46600F LOCAL TC outpatient 209 209 209 152.57 Percent of total billed charges 73% of charges 209 127.49 Percent of total billed charges 61% of chages 209 121.22 Percent of charges 58% of charges 209 102.41 Percent of charges 49% of charges 209 177.65 Percent of charges 85% of charges 209 160.93 Percent of charges 77% of charges 209 135.85 Percent of charges 65% of charges 209 163.02 Percent of charges 78% of charges 209 100.32 Percent of charges 48% of charges 209 209 ANOSCOPY;DX W/WO CLCT SPE-PRO 46600 CPT 46600P LOCAL 26 outpatient 78 78 78 56.94 Percent of total billed charges 73% of charges 78 47.58 Percent of total billed charges 61% of chages 78 45.24 Percent of charges 58% of charges 78 38.22 Percent of charges 49% of charges 78 66.3 Percent of charges 85% of charges 78 60.06 Percent of charges 77% of charges 78 50.7 Percent of charges 65% of charges 78 60.84 Percent of charges 78% of charges 78 37.44 Percent of charges 48% of charges 78 78 ANT LAT PST CMPRTS W DEBR-PRO 27894 CPT 27894P LOCAL 26 outpatient 1634 1634 1634 1192.82 Percent of total billed charges 73% of charges 1634 996.74 Percent of total billed charges 61% of chages 1634 947.72 Percent of charges 58% of charges 1634 800.66 Percent of charges 49% of charges 1634 1388.9 Percent of charges 85% of charges 1634 1258.18 Percent of charges 77% of charges 1634 1062.1 Percent of charges 65% of charges 1634 1274.52 Percent of charges 78% of charges 1634 784.32 Percent of charges 48% of charges 1634 1634 "ANT VESICOURETHRPXY,SIMP - PRO" 51840 CPT 51840P LOCAL 26 inpatient 1325 1325 1325 967.25 Percent of total billed charges 73% of charges 1325 808.25 Percent of total billed charges 61% of chages 1325 768.5 Percent of charges 58% of charges 1325 649.25 Percent of charges 49% of charges 1325 1126.25 Percent of charges 85% of charges 1325 1020.25 Percent of charges 77% of charges 1325 861.25 Percent of charges 65% of charges 1325 1033.5 Percent of charges 78% of charges 1325 636 Percent of charges 48% of charges 1325 1325 ANTERIOR COLPORRHPHY-PRO 57240 CPT 57240P LOCAL 26 outpatient 1177 1177 1177 859.21 Percent of total billed charges 73% of charges 1177 717.97 Percent of total billed charges 61% of chages 1177 682.66 Percent of charges 58% of charges 1177 576.73 Percent of charges 49% of charges 1177 1000.45 Percent of charges 85% of charges 1177 906.29 Percent of charges 77% of charges 1177 765.05 Percent of charges 65% of charges 1177 918.06 Percent of charges 78% of charges 1177 564.96 Percent of charges 48% of charges 1177 1177 ANTI PLA 2R ANTIBODY 86255 CPT 4301159 LOCAL outpatient 179 179 179 130.67 Percent of total billed charges 73% of charges 179 109.19 Percent of total billed charges 61% of chages 179 103.82 Percent of charges 58% of charges 179 87.71 Percent of charges 49% of charges 179 152.15 Percent of charges 85% of charges 179 137.83 Percent of charges 77% of charges 179 116.35 Percent of charges 65% of charges 179 139.62 Percent of charges 78% of charges 179 85.92 Percent of charges 48% of charges 179 179 "ANTIBODY ELUTION, REF LAB" 86860 CPT 4356860 LOCAL both 273 273 273 199.29 Percent of total billed charges 73% of charges 273 166.53 Percent of total billed charges 61% of chages 273 158.34 Percent of charges 58% of charges 273 133.77 Percent of charges 49% of charges 273 232.05 Percent of charges 85% of charges 273 210.21 Percent of charges 77% of charges 273 177.45 Percent of charges 65% of charges 273 212.94 Percent of charges 78% of charges 273 131.04 Percent of charges 48% of charges 273 273 ANTIBODY ID PLATELET 86022 CPT 4350029 LOCAL both 127 127 127 92.71 Percent of total billed charges 73% of charges 127 77.47 Percent of total billed charges 61% of chages 127 73.66 Percent of charges 58% of charges 127 62.23 Percent of charges 49% of charges 127 107.95 Percent of charges 85% of charges 127 97.79 Percent of charges 77% of charges 127 82.55 Percent of charges 65% of charges 127 99.06 Percent of charges 78% of charges 127 60.96 Percent of charges 48% of charges 127 127 ANTIBODY IDENT EA PANEL-T 86870 CPT 4356870 LOCAL both 351 351 351 256.23 Percent of total billed charges 73% of charges 351 214.11 Percent of total billed charges 61% of chages 351 203.58 Percent of charges 58% of charges 351 171.99 Percent of charges 49% of charges 351 298.35 Percent of charges 85% of charges 351 270.27 Percent of charges 77% of charges 351 228.15 Percent of charges 65% of charges 351 273.78 Percent of charges 78% of charges 351 168.48 Percent of charges 48% of charges 351 351 ANTIBODY SCREEN REF LAB 86999 CPT 4350021 LOCAL both 131 131 131 95.63 Percent of total billed charges 73% of charges 131 79.91 Percent of total billed charges 61% of chages 131 75.98 Percent of charges 58% of charges 131 64.19 Percent of charges 49% of charges 131 111.35 Percent of charges 85% of charges 131 100.87 Percent of charges 77% of charges 131 85.15 Percent of charges 65% of charges 131 102.18 Percent of charges 78% of charges 131 62.88 Percent of charges 48% of charges 131 131 "ANTIBODY SCREEN, REF LAB" 86850 CPT 4356850 LOCAL both 190 190 190 138.7 Percent of total billed charges 73% of charges 190 115.9 Percent of total billed charges 61% of chages 190 110.2 Percent of charges 58% of charges 190 93.1 Percent of charges 49% of charges 190 161.5 Percent of charges 85% of charges 190 146.3 Percent of charges 77% of charges 190 123.5 Percent of charges 65% of charges 190 148.2 Percent of charges 78% of charges 190 91.2 Percent of charges 48% of charges 190 190 ANTIGEN TYPE/ANTIGEN-UNIT 86902 CPT 4356903 LOCAL both 178 178 178 129.94 Percent of total billed charges 73% of charges 178 108.58 Percent of total billed charges 61% of chages 178 103.24 Percent of charges 58% of charges 178 87.22 Percent of charges 49% of charges 178 151.3 Percent of charges 85% of charges 178 137.06 Percent of charges 77% of charges 178 115.7 Percent of charges 65% of charges 178 138.84 Percent of charges 78% of charges 178 85.44 Percent of charges 48% of charges 178 178 ANTI-HU 86255 SCREEN-QUAL 86255 CPT 4300641 LOCAL outpatient 227 227 227 165.71 Percent of total billed charges 73% of charges 227 138.47 Percent of total billed charges 61% of chages 227 131.66 Percent of charges 58% of charges 227 111.23 Percent of charges 49% of charges 227 192.95 Percent of charges 85% of charges 227 174.79 Percent of charges 77% of charges 227 147.55 Percent of charges 65% of charges 227 177.06 Percent of charges 78% of charges 227 108.96 Percent of charges 48% of charges 227 227 ANTIPHOSPHOLIPID AB 86148 CPT 4306148 LOCAL both 201 201 201 146.73 Percent of total billed charges 73% of charges 201 122.61 Percent of total billed charges 61% of chages 201 116.58 Percent of charges 58% of charges 201 98.49 Percent of charges 49% of charges 201 170.85 Percent of charges 85% of charges 201 154.77 Percent of charges 77% of charges 201 130.65 Percent of charges 65% of charges 201 156.78 Percent of charges 78% of charges 201 96.48 Percent of charges 48% of charges 201 201 ANTITHROBIN III ACTIVITY 85300 CPT 4305300 LOCAL both 147 147 147 107.31 Percent of total billed charges 73% of charges 147 89.67 Percent of total billed charges 61% of chages 147 85.26 Percent of charges 58% of charges 147 72.03 Percent of charges 49% of charges 147 124.95 Percent of charges 85% of charges 147 113.19 Percent of charges 77% of charges 147 95.55 Percent of charges 65% of charges 147 114.66 Percent of charges 78% of charges 147 70.56 Percent of charges 48% of charges 147 147 ANTITHROMBIN III ANTIGEN 85301 CPT 4305301 LOCAL both 100 100 100 73 Percent of total billed charges 73% of charges 100 61 Percent of total billed charges 61% of chages 100 58 Percent of charges 58% of charges 100 49 Percent of charges 49% of charges 100 85 Percent of charges 85% of charges 100 77 Percent of charges 77% of charges 100 65 Percent of charges 65% of charges 100 78 Percent of charges 78% of charges 100 48 Percent of charges 48% of charges 100 100 ANTPRTM 4-6V - PRO 59425 CPT 59425P LOCAL 26 outpatient 705 705 705 514.65 Percent of total billed charges 73% of charges 705 430.05 Percent of total billed charges 61% of chages 705 408.9 Percent of charges 58% of charges 705 345.45 Percent of charges 49% of charges 705 599.25 Percent of charges 85% of charges 705 542.85 Percent of charges 77% of charges 705 458.25 Percent of charges 65% of charges 705 549.9 Percent of charges 78% of charges 705 338.4 Percent of charges 48% of charges 705 705 ANTPRTM 7+V - PRO 59426 CPT 59426P LOCAL 26 outpatient 1241 1241 1241 905.93 Percent of total billed charges 73% of charges 1241 757.01 Percent of total billed charges 61% of chages 1241 719.78 Percent of charges 58% of charges 1241 608.09 Percent of charges 49% of charges 1241 1054.85 Percent of charges 85% of charges 1241 955.57 Percent of charges 77% of charges 1241 806.65 Percent of charges 65% of charges 1241 967.98 Percent of charges 78% of charges 1241 595.68 Percent of charges 48% of charges 1241 1241 "AORTA, IVC, ILIAC UNI OR LTD" 93979 CPT 4663979 LOCAL outpatient 505 505 505 368.65 Percent of total billed charges 73% of charges 505 308.05 Percent of total billed charges 61% of chages 505 292.9 Percent of charges 58% of charges 505 247.45 Percent of charges 49% of charges 505 429.25 Percent of charges 85% of charges 505 388.85 Percent of charges 77% of charges 505 328.25 Percent of charges 65% of charges 505 393.9 Percent of charges 78% of charges 505 242.4 Percent of charges 48% of charges 505 505 AORTOGRAM ABD BIL ILIOFEM LWEX 75630 CPT 4605630 LOCAL outpatient 5204 5204 5204 3798.92 Percent of total billed charges 73% of charges 5204 3174.44 Percent of total billed charges 61% of chages 5204 3018.32 Percent of charges 58% of charges 5204 2549.96 Percent of charges 49% of charges 5204 4423.4 Percent of charges 85% of charges 5204 4007.08 Percent of charges 77% of charges 5204 3382.6 Percent of charges 65% of charges 5204 4059.12 Percent of charges 78% of charges 5204 2497.92 Percent of charges 48% of charges 5204 5204 AP D&L SPINE-SCOLIOSIS 72081 CPT 4601321 LOCAL outpatient 273 273 273 199.29 Percent of total billed charges 73% of charges 273 166.53 Percent of total billed charges 61% of chages 273 158.34 Percent of charges 58% of charges 273 133.77 Percent of charges 49% of charges 273 232.05 Percent of charges 85% of charges 273 210.21 Percent of charges 77% of charges 273 177.45 Percent of charges 65% of charges 273 212.94 Percent of charges 78% of charges 273 131.04 Percent of charges 48% of charges 273 273 "AP PELVIS,BIL HIPS MIN 5 VIEWS" 73523 CPT 4603520 LOCAL outpatient 559 559 559 408.07 Percent of total billed charges 73% of charges 559 340.99 Percent of total billed charges 61% of chages 559 324.22 Percent of charges 58% of charges 559 273.91 Percent of charges 49% of charges 559 475.15 Percent of charges 85% of charges 559 430.43 Percent of charges 77% of charges 559 363.35 Percent of charges 65% of charges 559 436.02 Percent of charges 78% of charges 559 268.32 Percent of charges 48% of charges 559 559 APLIGRAF EACH SQ CM-TOT Q4101 HCPCS Q4101 LOCAL both 142 142 142 103.66 Percent of total billed charges 73% of charges 142 86.62 Percent of total billed charges 61% of chages 142 82.36 Percent of charges 58% of charges 142 69.58 Percent of charges 49% of charges 142 120.7 Percent of charges 85% of charges 142 109.34 Percent of charges 77% of charges 142 92.3 Percent of charges 65% of charges 142 110.76 Percent of charges 78% of charges 142 68.16 Percent of charges 48% of charges 142 142 APLY MULTI CMP LWR LEG BIL-FAC 29581 CPT 29581F50 LOCAL TC outpatient 384 384 384 280.32 Percent of total billed charges 73% of charges 384 234.24 Percent of total billed charges 61% of chages 384 222.72 Percent of charges 58% of charges 384 188.16 Percent of charges 49% of charges 384 326.4 Percent of charges 85% of charges 384 295.68 Percent of charges 77% of charges 384 249.6 Percent of charges 65% of charges 384 299.52 Percent of charges 78% of charges 384 184.32 Percent of charges 48% of charges 384 384 APLY MULTI CMP LWR LEG BIL-PRO 29581 CPT 29581P50 LOCAL 26 outpatient 82 82 82 59.86 Percent of total billed charges 73% of charges 82 50.02 Percent of total billed charges 61% of chages 82 47.56 Percent of charges 58% of charges 82 40.18 Percent of charges 49% of charges 82 69.7 Percent of charges 85% of charges 82 63.14 Percent of charges 77% of charges 82 53.3 Percent of charges 65% of charges 82 63.96 Percent of charges 78% of charges 82 39.36 Percent of charges 48% of charges 82 82 APLY MULTI CMP LWR LEG BIL-TOT 29581 CPT 2958150 LOCAL outpatient 466 466 466 340.18 Percent of total billed charges 73% of charges 466 284.26 Percent of total billed charges 61% of chages 466 270.28 Percent of charges 58% of charges 466 228.34 Percent of charges 49% of charges 466 396.1 Percent of charges 85% of charges 466 358.82 Percent of charges 77% of charges 466 302.9 Percent of charges 65% of charges 466 363.48 Percent of charges 78% of charges 466 223.68 Percent of charges 48% of charges 466 466 APOLIPOPROTEIN A OR B 82172 CPT 4302172 LOCAL 26 both 100 100 100 73 Percent of total billed charges 73% of charges 100 61 Percent of total billed charges 61% of chages 100 58 Percent of charges 58% of charges 100 49 Percent of charges 49% of charges 100 85 Percent of charges 85% of charges 100 77 Percent of charges 77% of charges 100 65 Percent of charges 65% of charges 100 78 Percent of charges 78% of charges 100 48 Percent of charges 48% of charges 100 100 APPENDECTOMY:-PRO 44950 CPT 44950P LOCAL 26 outpatient 1268 1268 1268 925.64 Percent of total billed charges 73% of charges 1268 773.48 Percent of total billed charges 61% of chages 1268 735.44 Percent of charges 58% of charges 1268 621.32 Percent of charges 49% of charges 1268 1077.8 Percent of charges 85% of charges 1268 976.36 Percent of charges 77% of charges 1268 824.2 Percent of charges 65% of charges 1268 989.04 Percent of charges 78% of charges 1268 608.64 Percent of charges 48% of charges 1268 1268 APPL OF FOREARM CAST-FAC 29075 CPT 29075F LOCAL TC outpatient 112 112 112 81.76 Percent of total billed charges 73% of charges 112 68.32 Percent of total billed charges 61% of chages 112 64.96 Percent of charges 58% of charges 112 54.88 Percent of charges 49% of charges 112 95.2 Percent of charges 85% of charges 112 86.24 Percent of charges 77% of charges 112 72.8 Percent of charges 65% of charges 112 87.36 Percent of charges 78% of charges 112 53.76 Percent of charges 48% of charges 112 112 APPL OF FOREARM CAST-PRO 29075 CPT 29075P LOCAL 26 outpatient 457 457 457 333.61 Percent of total billed charges 73% of charges 457 278.77 Percent of total billed charges 61% of chages 457 265.06 Percent of charges 58% of charges 457 223.93 Percent of charges 49% of charges 457 388.45 Percent of charges 85% of charges 457 351.89 Percent of charges 77% of charges 457 297.05 Percent of charges 65% of charges 457 356.46 Percent of charges 78% of charges 457 219.36 Percent of charges 48% of charges 457 457 APPL OF LONG ARM CAST-FAC 29065 CPT 29065F LOCAL TC outpatient 618 618 618 451.14 Percent of total billed charges 73% of charges 618 376.98 Percent of total billed charges 61% of chages 618 358.44 Percent of charges 58% of charges 618 302.82 Percent of charges 49% of charges 618 525.3 Percent of charges 85% of charges 618 475.86 Percent of charges 77% of charges 618 401.7 Percent of charges 65% of charges 618 482.04 Percent of charges 78% of charges 618 296.64 Percent of charges 48% of charges 618 618 APPL OF LONG ARM CAST-PRO 29065 CPT 29065P LOCAL 26 outpatient 336 336 336 245.28 Percent of total billed charges 73% of charges 336 204.96 Percent of total billed charges 61% of chages 336 194.88 Percent of charges 58% of charges 336 164.64 Percent of charges 49% of charges 336 285.6 Percent of charges 85% of charges 336 258.72 Percent of charges 77% of charges 336 218.4 Percent of charges 65% of charges 336 262.08 Percent of charges 78% of charges 336 161.28 Percent of charges 48% of charges 336 336 APPL OF LONG ARM CAST-TOT 29065 CPT 29065 LOCAL outpatient 954 954 954 696.42 Percent of total billed charges 73% of charges 954 581.94 Percent of total billed charges 61% of chages 954 553.32 Percent of charges 58% of charges 954 467.46 Percent of charges 49% of charges 954 810.9 Percent of charges 85% of charges 954 734.58 Percent of charges 77% of charges 954 620.1 Percent of charges 65% of charges 954 744.12 Percent of charges 78% of charges 954 457.92 Percent of charges 48% of charges 954 954 APPL SHORT LEG SPLINT-TOT 29515 CPT 29515T LOCAL outpatient 352 352 352 256.96 Percent of total billed charges 73% of charges 352 214.72 Percent of total billed charges 61% of chages 352 204.16 Percent of charges 58% of charges 352 172.48 Percent of charges 49% of charges 352 299.2 Percent of charges 85% of charges 352 271.04 Percent of charges 77% of charges 352 228.8 Percent of charges 65% of charges 352 274.56 Percent of charges 78% of charges 352 168.96 Percent of charges 48% of charges 352 352 APPLIC OF LONG ARM SPLINT-FAC 29105 CPT 29105F LOCAL TC outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLIC OF SHRT LEG CAST-FAC 29405 CPT 29405F LOCAL TC outpatient 440 440 440 321.2 Percent of total billed charges 73% of charges 440 268.4 Percent of total billed charges 61% of chages 440 255.2 Percent of charges 58% of charges 440 215.6 Percent of charges 49% of charges 440 374 Percent of charges 85% of charges 440 338.8 Percent of charges 77% of charges 440 286 Percent of charges 65% of charges 440 343.2 Percent of charges 78% of charges 440 211.2 Percent of charges 48% of charges 440 440 APPLIC SHORT LEG CAST-PRO 29405 CPT 29405P LOCAL 26 outpatient 113 113 113 82.49 Percent of total billed charges 73% of charges 113 68.93 Percent of total billed charges 61% of chages 113 65.54 Percent of charges 58% of charges 113 55.37 Percent of charges 49% of charges 113 96.05 Percent of charges 85% of charges 113 87.01 Percent of charges 77% of charges 113 73.45 Percent of charges 65% of charges 113 88.14 Percent of charges 78% of charges 113 54.24 Percent of charges 48% of charges 113 113 APPLIC SHORT LEG CAST-TOT 29405 CPT 29405 LOCAL outpatient 553 553 553 403.69 Percent of total billed charges 73% of charges 553 337.33 Percent of total billed charges 61% of chages 553 320.74 Percent of charges 58% of charges 553 270.97 Percent of charges 49% of charges 553 470.05 Percent of charges 85% of charges 553 425.81 Percent of charges 77% of charges 553 359.45 Percent of charges 65% of charges 553 431.34 Percent of charges 78% of charges 553 265.44 Percent of charges 48% of charges 553 553 Application Long Leg Cast-FAC 29345 CPT 29345F LOCAL TC outpatient 440 440 440 321.2 Percent of total billed charges 73% of charges 440 268.4 Percent of total billed charges 61% of chages 440 255.2 Percent of charges 58% of charges 440 215.6 Percent of charges 49% of charges 440 374 Percent of charges 85% of charges 440 338.8 Percent of charges 77% of charges 440 286 Percent of charges 65% of charges 440 343.2 Percent of charges 78% of charges 440 211.2 Percent of charges 48% of charges 440 440 Application Long Leg Cast-PRO 29345 CPT 29345P LOCAL 26 outpatient 193 193 193 140.89 Percent of total billed charges 73% of charges 193 117.73 Percent of total billed charges 61% of chages 193 111.94 Percent of charges 58% of charges 193 94.57 Percent of charges 49% of charges 193 164.05 Percent of charges 85% of charges 193 148.61 Percent of charges 77% of charges 193 125.45 Percent of charges 65% of charges 193 150.54 Percent of charges 78% of charges 193 92.64 Percent of charges 48% of charges 193 193 Application Long Leg Cast-TOT 29345 CPT 29345 LOCAL outpatient 633 633 633 462.09 Percent of total billed charges 73% of charges 633 386.13 Percent of total billed charges 61% of chages 633 367.14 Percent of charges 58% of charges 633 310.17 Percent of charges 49% of charges 633 538.05 Percent of charges 85% of charges 633 487.41 Percent of charges 77% of charges 633 411.45 Percent of charges 65% of charges 633 493.74 Percent of charges 78% of charges 633 303.84 Percent of charges 48% of charges 633 633 APPLICATION LONG LEG SPLINT 29505 CPT 29505F LOCAL outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLICATION LONG LEG SPLINT 29505 CPT 29505P LOCAL outpatient 97 97 97 70.81 Percent of total billed charges 73% of charges 97 59.17 Percent of total billed charges 61% of chages 97 56.26 Percent of charges 58% of charges 97 47.53 Percent of charges 49% of charges 97 82.45 Percent of charges 85% of charges 97 74.69 Percent of charges 77% of charges 97 63.05 Percent of charges 65% of charges 97 75.66 Percent of charges 78% of charges 97 46.56 Percent of charges 48% of charges 97 97 APPLICATION SHORT LEG SPLINT 29515 CPT 29515F LOCAL outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLICATION SHORT LEG SPLINT 29515 CPT 29515P LOCAL outpatient 96 96 96 70.08 Percent of total billed charges 73% of charges 96 58.56 Percent of total billed charges 61% of chages 96 55.68 Percent of charges 58% of charges 96 47.04 Percent of charges 49% of charges 96 81.6 Percent of charges 85% of charges 96 73.92 Percent of charges 77% of charges 96 62.4 Percent of charges 65% of charges 96 74.88 Percent of charges 78% of charges 96 46.08 Percent of charges 48% of charges 96 96 APPLY BONE FIXATION DEVICE-PRO 20692 CPT 20692P LOCAL 26 outpatient 2132 2132 2132 1556.36 Percent of total billed charges 73% of charges 2132 1300.52 Percent of total billed charges 61% of chages 2132 1236.56 Percent of charges 58% of charges 2132 1044.68 Percent of charges 49% of charges 2132 1812.2 Percent of charges 85% of charges 2132 1641.64 Percent of charges 77% of charges 2132 1385.8 Percent of charges 65% of charges 2132 1662.96 Percent of charges 78% of charges 2132 1023.36 Percent of charges 48% of charges 2132 2132 APPLY LONG ARM SPLINT-PRO 29105 CPT 29105P LOCAL 26 outpatient 82 82 82 59.86 Percent of total billed charges 73% of charges 82 50.02 Percent of total billed charges 61% of chages 82 47.56 Percent of charges 58% of charges 82 40.18 Percent of charges 49% of charges 82 69.7 Percent of charges 85% of charges 82 63.14 Percent of charges 77% of charges 82 53.3 Percent of charges 65% of charges 82 63.96 Percent of charges 78% of charges 82 39.36 Percent of charges 48% of charges 82 82 APPLY LONG ARM SPLINT-TOT 29105 CPT 29105T LOCAL outpatient 339 339 339 247.47 Percent of total billed charges 73% of charges 339 206.79 Percent of total billed charges 61% of chages 339 196.62 Percent of charges 58% of charges 339 166.11 Percent of charges 49% of charges 339 288.15 Percent of charges 85% of charges 339 261.03 Percent of charges 77% of charges 339 220.35 Percent of charges 65% of charges 339 264.42 Percent of charges 78% of charges 339 162.72 Percent of charges 48% of charges 339 339 APPLY MULTI COMP LWR LEG-FAC 29581 CPT 29581F LOCAL TC outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLY MULTI COMP LWR LEG-PRO 29581 CPT 29581P LOCAL 26 outpatient 56 56 56 40.88 Percent of total billed charges 73% of charges 56 34.16 Percent of total billed charges 61% of chages 56 32.48 Percent of charges 58% of charges 56 27.44 Percent of charges 49% of charges 56 47.6 Percent of charges 85% of charges 56 43.12 Percent of charges 77% of charges 56 36.4 Percent of charges 65% of charges 56 43.68 Percent of charges 78% of charges 56 26.88 Percent of charges 48% of charges 56 56 APPLY MULTI COMP LWR LEG-TOT 29581 CPT 29581 LOCAL outpatient 312 312 312 227.76 Percent of total billed charges 73% of charges 312 190.32 Percent of total billed charges 61% of chages 312 180.96 Percent of charges 58% of charges 312 152.88 Percent of charges 49% of charges 312 265.2 Percent of charges 85% of charges 312 240.24 Percent of charges 77% of charges 312 202.8 Percent of charges 65% of charges 312 243.36 Percent of charges 78% of charges 312 149.76 Percent of charges 48% of charges 312 312 APPLY ON-BODY INJECTOR-FAC 96377 CPT 96377F LOCAL TC outpatient 74 74 74 54.02 Percent of total billed charges 73% of charges 74 45.14 Percent of total billed charges 61% of chages 74 42.92 Percent of charges 58% of charges 74 36.26 Percent of charges 49% of charges 74 62.9 Percent of charges 85% of charges 74 56.98 Percent of charges 77% of charges 74 48.1 Percent of charges 65% of charges 74 57.72 Percent of charges 78% of charges 74 35.52 Percent of charges 48% of charges 74 74 "APPLY SHORT ARM,SUGAR TONG-FAC" 29125 CPT 29125F LOCAL TC outpatient 209 209 209 152.57 Percent of total billed charges 73% of charges 209 127.49 Percent of total billed charges 61% of chages 209 121.22 Percent of charges 58% of charges 209 102.41 Percent of charges 49% of charges 209 177.65 Percent of charges 85% of charges 209 160.93 Percent of charges 77% of charges 209 135.85 Percent of charges 65% of charges 209 163.02 Percent of charges 78% of charges 209 100.32 Percent of charges 48% of charges 209 209 "APPLY SHORT ARM,SUGAR TONG-PRO" 29125 CPT 29125P LOCAL 26 outpatient 76 76 76 55.48 Percent of total billed charges 73% of charges 76 46.36 Percent of total billed charges 61% of chages 76 44.08 Percent of charges 58% of charges 76 37.24 Percent of charges 49% of charges 76 64.6 Percent of charges 85% of charges 76 58.52 Percent of charges 77% of charges 76 49.4 Percent of charges 65% of charges 76 59.28 Percent of charges 78% of charges 76 36.48 Percent of charges 48% of charges 76 76 "APPLY SHORT ARM,SUGAR TONG-TOT" 29125 CPT 29125T LOCAL outpatient 285 285 285 208.05 Percent of total billed charges 73% of charges 285 173.85 Percent of total billed charges 61% of chages 285 165.3 Percent of charges 58% of charges 285 139.65 Percent of charges 49% of charges 285 242.25 Percent of charges 85% of charges 285 219.45 Percent of charges 77% of charges 285 185.25 Percent of charges 65% of charges 285 222.3 Percent of charges 78% of charges 285 136.8 Percent of charges 48% of charges 285 285 APPLY UNNA BOOT WRP BIL FAC 29580 CPT 29580F50 LOCAL TC outpatient 384 384 384 280.32 Percent of total billed charges 73% of charges 384 234.24 Percent of total billed charges 61% of chages 384 222.72 Percent of charges 58% of charges 384 188.16 Percent of charges 49% of charges 384 326.4 Percent of charges 85% of charges 384 295.68 Percent of charges 77% of charges 384 249.6 Percent of charges 65% of charges 384 299.52 Percent of charges 78% of charges 384 184.32 Percent of charges 48% of charges 384 384 APPLY UNNA BOOT WRP BIL-PRO 29580 CPT 29580P50 LOCAL 26 outpatient 81 81 81 59.13 Percent of total billed charges 73% of charges 81 49.41 Percent of total billed charges 61% of chages 81 46.98 Percent of charges 58% of charges 81 39.69 Percent of charges 49% of charges 81 68.85 Percent of charges 85% of charges 81 62.37 Percent of charges 77% of charges 81 52.65 Percent of charges 65% of charges 81 63.18 Percent of charges 78% of charges 81 38.88 Percent of charges 48% of charges 81 81 APPLY UNNA BOOT WRP BIL-TOT 29580 CPT 2958050 LOCAL outpatient 465 465 465 339.45 Percent of total billed charges 73% of charges 465 283.65 Percent of total billed charges 61% of chages 465 269.7 Percent of charges 58% of charges 465 227.85 Percent of charges 49% of charges 465 395.25 Percent of charges 85% of charges 465 358.05 Percent of charges 77% of charges 465 302.25 Percent of charges 65% of charges 465 362.7 Percent of charges 78% of charges 465 223.2 Percent of charges 48% of charges 465 465 APPLY UNNA BOOT WRP LFT-FAC 29580 CPT 29580FLT LOCAL TC outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLY UNNA BOOT WRP LFT-PRO 29580 CPT 29580PLT LOCAL 26 outpatient 55 55 55 40.15 Percent of total billed charges 73% of charges 55 33.55 Percent of total billed charges 61% of chages 55 31.9 Percent of charges 58% of charges 55 26.95 Percent of charges 49% of charges 55 46.75 Percent of charges 85% of charges 55 42.35 Percent of charges 77% of charges 55 35.75 Percent of charges 65% of charges 55 42.9 Percent of charges 78% of charges 55 26.4 Percent of charges 48% of charges 55 55 APPLY UNNA BOOT WRP LFT-TOT 29580 CPT 29580LT LOCAL outpatient 311 311 311 227.03 Percent of total billed charges 73% of charges 311 189.71 Percent of total billed charges 61% of chages 311 180.38 Percent of charges 58% of charges 311 152.39 Percent of charges 49% of charges 311 264.35 Percent of charges 85% of charges 311 239.47 Percent of charges 77% of charges 311 202.15 Percent of charges 65% of charges 311 242.58 Percent of charges 78% of charges 311 149.28 Percent of charges 48% of charges 311 311 APPLY UNNA BOOT WRP RT-FAC 29580 CPT 29580FRT LOCAL TC outpatient 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 APPLY UNNA BOOT WRP RT-PRO 29580 CPT 29580PRT LOCAL 26 outpatient 55 55 55 40.15 Percent of total billed charges 73% of charges 55 33.55 Percent of total billed charges 61% of chages 55 31.9 Percent of charges 58% of charges 55 26.95 Percent of charges 49% of charges 55 46.75 Percent of charges 85% of charges 55 42.35 Percent of charges 77% of charges 55 35.75 Percent of charges 65% of charges 55 42.9 Percent of charges 78% of charges 55 26.4 Percent of charges 48% of charges 55 55 APPLY UNNA BOOT WRP RT-TOT 29580 CPT 29580RT LOCAL outpatient 311 311 311 227.03 Percent of total billed charges 73% of charges 311 189.71 Percent of total billed charges 61% of chages 311 180.38 Percent of charges 58% of charges 311 152.39 Percent of charges 49% of charges 311 264.35 Percent of charges 85% of charges 311 239.47 Percent of charges 77% of charges 311 202.15 Percent of charges 65% of charges 311 242.58 Percent of charges 78% of charges 311 149.28 Percent of charges 48% of charges 311 311 APPY;INDIC PURPOSE @ TIME-PRO 44955 CPT 44955P LOCAL 26 outpatient 166 166 166 121.18 Percent of total billed charges 73% of charges 166 101.26 Percent of total billed charges 61% of chages 166 96.28 Percent of charges 58% of charges 166 81.34 Percent of charges 49% of charges 166 141.1 Percent of charges 85% of charges 166 127.82 Percent of charges 77% of charges 166 107.9 Percent of charges 65% of charges 166 129.48 Percent of charges 78% of charges 166 79.68 Percent of charges 48% of charges 166 166 APPY;RUPT APPEND W PERITON-PRO 44960 CPT 44960P LOCAL 26 inpatient 1731 1731 1731 1263.63 Percent of total billed charges 73% of charges 1731 1055.91 Percent of total billed charges 61% of chages 1731 1003.98 Percent of charges 58% of charges 1731 848.19 Percent of charges 49% of charges 1731 1471.35 Percent of charges 85% of charges 1731 1332.87 Percent of charges 77% of charges 1731 1125.15 Percent of charges 65% of charges 1731 1350.18 Percent of charges 78% of charges 1731 830.88 Percent of charges 48% of charges 1731 1731 AQUATIC 15 MIN 97113 CPT 5117113 LOCAL outpatient 138 138 138 100.74 Percent of total billed charges 73% of charges 138 84.18 Percent of total billed charges 61% of chages 138 80.04 Percent of charges 58% of charges 138 67.62 Percent of charges 49% of charges 138 117.3 Percent of charges 85% of charges 138 106.26 Percent of charges 77% of charges 138 89.7 Percent of charges 65% of charges 138 107.64 Percent of charges 78% of charges 138 66.24 Percent of charges 48% of charges 138 138 AQUATIC GROUP 97150 CPT 5107151 LOCAL outpatient 130 130 130 94.9 Percent of total billed charges 73% of charges 130 79.3 Percent of total billed charges 61% of chages 130 75.4 Percent of charges 58% of charges 130 63.7 Percent of charges 49% of charges 130 110.5 Percent of charges 85% of charges 130 100.1 Percent of charges 77% of charges 130 84.5 Percent of charges 65% of charges 130 101.4 Percent of charges 78% of charges 130 62.4 Percent of charges 48% of charges 130 130 AQUATIC GROUP 97150 CPT 5117151 LOCAL outpatient 103 103 103 75.19 Percent of total billed charges 73% of charges 103 62.83 Percent of total billed charges 61% of chages 103 59.74 Percent of charges 58% of charges 103 50.47 Percent of charges 49% of charges 103 87.55 Percent of charges 85% of charges 103 79.31 Percent of charges 77% of charges 103 66.95 Percent of charges 65% of charges 103 80.34 Percent of charges 78% of charges 103 49.44 Percent of charges 48% of charges 103 103 AQUATIC W EX 15 MIN 97113 CPT 5107113 LOCAL outpatient 138 138 138 100.74 Percent of total billed charges 73% of charges 138 84.18 Percent of total billed charges 61% of chages 138 80.04 Percent of charges 58% of charges 138 67.62 Percent of charges 49% of charges 138 117.3 Percent of charges 85% of charges 138 106.26 Percent of charges 77% of charges 138 89.7 Percent of charges 65% of charges 138 107.64 Percent of charges 78% of charges 138 66.24 Percent of charges 48% of charges 138 138 ARC-HEMOLYSIS AUTO-SCREEN 86940 CPT 4356940 LOCAL both 141 141 141 102.93 Percent of total billed charges 73% of charges 141 86.01 Percent of total billed charges 61% of chages 141 81.78 Percent of charges 58% of charges 141 69.09 Percent of charges 49% of charges 141 119.85 Percent of charges 85% of charges 141 108.57 Percent of charges 77% of charges 141 91.65 Percent of charges 65% of charges 141 109.98 Percent of charges 78% of charges 141 67.68 Percent of charges 48% of charges 141 141 ARISTA APPLICATOR 38CM 3813110 LOCAL both 168 168 168 122.64 Percent of total billed charges 73% of charges 168 102.48 Percent of total billed charges 61% of chages 168 97.44 Percent of charges 58% of charges 168 82.32 Percent of charges 49% of charges 168 142.8 Percent of charges 85% of charges 168 129.36 Percent of charges 77% of charges 168 109.2 Percent of charges 65% of charges 168 131.04 Percent of charges 78% of charges 168 80.64 Percent of charges 48% of charges 168 168 ARISTA POWDER 1GM 3813120 LOCAL both 755 755 755 551.15 Percent of total billed charges 73% of charges 755 460.55 Percent of total billed charges 61% of chages 755 437.9 Percent of charges 58% of charges 755 369.95 Percent of charges 49% of charges 755 641.75 Percent of charges 85% of charges 755 581.35 Percent of charges 77% of charges 755 490.75 Percent of charges 65% of charges 755 588.9 Percent of charges 78% of charges 755 362.4 Percent of charges 48% of charges 755 755 ARISTA POWDER 3GM 3813109 LOCAL both 1401 1401 1401 1022.73 Percent of total billed charges 73% of charges 1401 854.61 Percent of total billed charges 61% of chages 1401 812.58 Percent of charges 58% of charges 1401 686.49 Percent of charges 49% of charges 1401 1190.85 Percent of charges 85% of charges 1401 1078.77 Percent of charges 77% of charges 1401 910.65 Percent of charges 65% of charges 1401 1092.78 Percent of charges 78% of charges 1401 672.48 Percent of charges 48% of charges 1401 1401 ARSENIC 82175 CPT 4302175 LOCAL both 137 137 137 100.01 Percent of total billed charges 73% of charges 137 83.57 Percent of total billed charges 61% of chages 137 79.46 Percent of charges 58% of charges 137 67.13 Percent of charges 49% of charges 137 116.45 Percent of charges 85% of charges 137 105.49 Percent of charges 77% of charges 137 89.05 Percent of charges 65% of charges 137 106.86 Percent of charges 78% of charges 137 65.76 Percent of charges 48% of charges 137 137 ART/LOWER DUPLEX BL COMP 93925 CPT 4660010 LOCAL outpatient 1183 1183 1183 863.59 Percent of total billed charges 73% of charges 1183 721.63 Percent of total billed charges 61% of chages 1183 686.14 Percent of charges 58% of charges 1183 579.67 Percent of charges 49% of charges 1183 1005.55 Percent of charges 85% of charges 1183 910.91 Percent of charges 77% of charges 1183 768.95 Percent of charges 65% of charges 1183 922.74 Percent of charges 78% of charges 1183 567.84 Percent of charges 48% of charges 1183 1183 ART/LOWER DUPLEX UL LTD 93926 CPT 4660013 LOCAL outpatient 813 813 813 593.49 Percent of total billed charges 73% of charges 813 495.93 Percent of total billed charges 61% of chages 813 471.54 Percent of charges 58% of charges 813 398.37 Percent of charges 49% of charges 813 691.05 Percent of charges 85% of charges 813 626.01 Percent of charges 77% of charges 813 528.45 Percent of charges 65% of charges 813 634.14 Percent of charges 78% of charges 813 390.24 Percent of charges 48% of charges 813 813 ART/UPPER DUPLEX BILATER 93930 CPT 4660015 LOCAL outpatient 931 931 931 679.63 Percent of total billed charges 73% of charges 931 567.91 Percent of total billed charges 61% of chages 931 539.98 Percent of charges 58% of charges 931 456.19 Percent of charges 49% of charges 931 791.35 Percent of charges 85% of charges 931 716.87 Percent of charges 77% of charges 931 605.15 Percent of charges 65% of charges 931 726.18 Percent of charges 78% of charges 931 446.88 Percent of charges 48% of charges 931 931 ARTERIAL AORTO/ILIAC DUP 93978 CPT 4660062 LOCAL outpatient 1071 1071 1071 781.83 Percent of total billed charges 73% of charges 1071 653.31 Percent of total billed charges 61% of chages 1071 621.18 Percent of charges 58% of charges 1071 524.79 Percent of charges 49% of charges 1071 910.35 Percent of charges 85% of charges 1071 824.67 Percent of charges 77% of charges 1071 696.15 Percent of charges 65% of charges 1071 835.38 Percent of charges 78% of charges 1071 514.08 Percent of charges 48% of charges 1071 1071 "ARTERIAL PUNCT, BLOOD DRW" 36600 CPT 5006600 LOCAL outpatient 248 248 248 181.04 Percent of total billed charges 73% of charges 248 151.28 Percent of total billed charges 61% of chages 248 143.84 Percent of charges 58% of charges 248 121.52 Percent of charges 49% of charges 248 210.8 Percent of charges 85% of charges 248 190.96 Percent of charges 77% of charges 248 161.2 Percent of charges 65% of charges 248 193.44 Percent of charges 78% of charges 248 119.04 Percent of charges 48% of charges 248 248 ARTH FLIPCUTTER 3813221 LOCAL both 3207 3207 3207 2341.11 Percent of total billed charges 73% of charges 3207 1956.27 Percent of total billed charges 61% of chages 3207 1860.06 Percent of charges 58% of charges 3207 1571.43 Percent of charges 49% of charges 3207 2725.95 Percent of charges 85% of charges 3207 2469.39 Percent of charges 77% of charges 3207 2084.55 Percent of charges 65% of charges 3207 2501.46 Percent of charges 78% of charges 3207 1539.36 Percent of charges 48% of charges 3207 3207 ARTH KIT ACL DISP 3813222 LOCAL both 1122 1122 1122 819.06 Percent of total billed charges 73% of charges 1122 684.42 Percent of total billed charges 61% of chages 1122 650.76 Percent of charges 58% of charges 1122 549.78 Percent of charges 49% of charges 1122 953.7 Percent of charges 85% of charges 1122 863.94 Percent of charges 77% of charges 1122 729.3 Percent of charges 65% of charges 1122 875.16 Percent of charges 78% of charges 1122 538.56 Percent of charges 48% of charges 1122 1122 ARTH KIT DISC SWIVELLCK 3813226 LOCAL both 2897 2897 2897 2114.81 Percent of total billed charges 73% of charges 2897 1767.17 Percent of total billed charges 61% of chages 2897 1680.26 Percent of charges 58% of charges 2897 1419.53 Percent of charges 49% of charges 2897 2462.45 Percent of charges 85% of charges 2897 2230.69 Percent of charges 77% of charges 2897 1883.05 Percent of charges 65% of charges 2897 2259.66 Percent of charges 78% of charges 2897 1390.56 Percent of charges 48% of charges 2897 2897 ARTH KIT FOR TENO SCREW 1676DS 3801948 LOCAL both 1098 1098 1098 801.54 Percent of total billed charges 73% of charges 1098 669.78 Percent of total billed charges 61% of chages 1098 636.84 Percent of charges 58% of charges 1098 538.02 Percent of charges 49% of charges 1098 933.3 Percent of charges 85% of charges 1098 845.46 Percent of charges 77% of charges 1098 713.7 Percent of charges 65% of charges 1098 856.44 Percent of charges 78% of charges 1098 527.04 Percent of charges 48% of charges 1098 1098 ARTH SHD 2FIBERLOP W/ CUR NEED 3801935 LOCAL both 404 404 404 294.92 Percent of total billed charges 73% of charges 404 246.44 Percent of total billed charges 61% of chages 404 234.32 Percent of charges 58% of charges 404 197.96 Percent of charges 49% of charges 404 343.4 Percent of charges 85% of charges 404 311.08 Percent of charges 77% of charges 404 262.6 Percent of charges 65% of charges 404 315.12 Percent of charges 78% of charges 404 193.92 Percent of charges 48% of charges 404 404 ARTH SHD 3.2 DRILL PIN 3801936 LOCAL both 929 929 929 678.17 Percent of total billed charges 73% of charges 929 566.69 Percent of total billed charges 61% of chages 929 538.82 Percent of charges 58% of charges 929 455.21 Percent of charges 49% of charges 929 789.65 Percent of charges 85% of charges 929 715.33 Percent of charges 77% of charges 929 603.85 Percent of charges 65% of charges 929 724.62 Percent of charges 78% of charges 929 445.92 Percent of charges 48% of charges 929 929 ARTH SHD 4.75 CRKSCR/SUT TAPE 3801937 LOCAL both 2279 2279 2279 1663.67 Percent of total billed charges 73% of charges 2279 1390.19 Percent of total billed charges 61% of chages 2279 1321.82 Percent of charges 58% of charges 2279 1116.71 Percent of charges 49% of charges 2279 1937.15 Percent of charges 85% of charges 2279 1754.83 Percent of charges 77% of charges 2279 1481.35 Percent of charges 65% of charges 2279 1777.62 Percent of charges 78% of charges 2279 1093.92 Percent of charges 48% of charges 2279 2279 ARTH SHD 4.75 DBL PEEK SWVLK 3813260 LOCAL both 3055 3055 3055 2230.15 Percent of total billed charges 73% of charges 3055 1863.55 Percent of total billed charges 61% of chages 3055 1771.9 Percent of charges 58% of charges 3055 1496.95 Percent of charges 49% of charges 3055 2596.75 Percent of charges 85% of charges 3055 2352.35 Percent of charges 77% of charges 3055 1985.75 Percent of charges 65% of charges 3055 2382.9 Percent of charges 78% of charges 3055 1466.4 Percent of charges 48% of charges 3055 3055 ARTH SHD 4.75 PEEK SWIVELOCK 3801938 LOCAL both 3055 3055 3055 2230.15 Percent of total billed charges 73% of charges 3055 1863.55 Percent of total billed charges 61% of chages 3055 1771.9 Percent of charges 58% of charges 3055 1496.95 Percent of charges 49% of charges 3055 2596.75 Percent of charges 85% of charges 3055 2352.35 Percent of charges 77% of charges 3055 1985.75 Percent of charges 65% of charges 3055 2382.9 Percent of charges 78% of charges 3055 1466.4 Percent of charges 48% of charges 3055 3055 ARTH SHD 5.5 PEEK SWIVELCOK 3801939 LOCAL both 2715 2715 2715 1981.95 Percent of total billed charges 73% of charges 2715 1656.15 Percent of total billed charges 61% of chages 2715 1574.7 Percent of charges 58% of charges 2715 1330.35 Percent of charges 49% of charges 2715 2307.75 Percent of charges 85% of charges 2715 2090.55 Percent of charges 77% of charges 2715 1764.75 Percent of charges 65% of charges 2715 2117.7 Percent of charges 78% of charges 2715 1303.2 Percent of charges 48% of charges 2715 2715 ARTH SHD 8.25X7 TIPLE DAM CANN 3801940 LOCAL both 285 285 285 208.05 Percent of total billed charges 73% of charges 285 173.85 Percent of total billed charges 61% of chages 285 165.3 Percent of charges 58% of charges 285 139.65 Percent of charges 49% of charges 285 242.25 Percent of charges 85% of charges 285 219.45 Percent of charges 77% of charges 285 185.25 Percent of charges 65% of charges 285 222.3 Percent of charges 78% of charges 285 136.8 Percent of charges 48% of charges 285 285 ARTH SHD ANCHOR 4.75 SPDBRG 3812814 LOCAL both 13428 13428 13428 9802.44 Percent of total billed charges 73% of charges 13428 8191.08 Percent of total billed charges 61% of chages 13428 7788.24 Percent of charges 58% of charges 13428 6579.72 Percent of charges 49% of charges 13428 11413.8 Percent of charges 85% of charges 13428 10339.56 Percent of charges 77% of charges 13428 8728.2 Percent of charges 65% of charges 13428 10473.84 Percent of charges 78% of charges 13428 6445.44 Percent of charges 48% of charges 13428 13428 ARTH SHD ANCHOR 4.75 SWVLK 3812813 LOCAL both 2950 2950 2950 2153.5 Percent of total billed charges 73% of charges 2950 1799.5 Percent of total billed charges 61% of chages 2950 1711 Percent of charges 58% of charges 2950 1445.5 Percent of charges 49% of charges 2950 2507.5 Percent of charges 85% of charges 2950 2271.5 Percent of charges 77% of charges 2950 1917.5 Percent of charges 65% of charges 2950 2301 Percent of charges 78% of charges 2950 1416 Percent of charges 48% of charges 2950 2950 ARTH SHD BUTTON INSERTER 3801941 LOCAL both 1126 1126 1126 821.98 Percent of total billed charges 73% of charges 1126 686.86 Percent of total billed charges 61% of chages 1126 653.08 Percent of charges 58% of charges 1126 551.74 Percent of charges 49% of charges 1126 957.1 Percent of charges 85% of charges 1126 867.02 Percent of charges 77% of charges 1126 731.9 Percent of charges 65% of charges 1126 878.28 Percent of charges 78% of charges 1126 540.48 Percent of charges 48% of charges 1126 1126 ARTH SHD CANNULA 6MMX7CM 3812816 LOCAL both 216 216 216 157.68 Percent of total billed charges 73% of charges 216 131.76 Percent of total billed charges 61% of chages 216 125.28 Percent of charges 58% of charges 216 105.84 Percent of charges 49% of charges 216 183.6 Percent of charges 85% of charges 216 166.32 Percent of charges 77% of charges 216 140.4 Percent of charges 65% of charges 216 168.48 Percent of charges 78% of charges 216 103.68 Percent of charges 48% of charges 216 216 ARTH SHD CANNULA 7MMX7CM 3812818 LOCAL both 216 216 216 157.68 Percent of total billed charges 73% of charges 216 131.76 Percent of total billed charges 61% of chages 216 125.28 Percent of charges 58% of charges 216 105.84 Percent of charges 49% of charges 216 183.6 Percent of charges 85% of charges 216 166.32 Percent of charges 77% of charges 216 140.4 Percent of charges 65% of charges 216 168.48 Percent of charges 78% of charges 216 103.68 Percent of charges 48% of charges 216 216 ARTH SHD CANNULA 8.25MMX9CM 3812817 LOCAL both 216 216 216 157.68 Percent of total billed charges 73% of charges 216 131.76 Percent of total billed charges 61% of chages 216 125.28 Percent of charges 58% of charges 216 105.84 Percent of charges 49% of charges 216 183.6 Percent of charges 85% of charges 216 166.32 Percent of charges 77% of charges 216 140.4 Percent of charges 65% of charges 216 168.48 Percent of charges 78% of charges 216 103.68 Percent of charges 48% of charges 216 216 ARTH SHD CANNULA PSPRT BTN 3812819 LOCAL both 277 277 277 202.21 Percent of total billed charges 73% of charges 277 168.97 Percent of total billed charges 61% of chages 277 160.66 Percent of charges 58% of charges 277 135.73 Percent of charges 49% of charges 277 235.45 Percent of charges 85% of charges 277 213.29 Percent of charges 77% of charges 277 180.05 Percent of charges 65% of charges 277 216.06 Percent of charges 78% of charges 277 132.96 Percent of charges 48% of charges 277 277 ARTH SHD FIBERLINK 3801942 LOCAL both 446 446 446 325.58 Percent of total billed charges 73% of charges 446 272.06 Percent of total billed charges 61% of chages 446 258.68 Percent of charges 58% of charges 446 218.54 Percent of charges 49% of charges 446 379.1 Percent of charges 85% of charges 446 343.42 Percent of charges 77% of charges 446 289.9 Percent of charges 65% of charges 446 347.88 Percent of charges 78% of charges 446 214.08 Percent of charges 48% of charges 446 446 ARTH SHD FIBERTAPE 3801943 LOCAL both 404 404 404 294.92 Percent of total billed charges 73% of charges 404 246.44 Percent of total billed charges 61% of chages 404 234.32 Percent of charges 58% of charges 404 197.96 Percent of charges 49% of charges 404 343.4 Percent of charges 85% of charges 404 311.08 Percent of charges 77% of charges 404 262.6 Percent of charges 65% of charges 404 315.12 Percent of charges 78% of charges 404 193.92 Percent of charges 48% of charges 404 404 ARTH SHD LASSO 25 DEG LT 3813256 LOCAL both 1085 1085 1085 792.05 Percent of total billed charges 73% of charges 1085 661.85 Percent of total billed charges 61% of chages 1085 629.3 Percent of charges 58% of charges 1085 531.65 Percent of charges 49% of charges 1085 922.25 Percent of charges 85% of charges 1085 835.45 Percent of charges 77% of charges 1085 705.25 Percent of charges 65% of charges 1085 846.3 Percent of charges 78% of charges 1085 520.8 Percent of charges 48% of charges 1085 1085 ARTH SHD LASSO 45 DEG LT 3813257 LOCAL both 1085 1085 1085 792.05 Percent of total billed charges 73% of charges 1085 661.85 Percent of total billed charges 61% of chages 1085 629.3 Percent of charges 58% of charges 1085 531.65 Percent of charges 49% of charges 1085 922.25 Percent of charges 85% of charges 1085 835.45 Percent of charges 77% of charges 1085 705.25 Percent of charges 65% of charges 1085 846.3 Percent of charges 78% of charges 1085 520.8 Percent of charges 48% of charges 1085 1085 ARTH SHD MULTIFIRE SCORP NEED 3801944 LOCAL both 1232 1232 1232 899.36 Percent of total billed charges 73% of charges 1232 751.52 Percent of total billed charges 61% of chages 1232 714.56 Percent of charges 58% of charges 1232 603.68 Percent of charges 49% of charges 1232 1047.2 Percent of charges 85% of charges 1232 948.64 Percent of charges 77% of charges 1232 800.8 Percent of charges 65% of charges 1232 960.96 Percent of charges 78% of charges 1232 591.36 Percent of charges 48% of charges 1232 1232 ARTH SHD PEC BUTTON 3801945 LOCAL both 2137 2137 2137 1560.01 Percent of total billed charges 73% of charges 2137 1303.57 Percent of total billed charges 61% of chages 2137 1239.46 Percent of charges 58% of charges 2137 1047.13 Percent of charges 49% of charges 2137 1816.45 Percent of charges 85% of charges 2137 1645.49 Percent of charges 77% of charges 2137 1389.05 Percent of charges 65% of charges 2137 1666.86 Percent of charges 78% of charges 2137 1025.76 Percent of charges 48% of charges 2137 2137 ARTH SHD SUREFIRE SCORP NDL 3812812 LOCAL both 1093 1093 1093 797.89 Percent of total billed charges 73% of charges 1093 666.73 Percent of total billed charges 61% of chages 1093 633.94 Percent of charges 58% of charges 1093 535.57 Percent of charges 49% of charges 1093 929.05 Percent of charges 85% of charges 1093 841.61 Percent of charges 77% of charges 1093 710.45 Percent of charges 65% of charges 1093 852.54 Percent of charges 78% of charges 1093 524.64 Percent of charges 48% of charges 1093 1093 ARTH SHD SUTURELASSO 3812815 LOCAL both 1093 1093 1093 797.89 Percent of total billed charges 73% of charges 1093 666.73 Percent of total billed charges 61% of chages 1093 633.94 Percent of charges 58% of charges 1093 535.57 Percent of charges 49% of charges 1093 929.05 Percent of charges 85% of charges 1093 841.61 Percent of charges 77% of charges 1093 710.45 Percent of charges 65% of charges 1093 852.54 Percent of charges 78% of charges 1093 524.64 Percent of charges 48% of charges 1093 1093 ARTH SHD SUTURETAPE 36MM 3813258 LOCAL both 431 431 431 314.63 Percent of total billed charges 73% of charges 431 262.91 Percent of total billed charges 61% of chages 431 249.98 Percent of charges 58% of charges 431 211.19 Percent of charges 49% of charges 431 366.35 Percent of charges 85% of charges 431 331.87 Percent of charges 77% of charges 431 280.15 Percent of charges 65% of charges 431 336.18 Percent of charges 78% of charges 431 206.88 Percent of charges 48% of charges 431 431 ARTH SHD SUTURETAPE FBRLNK 3812820 LOCAL both 667 667 667 486.91 Percent of total billed charges 73% of charges 667 406.87 Percent of total billed charges 61% of chages 667 386.86 Percent of charges 58% of charges 667 326.83 Percent of charges 49% of charges 667 566.95 Percent of charges 85% of charges 667 513.59 Percent of charges 77% of charges 667 433.55 Percent of charges 65% of charges 667 520.26 Percent of charges 78% of charges 667 320.16 Percent of charges 48% of charges 667 667 ARTH SHD TIGERLINK 3801946 LOCAL both 446 446 446 325.58 Percent of total billed charges 73% of charges 446 272.06 Percent of total billed charges 61% of chages 446 258.68 Percent of charges 58% of charges 446 218.54 Percent of charges 49% of charges 446 379.1 Percent of charges 85% of charges 446 343.42 Percent of charges 77% of charges 446 289.9 Percent of charges 65% of charges 446 347.88 Percent of charges 78% of charges 446 214.08 Percent of charges 48% of charges 446 446 ARTH SHD TIGERTAPE 3801947 LOCAL both 404 404 404 294.92 Percent of total billed charges 73% of charges 404 246.44 Percent of total billed charges 61% of chages 404 234.32 Percent of charges 58% of charges 404 197.96 Percent of charges 49% of charges 404 343.4 Percent of charges 85% of charges 404 311.08 Percent of charges 77% of charges 404 262.6 Percent of charges 65% of charges 404 315.12 Percent of charges 78% of charges 404 193.92 Percent of charges 48% of charges 404 404 ARTH TIGHTROPE BUTTON 3813228 LOCAL both 2128 2128 2128 1553.44 Percent of total billed charges 73% of charges 2128 1298.08 Percent of total billed charges 61% of chages 2128 1234.24 Percent of charges 58% of charges 2128 1042.72 Percent of charges 49% of charges 2128 1808.8 Percent of charges 85% of charges 2128 1638.56 Percent of charges 77% of charges 2128 1383.2 Percent of charges 65% of charges 2128 1659.84 Percent of charges 78% of charges 2128 1021.44 Percent of charges 48% of charges 2128 2128 ARTH TIGHTROPE IMPLANT 3813229 LOCAL both 2202 2202 2202 1607.46 Percent of total billed charges 73% of charges 2202 1343.22 Percent of total billed charges 61% of chages 2202 1277.16 Percent of charges 58% of charges 2202 1078.98 Percent of charges 49% of charges 2202 1871.7 Percent of charges 85% of charges 2202 1695.54 Percent of charges 77% of charges 2202 1431.3 Percent of charges 65% of charges 2202 1717.56 Percent of charges 78% of charges 2202 1056.96 Percent of charges 48% of charges 2202 2202 ARTH TIGHTROPE W/ TAPE 3813227 LOCAL both 4366 4366 4366 3187.18 Percent of total billed charges 73% of charges 4366 2663.26 Percent of total billed charges 61% of chages 4366 2532.28 Percent of charges 58% of charges 4366 2139.34 Percent of charges 49% of charges 4366 3711.1 Percent of charges 85% of charges 4366 3361.82 Percent of charges 77% of charges 4366 2837.9 Percent of charges 65% of charges 4366 3405.48 Percent of charges 78% of charges 4366 2095.68 Percent of charges 48% of charges 4366 4366 ARTHRO IRRIG TUBING 4-SPIKE 3813151 LOCAL both 197 197 197 143.81 Percent of total billed charges 73% of charges 197 120.17 Percent of total billed charges 61% of chages 197 114.26 Percent of charges 58% of charges 197 96.53 Percent of charges 49% of charges 197 167.45 Percent of charges 85% of charges 197 151.69 Percent of charges 77% of charges 197 128.05 Percent of charges 65% of charges 197 153.66 Percent of charges 78% of charges 197 94.56 Percent of charges 48% of charges 197 197 ARTHRO KNEE LIM SYNOVECT-PRO 29875 CPT 29875P LOCAL 26 outpatient 920 920 920 671.6 Percent of total billed charges 73% of charges 920 561.2 Percent of total billed charges 61% of chages 920 533.6 Percent of charges 58% of charges 920 450.8 Percent of charges 49% of charges 920 782 Percent of charges 85% of charges 920 708.4 Percent of charges 77% of charges 920 598 Percent of charges 65% of charges 920 717.6 Percent of charges 78% of charges 920 441.6 Percent of charges 48% of charges 920 920 Arthro Knee;Inf/Lav/drn-PRO 29871 CPT 29871P LOCAL 26 outpatient 988 988 988 721.24 Percent of total billed charges 73% of charges 988 602.68 Percent of total billed charges 61% of chages 988 573.04 Percent of charges 58% of charges 988 484.12 Percent of charges 49% of charges 988 839.8 Percent of charges 85% of charges 988 760.76 Percent of charges 77% of charges 988 642.2 Percent of charges 65% of charges 988 770.64 Percent of charges 78% of charges 988 474.24 Percent of charges 48% of charges 988 988 ARTHRO KNEE;W MEN DEB/SH -PRO 29880 CPT 29880P LOCAL 26 outpatient 1079 1079 1079 787.67 Percent of total billed charges 73% of charges 1079 658.19 Percent of total billed charges 61% of chages 1079 625.82 Percent of charges 58% of charges 1079 528.71 Percent of charges 49% of charges 1079 917.15 Percent of charges 85% of charges 1079 830.83 Percent of charges 77% of charges 1079 701.35 Percent of charges 65% of charges 1079 841.62 Percent of charges 78% of charges 1079 517.92 Percent of charges 48% of charges 1079 1079 ARTHRO KNEE;W MEN M/L W SH-PRO 29881 CPT 29881P LOCAL 26 outpatient 1039 1039 1039 758.47 Percent of total billed charges 73% of charges 1039 633.79 Percent of total billed charges 61% of chages 1039 602.62 Percent of charges 58% of charges 1039 509.11 Percent of charges 49% of charges 1039 883.15 Percent of charges 85% of charges 1039 800.03 Percent of charges 77% of charges 1039 675.35 Percent of charges 65% of charges 1039 810.42 Percent of charges 78% of charges 1039 498.72 Percent of charges 48% of charges 1039 1039 ARTHRO W ROTAT CUFF REP-PRO 29827 CPT 29827P LOCAL 26 outpatient 2071 2071 2071 1511.83 Percent of total billed charges 73% of charges 2071 1263.31 Percent of total billed charges 61% of chages 2071 1201.18 Percent of charges 58% of charges 2071 1014.79 Percent of charges 49% of charges 2071 1760.35 Percent of charges 85% of charges 2071 1594.67 Percent of charges 77% of charges 2071 1346.15 Percent of charges 65% of charges 2071 1615.38 Percent of charges 78% of charges 2071 994.08 Percent of charges 48% of charges 2071 2071 "ARTHRO, KNEE; DEB/SH AC-PRO" 29877 CPT 29877P LOCAL 26 outpatient 1195 1195 1195 872.35 Percent of total billed charges 73% of charges 1195 728.95 Percent of total billed charges 61% of chages 1195 693.1 Percent of charges 58% of charges 1195 585.55 Percent of charges 49% of charges 1195 1015.75 Percent of charges 85% of charges 1195 920.15 Percent of charges 77% of charges 1195 776.75 Percent of charges 65% of charges 1195 932.1 Percent of charges 78% of charges 1195 573.6 Percent of charges 48% of charges 1195 1195 "ARTHRO,KNEE;ABRAS ARTHROPL-PRO" 29879 CPT 29879P LOCAL 26 outpatient 1274 1274 1274 930.02 Percent of total billed charges 73% of charges 1274 777.14 Percent of total billed charges 61% of chages 1274 738.92 Percent of charges 58% of charges 1274 624.26 Percent of charges 49% of charges 1274 1082.9 Percent of charges 85% of charges 1274 980.98 Percent of charges 77% of charges 1274 828.1 Percent of charges 65% of charges 1274 993.72 Percent of charges 78% of charges 1274 611.52 Percent of charges 48% of charges 1274 1274 ARTHROCARE TURBOVAC 90 3800589 LOCAL both 1977 1977 1977 1443.21 Percent of total billed charges 73% of charges 1977 1205.97 Percent of total billed charges 61% of chages 1977 1146.66 Percent of charges 58% of charges 1977 968.73 Percent of charges 49% of charges 1977 1680.45 Percent of charges 85% of charges 1977 1522.29 Percent of charges 77% of charges 1977 1285.05 Percent of charges 65% of charges 1977 1542.06 Percent of charges 78% of charges 1977 948.96 Percent of charges 48% of charges 1977 1977 ARTHROPL C&P; MEDIAL/LAT-PRO 27446 CPT 27446P LOCAL 26 outpatient 2250 2250 2250 1642.5 Percent of total billed charges 73% of charges 2250 1372.5 Percent of total billed charges 61% of chages 2250 1305 Percent of charges 58% of charges 2250 1102.5 Percent of charges 49% of charges 2250 1912.5 Percent of charges 85% of charges 2250 1732.5 Percent of charges 77% of charges 2250 1462.5 Percent of charges 65% of charges 2250 1755 Percent of charges 78% of charges 2250 1080 Percent of charges 48% of charges 2250 2250 ARTHROPL TOT KNEE REPLACE-PRO 27447 CPT 27447P LOCAL 26 outpatient 2633 2633 2633 1922.09 Percent of total billed charges 73% of charges 2633 1606.13 Percent of total billed charges 61% of chages 2633 1527.14 Percent of charges 58% of charges 2633 1290.17 Percent of charges 49% of charges 2633 2238.05 Percent of charges 85% of charges 2633 2027.41 Percent of charges 77% of charges 2633 1711.45 Percent of charges 65% of charges 2633 2053.74 Percent of charges 78% of charges 2633 1263.84 Percent of charges 48% of charges 2633 2633 ARTHROPLASTY ACE/FEM TOTAL-PRO 27130 CPT 27130P LOCAL 26 outpatient 2637 2637 2637 1925.01 Percent of total billed charges 73% of charges 2637 1608.57 Percent of total billed charges 61% of chages 2637 1529.46 Percent of charges 58% of charges 2637 1292.13 Percent of charges 49% of charges 2637 2241.45 Percent of charges 85% of charges 2637 2030.49 Percent of charges 77% of charges 2637 1714.05 Percent of charges 65% of charges 2637 2056.86 Percent of charges 78% of charges 2637 1265.76 Percent of charges 48% of charges 2637 2637 ARTHROSC ACL REPAIR/AUGM-PRO 29888 CPT 29888P LOCAL 26 outpatient 1898 1898 1898 1385.54 Percent of total billed charges 73% of charges 1898 1157.78 Percent of total billed charges 61% of chages 1898 1100.84 Percent of charges 58% of charges 1898 930.02 Percent of charges 49% of charges 1898 1613.3 Percent of charges 85% of charges 1898 1461.46 Percent of charges 77% of charges 1898 1233.7 Percent of charges 65% of charges 1898 1480.44 Percent of charges 78% of charges 1898 911.04 Percent of charges 48% of charges 1898 1898 ARTHROSCOPY 4.0 BARREL BURR 3803899 LOCAL both 363 363 363 264.99 Percent of total billed charges 73% of charges 363 221.43 Percent of total billed charges 61% of chages 363 210.54 Percent of charges 58% of charges 363 177.87 Percent of charges 49% of charges 363 308.55 Percent of charges 85% of charges 363 279.51 Percent of charges 77% of charges 363 235.95 Percent of charges 65% of charges 363 283.14 Percent of charges 78% of charges 363 174.24 Percent of charges 48% of charges 363 363 ARTHROSCOPY 3.5 AGGRESSIV PLUS 3803898 LOCAL both 328 328 328 239.44 Percent of total billed charges 73% of charges 328 200.08 Percent of total billed charges 61% of chages 328 190.24 Percent of charges 58% of charges 328 160.72 Percent of charges 49% of charges 328 278.8 Percent of charges 85% of charges 328 252.56 Percent of charges 77% of charges 328 213.2 Percent of charges 65% of charges 328 255.84 Percent of charges 78% of charges 328 157.44 Percent of charges 48% of charges 328 328 ARTHROSCOPY 4.0 AGGRESSIVE 3800588 LOCAL both 295 295 295 215.35 Percent of total billed charges 73% of charges 295 179.95 Percent of total billed charges 61% of chages 295 171.1 Percent of charges 58% of charges 295 144.55 Percent of charges 49% of charges 295 250.75 Percent of charges 85% of charges 295 227.15 Percent of charges 77% of charges 295 191.75 Percent of charges 65% of charges 295 230.1 Percent of charges 78% of charges 295 141.6 Percent of charges 48% of charges 295 295 ARTHROSCOPY 5.5 AGGRESSIVE TOM 3802860 LOCAL both 392 392 392 286.16 Percent of total billed charges 73% of charges 392 239.12 Percent of total billed charges 61% of chages 392 227.36 Percent of charges 58% of charges 392 192.08 Percent of charges 49% of charges 392 333.2 Percent of charges 85% of charges 392 301.84 Percent of charges 77% of charges 392 254.8 Percent of charges 65% of charges 392 305.76 Percent of charges 78% of charges 392 188.16 Percent of charges 48% of charges 392 392 ARTHROSCOPY 5.5 BARREL BURR 3803896 LOCAL both 345 345 345 251.85 Percent of total billed charges 73% of charges 345 210.45 Percent of total billed charges 61% of chages 345 200.1 Percent of charges 58% of charges 345 169.05 Percent of charges 49% of charges 345 293.25 Percent of charges 85% of charges 345 265.65 Percent of charges 77% of charges 345 224.25 Percent of charges 65% of charges 345 269.1 Percent of charges 78% of charges 345 165.6 Percent of charges 48% of charges 345 345 ARTHROSCOPY 5.5 MM CANNULA 3800262 LOCAL both 222 222 222 162.06 Percent of total billed charges 73% of charges 222 135.42 Percent of total billed charges 61% of chages 222 128.76 Percent of charges 58% of charges 222 108.78 Percent of charges 49% of charges 222 188.7 Percent of charges 85% of charges 222 170.94 Percent of charges 77% of charges 222 144.3 Percent of charges 65% of charges 222 173.16 Percent of charges 78% of charges 222 106.56 Percent of charges 48% of charges 222 222 ARTHROSCOPY 5.5 RESECTOR CUT 3803897 LOCAL both 328 328 328 239.44 Percent of total billed charges 73% of charges 328 200.08 Percent of total billed charges 61% of chages 328 190.24 Percent of charges 58% of charges 328 160.72 Percent of charges 49% of charges 328 278.8 Percent of charges 85% of charges 328 252.56 Percent of charges 77% of charges 328 213.2 Percent of charges 65% of charges 328 255.84 Percent of charges 78% of charges 328 157.44 Percent of charges 48% of charges 328 328 ARTHROSCOPY TUBING 3802865 LOCAL both 298 298 298 217.54 Percent of total billed charges 73% of charges 298 181.78 Percent of total billed charges 61% of chages 298 172.84 Percent of charges 58% of charges 298 146.02 Percent of charges 49% of charges 298 253.3 Percent of charges 85% of charges 298 229.46 Percent of charges 77% of charges 298 193.7 Percent of charges 65% of charges 298 232.44 Percent of charges 78% of charges 298 143.04 Percent of charges 48% of charges 298 298 "ARTHROSCPY SHLDR,DEBRI EXT-PRO" 29823 CPT 29823P LOCAL 26 outpatient 1207 1207 1207 881.11 Percent of total billed charges 73% of charges 1207 736.27 Percent of total billed charges 61% of chages 1207 700.06 Percent of charges 58% of charges 1207 591.43 Percent of charges 49% of charges 1207 1025.95 Percent of charges 85% of charges 1207 929.39 Percent of charges 77% of charges 1207 784.55 Percent of charges 65% of charges 1207 941.46 Percent of charges 78% of charges 1207 579.36 Percent of charges 48% of charges 1207 1207 ARTHROT ANKLE W/JNT EXPL-PRO 27620 CPT 27620P LOCAL 26 outpatient 859 859 859 627.07 Percent of total billed charges 73% of charges 859 523.99 Percent of total billed charges 61% of chages 859 498.22 Percent of charges 58% of charges 859 420.91 Percent of charges 49% of charges 859 730.15 Percent of charges 85% of charges 859 661.43 Percent of charges 77% of charges 859 558.35 Percent of charges 65% of charges 859 670.02 Percent of charges 78% of charges 859 412.32 Percent of charges 48% of charges 859 859 "ARTHROTOMY, SYNOV ANT/POS-PRO" 27335 CPT 27335P LOCAL 26 outpatient 1477 1477 1477 1078.21 Percent of total billed charges 73% of charges 1477 900.97 Percent of total billed charges 61% of chages 1477 856.66 Percent of charges 58% of charges 1477 723.73 Percent of charges 49% of charges 1477 1255.45 Percent of charges 85% of charges 1477 1137.29 Percent of charges 77% of charges 1477 960.05 Percent of charges 65% of charges 1477 1152.06 Percent of charges 78% of charges 1477 708.96 Percent of charges 48% of charges 1477 1477 ARTHRS SHLDR DSTL CLAVICLC-PRO 29824 CPT 29824P LOCAL 26 outpatient 3425 3425 3425 2500.25 Percent of total billed charges 73% of charges 3425 2089.25 Percent of total billed charges 61% of chages 3425 1986.5 Percent of charges 58% of charges 3425 1678.25 Percent of charges 49% of charges 3425 2911.25 Percent of charges 85% of charges 3425 2637.25 Percent of charges 77% of charges 3425 2226.25 Percent of charges 65% of charges 3425 2671.5 Percent of charges 78% of charges 3425 1644 Percent of charges 48% of charges 3425 3425 ARTIFIC INSEMIN-INTRA UTER-PRO 58322 CPT 58322P LOCAL 26 outpatient 116 116 116 84.68 Percent of total billed charges 73% of charges 116 70.76 Percent of total billed charges 61% of chages 116 67.28 Percent of charges 58% of charges 116 56.84 Percent of charges 49% of charges 116 98.6 Percent of charges 85% of charges 116 89.32 Percent of charges 77% of charges 116 75.4 Percent of charges 65% of charges 116 90.48 Percent of charges 78% of charges 116 55.68 Percent of charges 48% of charges 116 116 ARTIFICIAL INSEMINATION-PRO 58321 CPT 58321P LOCAL 26 outpatient 96 96 96 70.08 Percent of total billed charges 73% of charges 96 58.56 Percent of total billed charges 61% of chages 96 55.68 Percent of charges 58% of charges 96 47.04 Percent of charges 49% of charges 96 81.6 Percent of charges 85% of charges 96 73.92 Percent of charges 77% of charges 96 62.4 Percent of charges 65% of charges 96 74.88 Percent of charges 78% of charges 96 46.08 Percent of charges 48% of charges 96 96 ARTLINE BLOOD SAMPLING 3800586 LOCAL both 117 117 117 85.41 Percent of total billed charges 73% of charges 117 71.37 Percent of total billed charges 61% of chages 117 67.86 Percent of charges 58% of charges 117 57.33 Percent of charges 49% of charges 117 99.45 Percent of charges 85% of charges 117 90.09 Percent of charges 77% of charges 117 76.05 Percent of charges 65% of charges 117 91.26 Percent of charges 78% of charges 117 56.16 Percent of charges 48% of charges 117 117 ARTLINE CATH ART. 20G X 1 3/4 C1751 HCPCS 3800287 LOCAL both 67 67 67 48.91 Percent of total billed charges 73% of charges 67 40.87 Percent of total billed charges 61% of chages 67 38.86 Percent of charges 58% of charges 67 32.83 Percent of charges 49% of charges 67 56.95 Percent of charges 85% of charges 67 51.59 Percent of charges 77% of charges 67 43.55 Percent of charges 65% of charges 67 52.26 Percent of charges 78% of charges 67 32.16 Percent of charges 48% of charges 67 67 ASCA(SACCHACMYCES) 86671 CPT 4300385 LOCAL both 248 248 248 181.04 Percent of total billed charges 73% of charges 248 151.28 Percent of total billed charges 61% of chages 248 143.84 Percent of charges 58% of charges 248 121.52 Percent of charges 49% of charges 248 210.8 Percent of charges 85% of charges 248 190.96 Percent of charges 77% of charges 248 161.2 Percent of charges 65% of charges 248 193.44 Percent of charges 78% of charges 248 119.04 Percent of charges 48% of charges 248 248 ASO(STREPTOLYSIN O) TITER 86060 CPT 4306060 LOCAL both 125 125 125 91.25 Percent of total billed charges 73% of charges 125 76.25 Percent of total billed charges 61% of chages 125 72.5 Percent of charges 58% of charges 125 61.25 Percent of charges 49% of charges 125 106.25 Percent of charges 85% of charges 125 96.25 Percent of charges 77% of charges 125 81.25 Percent of charges 65% of charges 125 97.5 Percent of charges 78% of charges 125 60 Percent of charges 48% of charges 125 125 ASO(STREPTOLYSIN O)SCREEN 86063 CPT 4306063 LOCAL both 82 82 82 59.86 Percent of total billed charges 73% of charges 82 50.02 Percent of total billed charges 61% of chages 82 47.56 Percent of charges 58% of charges 82 40.18 Percent of charges 49% of charges 82 69.7 Percent of charges 85% of charges 82 63.14 Percent of charges 77% of charges 82 53.3 Percent of charges 65% of charges 82 63.96 Percent of charges 78% of charges 82 39.36 Percent of charges 48% of charges 82 82 ASPERGILLUS AB 86606 CPT 4306606 LOCAL both 168 168 168 122.64 Percent of total billed charges 73% of charges 168 102.48 Percent of total billed charges 61% of chages 168 97.44 Percent of charges 58% of charges 168 82.32 Percent of charges 49% of charges 168 142.8 Percent of charges 85% of charges 168 129.36 Percent of charges 77% of charges 168 109.2 Percent of charges 65% of charges 168 131.04 Percent of charges 78% of charges 168 80.64 Percent of charges 48% of charges 168 168 ASPIR BLADDER W/CATH INSE 51102 CPT 51102F LOCAL outpatient 3388 3388 3388 2473.24 Percent of total billed charges 73% of charges 3388 2066.68 Percent of total billed charges 61% of chages 3388 1965.04 Percent of charges 58% of charges 3388 1660.12 Percent of charges 49% of charges 3388 2879.8 Percent of charges 85% of charges 3388 2608.76 Percent of charges 77% of charges 3388 2202.2 Percent of charges 65% of charges 3388 2642.64 Percent of charges 78% of charges 3388 1626.24 Percent of charges 48% of charges 3388 3388 ASPIR&/INJ GANG CYSTS ANT -FAC 20612 CPT 20612F LOCAL TC outpatient 501 501 501 365.73 Percent of total billed charges 73% of charges 501 305.61 Percent of total billed charges 61% of chages 501 290.58 Percent of charges 58% of charges 501 245.49 Percent of charges 49% of charges 501 425.85 Percent of charges 85% of charges 501 385.77 Percent of charges 77% of charges 501 325.65 Percent of charges 65% of charges 501 390.78 Percent of charges 78% of charges 501 240.48 Percent of charges 48% of charges 501 501 ASPIR&/INJ GANG CYSTS ANT -PRO 20612 CPT 20612P LOCAL 26 outpatient 80 80 80 58.4 Percent of total billed charges 73% of charges 80 48.8 Percent of total billed charges 61% of chages 80 46.4 Percent of charges 58% of charges 80 39.2 Percent of charges 49% of charges 80 68 Percent of charges 85% of charges 80 61.6 Percent of charges 77% of charges 80 52 Percent of charges 65% of charges 80 62.4 Percent of charges 78% of charges 80 38.4 Percent of charges 48% of charges 80 80 ASPIR&/INJ GANG CYSTS ANT-TOT 20612 CPT 20612 LOCAL outpatient 581 581 581 424.13 Percent of total billed charges 73% of charges 581 354.41 Percent of total billed charges 61% of chages 581 336.98 Percent of charges 58% of charges 581 284.69 Percent of charges 49% of charges 581 493.85 Percent of charges 85% of charges 581 447.37 Percent of charges 77% of charges 581 377.65 Percent of charges 65% of charges 581 453.18 Percent of charges 78% of charges 581 278.88 Percent of charges 48% of charges 581 581 ASPIR/INJ THYROID CYST -FAC 60300 CPT 60300F LOCAL TC outpatient 1168 1168 1168 852.64 Percent of total billed charges 73% of charges 1168 712.48 Percent of total billed charges 61% of chages 1168 677.44 Percent of charges 58% of charges 1168 572.32 Percent of charges 49% of charges 1168 992.8 Percent of charges 85% of charges 1168 899.36 Percent of charges 77% of charges 1168 759.2 Percent of charges 65% of charges 1168 911.04 Percent of charges 78% of charges 1168 560.64 Percent of charges 48% of charges 1168 1168 ASPIR/INJ THYROID CYST -PRO 60300 CPT 60300P LOCAL 26 outpatient 97 97 97 70.81 Percent of total billed charges 73% of charges 97 59.17 Percent of total billed charges 61% of chages 97 56.26 Percent of charges 58% of charges 97 47.53 Percent of charges 49% of charges 97 82.45 Percent of charges 85% of charges 97 74.69 Percent of charges 77% of charges 97 63.05 Percent of charges 65% of charges 97 75.66 Percent of charges 78% of charges 97 46.56 Percent of charges 48% of charges 97 97 ASPIR/INJ THYROID CYST-TOTAL 60300 CPT 60300 LOCAL outpatient 1265 1265 1265 923.45 Percent of total billed charges 73% of charges 1265 771.65 Percent of total billed charges 61% of chages 1265 733.7 Percent of charges 58% of charges 1265 619.85 Percent of charges 49% of charges 1265 1075.25 Percent of charges 85% of charges 1265 974.05 Percent of charges 77% of charges 1265 822.25 Percent of charges 65% of charges 1265 986.7 Percent of charges 78% of charges 1265 607.2 Percent of charges 48% of charges 1265 1265 "ASPIRATION BLADDER, BY NEEDLE" 51100 CPT 51100F LOCAL outpatient 450 450 450 328.5 Percent of total billed charges 73% of charges 450 274.5 Percent of total billed charges 61% of chages 450 261 Percent of charges 58% of charges 450 220.5 Percent of charges 49% of charges 450 382.5 Percent of charges 85% of charges 450 346.5 Percent of charges 77% of charges 450 292.5 Percent of charges 65% of charges 450 351 Percent of charges 78% of charges 450 216 Percent of charges 48% of charges 450 450 Assmt&Care Pl Pt Cog Imp-Fac 99483 CPT 99483F LOCAL TC outpatient 98 98 98 71.54 Percent of total billed charges 73% of charges 98 59.78 Percent of total billed charges 61% of chages 98 56.84 Percent of charges 58% of charges 98 48.02 Percent of charges 49% of charges 98 83.3 Percent of charges 85% of charges 98 75.46 Percent of charges 77% of charges 98 63.7 Percent of charges 65% of charges 98 76.44 Percent of charges 78% of charges 98 47.04 Percent of charges 48% of charges 98 98 Assmt&Care Pl Pt Cog Imp-Pro 99483 CPT 99483P LOCAL 26 outpatient 391 391 391 285.43 Percent of total billed charges 73% of charges 391 238.51 Percent of total billed charges 61% of chages 391 226.78 Percent of charges 58% of charges 391 191.59 Percent of charges 49% of charges 391 332.35 Percent of charges 85% of charges 391 301.07 Percent of charges 77% of charges 391 254.15 Percent of charges 65% of charges 391 304.98 Percent of charges 78% of charges 391 187.68 Percent of charges 48% of charges 391 391 Assmt&Care Pl Pt Cog Imp-Tot 99483 CPT 99483 LOCAL outpatient 489 489 489 356.97 Percent of total billed charges 73% of charges 489 298.29 Percent of total billed charges 61% of chages 489 283.62 Percent of charges 58% of charges 489 239.61 Percent of charges 49% of charges 489 415.65 Percent of charges 85% of charges 489 376.53 Percent of charges 77% of charges 489 317.85 Percent of charges 65% of charges 489 381.42 Percent of charges 78% of charges 489 234.72 Percent of charges 48% of charges 489 489 ATTN AT DEL REQ BY DEL PHYS 99464 CPT 99464P LOCAL outpatient 143 143 143 104.39 Percent of total billed charges 73% of charges 143 87.23 Percent of total billed charges 61% of chages 143 82.94 Percent of charges 58% of charges 143 70.07 Percent of charges 49% of charges 143 121.55 Percent of charges 85% of charges 143 110.11 Percent of charges 77% of charges 143 92.95 Percent of charges 65% of charges 143 111.54 Percent of charges 78% of charges 143 68.64 Percent of charges 48% of charges 143 143 Audiogram-FRASCO 5500033 LOCAL both 57 57 57 41.61 Percent of total billed charges 73% of charges 57 34.77 Percent of total billed charges 61% of chages 57 33.06 Percent of charges 58% of charges 57 27.93 Percent of charges 49% of charges 57 48.45 Percent of charges 85% of charges 57 43.89 Percent of charges 77% of charges 57 37.05 Percent of charges 65% of charges 57 44.46 Percent of charges 78% of charges 57 27.36 Percent of charges 48% of charges 57 57 AUTOLOGOUS BLOOD P9011 HCPCS 4350105 LOCAL both 557 557 557 406.61 Percent of total billed charges 73% of charges 557 339.77 Percent of total billed charges 61% of chages 557 323.06 Percent of charges 58% of charges 557 272.93 Percent of charges 49% of charges 557 473.45 Percent of charges 85% of charges 557 428.89 Percent of charges 77% of charges 557 362.05 Percent of charges 65% of charges 557 434.46 Percent of charges 78% of charges 557 267.36 Percent of charges 48% of charges 557 557 AUTOLOGOUS DONATION SURCG 86890 CPT 4356890 LOCAL both 385 385 385 281.05 Percent of total billed charges 73% of charges 385 234.85 Percent of total billed charges 61% of chages 385 223.3 Percent of charges 58% of charges 385 188.65 Percent of charges 49% of charges 385 327.25 Percent of charges 85% of charges 385 296.45 Percent of charges 77% of charges 385 250.25 Percent of charges 65% of charges 385 300.3 Percent of charges 78% of charges 385 184.8 Percent of charges 48% of charges 385 385 AXIL LYMPHADENECTOMY;COMP-PRO 38745 CPT 38745P LOCAL 26 outpatient 1726 1726 1726 1259.98 Percent of total billed charges 73% of charges 1726 1052.86 Percent of total billed charges 61% of chages 1726 1001.08 Percent of charges 58% of charges 1726 845.74 Percent of charges 49% of charges 1726 1467.1 Percent of charges 85% of charges 1726 1329.02 Percent of charges 77% of charges 1726 1121.9 Percent of charges 65% of charges 1726 1346.28 Percent of charges 78% of charges 1726 828.48 Percent of charges 48% of charges 1726 1726 AXILLARY NERVE BLOCK-PRO 64417 CPT 64417P LOCAL 26 outpatient 119 119 119 86.87 Percent of total billed charges 73% of charges 119 72.59 Percent of total billed charges 61% of chages 119 69.02 Percent of charges 58% of charges 119 58.31 Percent of charges 49% of charges 119 101.15 Percent of charges 85% of charges 119 91.63 Percent of charges 77% of charges 119 77.35 Percent of charges 65% of charges 119 92.82 Percent of charges 78% of charges 119 57.12 Percent of charges 48% of charges 119 119 AZITHROMYCIN 250MG TAB J3490 HCPCS 4810547 LOCAL both 39 39 39 28.47 Percent of total billed charges 73% of charges 39 23.79 Percent of total billed charges 61% of chages 39 22.62 Percent of charges 58% of charges 39 19.11 Percent of charges 49% of charges 39 33.15 Percent of charges 85% of charges 39 30.03 Percent of charges 77% of charges 39 25.35 Percent of charges 65% of charges 39 30.42 Percent of charges 78% of charges 39 18.72 Percent of charges 48% of charges 39 39 B PARAPERTUSS/PARAPERTUSS PCR 87798 CPT 4301062 LOCAL both 183 183 183 133.59 Percent of total billed charges 73% of charges 183 111.63 Percent of total billed charges 61% of chages 183 106.14 Percent of charges 58% of charges 183 89.67 Percent of charges 49% of charges 183 155.55 Percent of charges 85% of charges 183 140.91 Percent of charges 77% of charges 183 118.95 Percent of charges 65% of charges 183 142.74 Percent of charges 78% of charges 183 87.84 Percent of charges 48% of charges 183 183 B PERTUSSIS/PARA PERTUSSIS PCR 87798 CPT 4300629 LOCAL both 286 286 286 208.78 Percent of total billed charges 73% of charges 286 174.46 Percent of total billed charges 61% of chages 286 165.88 Percent of charges 58% of charges 286 140.14 Percent of charges 49% of charges 286 243.1 Percent of charges 85% of charges 286 220.22 Percent of charges 77% of charges 286 185.9 Percent of charges 65% of charges 286 223.08 Percent of charges 78% of charges 286 137.28 Percent of charges 48% of charges 286 286 B&A SPIRO(BRONCHSPSM EVAL)-PRO 94060 CPT 94060P LOCAL 26 outpatient 28 28 28 20.44 Percent of total billed charges 73% of charges 28 17.08 Percent of total billed charges 61% of chages 28 16.24 Percent of charges 58% of charges 28 13.72 Percent of charges 49% of charges 28 23.8 Percent of charges 85% of charges 28 21.56 Percent of charges 77% of charges 28 18.2 Percent of charges 65% of charges 28 21.84 Percent of charges 78% of charges 28 13.44 Percent of charges 48% of charges 28 28 BABY BED 3400011 LOCAL inpatient 1115 1115 1115 813.95 Percent of total billed charges 73% of charges 1115 680.15 Percent of total billed charges 61% of chages 1115 646.7 Percent of charges 58% of charges 1115 546.35 Percent of charges 49% of charges 1115 947.75 Percent of charges 85% of charges 1115 858.55 Percent of charges 77% of charges 1115 724.75 Percent of charges 65% of charges 1115 869.7 Percent of charges 78% of charges 1115 535.2 Percent of charges 48% of charges 1115 1115 BABY BED ISOLATION/TELEMETRY 3400020 LOCAL both 1624 1624 1624 1185.52 Percent of total billed charges 73% of charges 1624 990.64 Percent of total billed charges 61% of chages 1624 941.92 Percent of charges 58% of charges 1624 795.76 Percent of charges 49% of charges 1624 1380.4 Percent of charges 85% of charges 1624 1250.48 Percent of charges 77% of charges 1624 1055.6 Percent of charges 65% of charges 1624 1266.72 Percent of charges 78% of charges 1624 779.52 Percent of charges 48% of charges 1624 1624 BACITRACIN OINT PKT J3490 HCPCS 4810273 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 BACTERIAL VAGINOSIS - QUANT 87799 CPT 4301099 LOCAL both 399 399 399 291.27 Percent of total billed charges 73% of charges 399 243.39 Percent of total billed charges 61% of chages 399 231.42 Percent of charges 58% of charges 399 195.51 Percent of charges 49% of charges 399 339.15 Percent of charges 85% of charges 399 307.23 Percent of charges 77% of charges 399 259.35 Percent of charges 65% of charges 399 311.22 Percent of charges 78% of charges 399 191.52 Percent of charges 48% of charges 399 399 "BACTERIUM, NOT SPECIFIED" 86609 CPT 4306609 LOCAL both 97 97 97 70.81 Percent of total billed charges 73% of charges 97 59.17 Percent of total billed charges 61% of chages 97 56.26 Percent of charges 58% of charges 97 47.53 Percent of charges 49% of charges 97 82.45 Percent of charges 85% of charges 97 74.69 Percent of charges 77% of charges 97 63.05 Percent of charges 65% of charges 97 75.66 Percent of charges 78% of charges 97 46.56 Percent of charges 48% of charges 97 97 BALANCE TEST EACH 15 MIN 97750 CPT 5107750 LOCAL outpatient 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 BALANCE TEST EACH 15 MIN 97750 CPT 5117750 LOCAL outpatient 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 BALLARD SUCTION CLOSED 3700941 LOCAL both 46 46 46 33.58 Percent of total billed charges 73% of charges 46 28.06 Percent of total billed charges 61% of chages 46 26.68 Percent of charges 58% of charges 46 22.54 Percent of charges 49% of charges 46 39.1 Percent of charges 85% of charges 46 35.42 Percent of charges 77% of charges 46 29.9 Percent of charges 65% of charges 46 35.88 Percent of charges 78% of charges 46 22.08 Percent of charges 48% of charges 46 46 BARBITUATES QUANT GC/MS 80345 CPT 4300849 LOCAL both 182 182 182 132.86 Percent of total billed charges 73% of charges 182 111.02 Percent of total billed charges 61% of chages 182 105.56 Percent of charges 58% of charges 182 89.18 Percent of charges 49% of charges 182 154.7 Percent of charges 85% of charges 182 140.14 Percent of charges 77% of charges 182 118.3 Percent of charges 65% of charges 182 141.96 Percent of charges 78% of charges 182 87.36 Percent of charges 48% of charges 182 182 BARBITURATES 80305 CPT 4300451 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 BARIUM ENEMA 74270 CPT 4603319 LOCAL outpatient 768 768 768 560.64 Percent of total billed charges 73% of charges 768 468.48 Percent of total billed charges 61% of chages 768 445.44 Percent of charges 58% of charges 768 376.32 Percent of charges 49% of charges 768 652.8 Percent of charges 85% of charges 768 591.36 Percent of charges 77% of charges 768 499.2 Percent of charges 65% of charges 768 599.04 Percent of charges 78% of charges 768 368.64 Percent of charges 48% of charges 768 768 BARIUM ENEMA/AC 74280 CPT 4603329 LOCAL outpatient 840 840 840 613.2 Percent of total billed charges 73% of charges 840 512.4 Percent of total billed charges 61% of chages 840 487.2 Percent of charges 58% of charges 840 411.6 Percent of charges 49% of charges 840 714 Percent of charges 85% of charges 840 646.8 Percent of charges 77% of charges 840 546 Percent of charges 65% of charges 840 655.2 Percent of charges 78% of charges 840 403.2 Percent of charges 48% of charges 840 840 BARIUM SWALLOW STDY DYSPH 74230 CPT 4603279 LOCAL outpatient 540 540 540 394.2 Percent of total billed charges 73% of charges 540 329.4 Percent of total billed charges 61% of chages 540 313.2 Percent of charges 58% of charges 540 264.6 Percent of charges 49% of charges 540 459 Percent of charges 85% of charges 540 415.8 Percent of charges 77% of charges 540 351 Percent of charges 65% of charges 540 421.2 Percent of charges 78% of charges 540 259.2 Percent of charges 48% of charges 540 540 BARTONELLA 86611 CPT 4306611 LOCAL both 156 156 156 113.88 Percent of total billed charges 73% of charges 156 95.16 Percent of total billed charges 61% of chages 156 90.48 Percent of charges 58% of charges 156 76.44 Percent of charges 49% of charges 156 132.6 Percent of charges 85% of charges 156 120.12 Percent of charges 77% of charges 156 101.4 Percent of charges 65% of charges 156 121.68 Percent of charges 78% of charges 156 74.88 Percent of charges 48% of charges 156 156 BASIC METABOLIC PANEL 80048 CPT 4300048 LOCAL both 116 116 116 84.68 Percent of total billed charges 73% of charges 116 70.76 Percent of total billed charges 61% of chages 116 67.28 Percent of charges 58% of charges 116 56.84 Percent of charges 49% of charges 116 98.6 Percent of charges 85% of charges 116 89.32 Percent of charges 77% of charges 116 75.4 Percent of charges 65% of charges 116 90.48 Percent of charges 78% of charges 116 55.68 Percent of charges 48% of charges 116 116 B-CELL RECEPTOR IGH GENE REARR 81261 CPT 4301261 LOCAL both 955 955 955 697.15 Percent of total billed charges 73% of charges 955 582.55 Percent of total billed charges 61% of chages 955 553.9 Percent of charges 58% of charges 955 467.95 Percent of charges 49% of charges 955 811.75 Percent of charges 85% of charges 955 735.35 Percent of charges 77% of charges 955 620.75 Percent of charges 65% of charges 955 744.9 Percent of charges 78% of charges 955 458.4 Percent of charges 48% of charges 955 955 B-CELL RECEPTOR IGK GENE REARR 81264 CPT 4301264 LOCAL both 709 709 709 517.57 Percent of total billed charges 73% of charges 709 432.49 Percent of total billed charges 61% of chages 709 411.22 Percent of charges 58% of charges 709 347.41 Percent of charges 49% of charges 709 602.65 Percent of charges 85% of charges 709 545.93 Percent of charges 77% of charges 709 460.85 Percent of charges 65% of charges 709 553.02 Percent of charges 78% of charges 709 340.32 Percent of charges 48% of charges 709 709 B-CELL TOTAL COUNT 86355 CPT 4306355 LOCAL both 175 175 175 127.75 Percent of total billed charges 73% of charges 175 106.75 Percent of total billed charges 61% of chages 175 101.5 Percent of charges 58% of charges 175 85.75 Percent of charges 49% of charges 175 148.75 Percent of charges 85% of charges 175 134.75 Percent of charges 77% of charges 175 113.75 Percent of charges 65% of charges 175 136.5 Percent of charges 78% of charges 175 84 Percent of charges 48% of charges 175 175 BCL-2 IHC WITH INTERP 88342 CPT 4301013 LOCAL outpatient 250 250 250 182.5 Percent of total billed charges 73% of charges 250 152.5 Percent of total billed charges 61% of chages 250 145 Percent of charges 58% of charges 250 122.5 Percent of charges 49% of charges 250 212.5 Percent of charges 85% of charges 250 192.5 Percent of charges 77% of charges 250 162.5 Percent of charges 65% of charges 250 195 Percent of charges 78% of charges 250 120 Percent of charges 48% of charges 250 250 BCR/ABL GENE MAJOR BP QUA 81206 CPT 4300972 LOCAL both 471 471 471 343.83 Percent of total billed charges 73% of charges 471 287.31 Percent of total billed charges 61% of chages 471 273.18 Percent of charges 58% of charges 471 230.79 Percent of charges 49% of charges 471 400.35 Percent of charges 85% of charges 471 362.67 Percent of charges 77% of charges 471 306.15 Percent of charges 65% of charges 471 367.38 Percent of charges 78% of charges 471 226.08 Percent of charges 48% of charges 471 471 BCR/ABL GENE MINOR BP QUA 81207 CPT 4300973 LOCAL both 471 471 471 343.83 Percent of total billed charges 73% of charges 471 287.31 Percent of total billed charges 61% of chages 471 273.18 Percent of charges 58% of charges 471 230.79 Percent of charges 49% of charges 471 400.35 Percent of charges 85% of charges 471 362.67 Percent of charges 77% of charges 471 306.15 Percent of charges 65% of charges 471 367.38 Percent of charges 78% of charges 471 226.08 Percent of charges 48% of charges 471 471 BCR/ABL GENE OTHER BP QUA 81208 CPT 4300974 LOCAL both 471 471 471 343.83 Percent of total billed charges 73% of charges 471 287.31 Percent of total billed charges 61% of chages 471 273.18 Percent of charges 58% of charges 471 230.79 Percent of charges 49% of charges 471 400.35 Percent of charges 85% of charges 471 362.67 Percent of charges 77% of charges 471 306.15 Percent of charges 65% of charges 471 367.38 Percent of charges 78% of charges 471 226.08 Percent of charges 48% of charges 471 471 BCR/ABL Major /P190 Quant 81479 CPT 4301151 LOCAL both 1406 1406 1406 1026.38 Percent of total billed charges 73% of charges 1406 857.66 Percent of total billed charges 61% of chages 1406 815.48 Percent of charges 58% of charges 1406 688.94 Percent of charges 49% of charges 1406 1195.1 Percent of charges 85% of charges 1406 1082.62 Percent of charges 77% of charges 1406 913.9 Percent of charges 65% of charges 1406 1096.68 Percent of charges 78% of charges 1406 674.88 Percent of charges 48% of charges 1406 1406 "BCR/ABL MAJOR BP, QNT RT" 81206 CPT 4301206 LOCAL both 471 471 471 343.83 Percent of total billed charges 73% of charges 471 287.31 Percent of total billed charges 61% of chages 471 273.18 Percent of charges 58% of charges 471 230.79 Percent of charges 49% of charges 471 400.35 Percent of charges 85% of charges 471 362.67 Percent of charges 77% of charges 471 306.15 Percent of charges 65% of charges 471 367.38 Percent of charges 78% of charges 471 226.08 Percent of charges 48% of charges 471 471 BCR/ABL P190 QUANT 81207 CPT 4301207 LOCAL both 774 774 774 565.02 Percent of total billed charges 73% of charges 774 472.14 Percent of total billed charges 61% of chages 774 448.92 Percent of charges 58% of charges 774 379.26 Percent of charges 49% of charges 774 657.9 Percent of charges 85% of charges 774 595.98 Percent of charges 77% of charges 774 503.1 Percent of charges 65% of charges 774 603.72 Percent of charges 78% of charges 774 371.52 Percent of charges 48% of charges 774 774 BCR-ABL TRANSLOCATION 883 88368 CPT 4300615 LOCAL outpatient 908 908 908 662.84 Percent of total billed charges 73% of charges 908 553.88 Percent of total billed charges 61% of chages 908 526.64 Percent of charges 58% of charges 908 444.92 Percent of charges 49% of charges 908 771.8 Percent of charges 85% of charges 908 699.16 Percent of charges 77% of charges 908 590.2 Percent of charges 65% of charges 908 708.24 Percent of charges 78% of charges 908 435.84 Percent of charges 48% of charges 908 908 BCR-FISH-88368 88368 CPT 4300566 LOCAL outpatient 650 650 650 474.5 Percent of total billed charges 73% of charges 650 396.5 Percent of total billed charges 61% of chages 650 377 Percent of charges 58% of charges 650 318.5 Percent of charges 49% of charges 650 552.5 Percent of charges 85% of charges 650 500.5 Percent of charges 77% of charges 650 422.5 Percent of charges 65% of charges 650 507 Percent of charges 78% of charges 650 312 Percent of charges 48% of charges 650 650 BEBTELOVIMAB 175MG/2ML INJ 4802120 LOCAL both 1 ea 0.01 0.01 0.01 0.01 Percent of total billed charges 73% of charges 0.01 0.0061 Percent of total billed charges 61% of chages 0.01 0.0058 Percent of charges 58% of charges 0.01 0.0049 Percent of charges 49% of charges 0.01 0.0085 Percent of charges 85% of charges 0.01 0.0077 Percent of charges 77% of charges 0.01 0.0065 Percent of charges 65% of charges 0.01 0.0078 Percent of charges 78% of charges 0.01 0.0048 Percent of charges 48% of charges 0.01 0.01 BENZODIAZEPINES 80305 CPT 4300446 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 BENZODIAZEPINES QUANT 80346 CPT 4300783 LOCAL both 193 193 193 140.89 Percent of total billed charges 73% of charges 193 117.73 Percent of total billed charges 61% of chages 193 111.94 Percent of charges 58% of charges 193 94.57 Percent of charges 49% of charges 193 164.05 Percent of charges 85% of charges 193 148.61 Percent of charges 77% of charges 193 125.45 Percent of charges 65% of charges 193 150.54 Percent of charges 78% of charges 193 92.64 Percent of charges 48% of charges 193 193 BENZONATATE PELES J3490 HCPCS 4810498 LOCAL both 3.5 3.5 3.5 2.56 Percent of total billed charges 73% of charges 3.5 2.135 Percent of total billed charges 61% of chages 3.5 2.03 Percent of charges 58% of charges 3.5 1.715 Percent of charges 49% of charges 3.5 2.975 Percent of charges 85% of charges 3.5 2.695 Percent of charges 77% of charges 3.5 2.275 Percent of charges 65% of charges 3.5 2.73 Percent of charges 78% of charges 3.5 1.68 Percent of charges 48% of charges 3.5 3.5 BETA 2 GLYCOPROTEIN IgA 86146 CPT 4300866 LOCAL 26 both 236 236 236 172.28 Percent of total billed charges 73% of charges 236 143.96 Percent of total billed charges 61% of chages 236 136.88 Percent of charges 58% of charges 236 115.64 Percent of charges 49% of charges 236 200.6 Percent of charges 85% of charges 236 181.72 Percent of charges 77% of charges 236 153.4 Percent of charges 65% of charges 236 184.08 Percent of charges 78% of charges 236 113.28 Percent of charges 48% of charges 236 236 BETA 2 GLYCOPROTEIN IgG 86146 CPT 4306146 LOCAL 26 both 229 229 229 167.17 Percent of total billed charges 73% of charges 229 139.69 Percent of total billed charges 61% of chages 229 132.82 Percent of charges 58% of charges 229 112.21 Percent of charges 49% of charges 229 194.65 Percent of charges 85% of charges 229 176.33 Percent of charges 77% of charges 229 148.85 Percent of charges 65% of charges 229 178.62 Percent of charges 78% of charges 229 109.92 Percent of charges 48% of charges 229 229 BETA 2 GLYCOPROTEIN Igm 86146 CPT 4300987 LOCAL 26 both 151 151 151 110.23 Percent of total billed charges 73% of charges 151 92.11 Percent of total billed charges 61% of chages 151 87.58 Percent of charges 58% of charges 151 73.99 Percent of charges 49% of charges 151 128.35 Percent of charges 85% of charges 151 116.27 Percent of charges 77% of charges 151 98.15 Percent of charges 65% of charges 151 117.78 Percent of charges 78% of charges 151 72.48 Percent of charges 48% of charges 151 151 BETA FIBRINOGEN 81400 CPT 4301128 LOCAL both 596 596 596 435.08 Percent of total billed charges 73% of charges 596 363.56 Percent of total billed charges 61% of chages 596 345.68 Percent of charges 58% of charges 596 292.04 Percent of charges 49% of charges 596 506.6 Percent of charges 85% of charges 596 458.92 Percent of charges 77% of charges 596 387.4 Percent of charges 65% of charges 596 464.88 Percent of charges 78% of charges 596 286.08 Percent of charges 48% of charges 596 596 BETA-2 MICROGLOBULIN 82232 CPT 4302232 LOCAL both 150 150 150 109.5 Percent of total billed charges 73% of charges 150 91.5 Percent of total billed charges 61% of chages 150 87 Percent of charges 58% of charges 150 73.5 Percent of charges 49% of charges 150 127.5 Percent of charges 85% of charges 150 115.5 Percent of charges 77% of charges 150 97.5 Percent of charges 65% of charges 150 117 Percent of charges 78% of charges 150 72 Percent of charges 48% of charges 150 150 BETA-HYDROXYBUTYRIC ACID 82010 CPT 4302010 LOCAL both 119 119 119 86.87 Percent of total billed charges 73% of charges 119 72.59 Percent of total billed charges 61% of chages 119 69.02 Percent of charges 58% of charges 119 58.31 Percent of charges 49% of charges 119 101.15 Percent of charges 85% of charges 119 91.63 Percent of charges 77% of charges 119 77.35 Percent of charges 65% of charges 119 92.82 Percent of charges 78% of charges 119 57.12 Percent of charges 48% of charges 119 119 BETAMETH ACET&PHOS INJ30mg/5ml J0702 HCPCS 4801635 LOCAL both 309 309 309 225.57 Percent of total billed charges 73% of charges 309 188.49 Percent of total billed charges 61% of chages 309 179.22 Percent of charges 58% of charges 309 151.41 Percent of charges 49% of charges 309 262.65 Percent of charges 85% of charges 309 237.93 Percent of charges 77% of charges 309 200.85 Percent of charges 65% of charges 309 241.02 Percent of charges 78% of charges 309 148.32 Percent of charges 48% of charges 309 309 B-HCG 84702 CPT 4304702 LOCAL both 149 149 149 108.77 Percent of total billed charges 73% of charges 149 90.89 Percent of total billed charges 61% of chages 149 86.42 Percent of charges 58% of charges 149 73.01 Percent of charges 49% of charges 149 126.65 Percent of charges 85% of charges 149 114.73 Percent of charges 77% of charges 149 96.85 Percent of charges 65% of charges 149 116.22 Percent of charges 78% of charges 149 71.52 Percent of charges 48% of charges 149 149 B-HCG SEND OUT 84702 CPT 4300452 LOCAL both 137 137 137 100.01 Percent of total billed charges 73% of charges 137 83.57 Percent of total billed charges 61% of chages 137 79.46 Percent of charges 58% of charges 137 67.13 Percent of charges 49% of charges 137 116.45 Percent of charges 85% of charges 137 105.49 Percent of charges 77% of charges 137 89.05 Percent of charges 65% of charges 137 106.86 Percent of charges 78% of charges 137 65.76 Percent of charges 48% of charges 137 137 BIL ANKLE 2 VIEWS 73600 CPT 4603602 LOCAL outpatient 387 387 387 282.51 Percent of total billed charges 73% of charges 387 236.07 Percent of total billed charges 61% of chages 387 224.46 Percent of charges 58% of charges 387 189.63 Percent of charges 49% of charges 387 328.95 Percent of charges 85% of charges 387 297.99 Percent of charges 77% of charges 387 251.55 Percent of charges 65% of charges 387 301.86 Percent of charges 78% of charges 387 185.76 Percent of charges 48% of charges 387 387 BIL ANKLE MIN 3 VIEWS 73610 CPT 4602961 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BIL AP KNEES STANDING 73565 CPT 4602915 LOCAL outpatient 269 269 269 196.37 Percent of total billed charges 73% of charges 269 164.09 Percent of total billed charges 61% of chages 269 156.02 Percent of charges 58% of charges 269 131.81 Percent of charges 49% of charges 269 228.65 Percent of charges 85% of charges 269 207.13 Percent of charges 77% of charges 269 174.85 Percent of charges 65% of charges 269 209.82 Percent of charges 78% of charges 269 129.12 Percent of charges 48% of charges 269 269 BIL BREAST NDL WIRE PLACE 19281 CPT 4615157 LOCAL outpatient 1851 1851 1851 1351.23 Percent of total billed charges 73% of charges 1851 1129.11 Percent of total billed charges 61% of chages 1851 1073.58 Percent of charges 58% of charges 1851 906.99 Percent of charges 49% of charges 1851 1573.35 Percent of charges 85% of charges 1851 1425.27 Percent of charges 77% of charges 1851 1203.15 Percent of charges 65% of charges 1851 1443.78 Percent of charges 78% of charges 1851 888.48 Percent of charges 48% of charges 1851 1851 BIL CALCANEOUS MIN 2 VIEWS 73650 CPT 4602701 LOCAL outpatient 410 410 410 299.3 Percent of total billed charges 73% of charges 410 250.1 Percent of total billed charges 61% of chages 410 237.8 Percent of charges 58% of charges 410 200.9 Percent of charges 49% of charges 410 348.5 Percent of charges 85% of charges 410 315.7 Percent of charges 77% of charges 410 266.5 Percent of charges 65% of charges 410 319.8 Percent of charges 78% of charges 410 196.8 Percent of charges 48% of charges 410 410 BIL DIAG BREAST TOMOSYNTHESIS 77062 CPT 4617062 LOCAL both 98 98 98 71.54 Percent of total billed charges 73% of charges 98 59.78 Percent of total billed charges 61% of chages 98 56.84 Percent of charges 58% of charges 98 48.02 Percent of charges 49% of charges 98 83.3 Percent of charges 85% of charges 98 75.46 Percent of charges 77% of charges 98 63.7 Percent of charges 65% of charges 98 76.44 Percent of charges 78% of charges 98 47.04 Percent of charges 48% of charges 98 98 BIL DIAG IMPLANT DIGITAL+CAD 77066 CPT 4610106 LOCAL outpatient 542 542 542 395.66 Percent of total billed charges 73% of charges 542 330.62 Percent of total billed charges 61% of chages 542 314.36 Percent of charges 58% of charges 542 265.58 Percent of charges 49% of charges 542 460.7 Percent of charges 85% of charges 542 417.34 Percent of charges 77% of charges 542 352.3 Percent of charges 65% of charges 542 422.76 Percent of charges 78% of charges 542 260.16 Percent of charges 48% of charges 542 542 BIL DIAG MAMM DIGITAL+CAD 77066 CPT 4610100 LOCAL outpatient 579 579 579 422.67 Percent of total billed charges 73% of charges 579 353.19 Percent of total billed charges 61% of chages 579 335.82 Percent of charges 58% of charges 579 283.71 Percent of charges 49% of charges 579 492.15 Percent of charges 85% of charges 579 445.83 Percent of charges 77% of charges 579 376.35 Percent of charges 65% of charges 579 451.62 Percent of charges 78% of charges 579 277.92 Percent of charges 48% of charges 579 579 "BIL DX NRVE BLCK,OTH PERIPH" 64450 CPT 64450F50 LOCAL outpatient 2289 2289 2289 1670.97 Percent of total billed charges 73% of charges 2289 1396.29 Percent of total billed charges 61% of chages 2289 1327.62 Percent of charges 58% of charges 2289 1121.61 Percent of charges 49% of charges 2289 1945.65 Percent of charges 85% of charges 2289 1762.53 Percent of charges 77% of charges 2289 1487.85 Percent of charges 65% of charges 2289 1785.42 Percent of charges 78% of charges 2289 1098.72 Percent of charges 48% of charges 2289 2289 BIL ELBOW 3 VIEWS 73080 CPT 4602430 LOCAL outpatient 451 451 451 329.23 Percent of total billed charges 73% of charges 451 275.11 Percent of total billed charges 61% of chages 451 261.58 Percent of charges 58% of charges 451 220.99 Percent of charges 49% of charges 451 383.35 Percent of charges 85% of charges 451 347.27 Percent of charges 77% of charges 451 293.15 Percent of charges 65% of charges 451 351.78 Percent of charges 78% of charges 451 216.48 Percent of charges 48% of charges 451 451 BIL ELBOW MIN 2 VIEWS 73070 CPT 4603072 LOCAL outpatient 404 404 404 294.92 Percent of total billed charges 73% of charges 404 246.44 Percent of total billed charges 61% of chages 404 234.32 Percent of charges 58% of charges 404 197.96 Percent of charges 49% of charges 404 343.4 Percent of charges 85% of charges 404 311.08 Percent of charges 77% of charges 404 262.6 Percent of charges 65% of charges 404 315.12 Percent of charges 78% of charges 404 193.92 Percent of charges 48% of charges 404 404 BIL FEMUR 1 VIEW 73551 CPT 4602897 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BIL FEMUR 2 VIEWS 73552 CPT 4602900 LOCAL outpatient 503 503 503 367.19 Percent of total billed charges 73% of charges 503 306.83 Percent of total billed charges 61% of chages 503 291.74 Percent of charges 58% of charges 503 246.47 Percent of charges 49% of charges 503 427.55 Percent of charges 85% of charges 503 387.31 Percent of charges 77% of charges 503 326.95 Percent of charges 65% of charges 503 392.34 Percent of charges 78% of charges 503 241.44 Percent of charges 48% of charges 503 503 "BIL FINGERS, MIN 2 VIEWS" 73140 CPT 4603140 LOCAL outpatient 358 358 358 261.34 Percent of total billed charges 73% of charges 358 218.38 Percent of total billed charges 61% of chages 358 207.64 Percent of charges 58% of charges 358 175.42 Percent of charges 49% of charges 358 304.3 Percent of charges 85% of charges 358 275.66 Percent of charges 77% of charges 358 232.7 Percent of charges 65% of charges 358 279.24 Percent of charges 78% of charges 358 171.84 Percent of charges 48% of charges 358 358 BIL FOOT 2 VIEWS 73620 CPT 4603622 LOCAL outpatient 387 387 387 282.51 Percent of total billed charges 73% of charges 387 236.07 Percent of total billed charges 61% of chages 387 224.46 Percent of charges 58% of charges 387 189.63 Percent of charges 49% of charges 387 328.95 Percent of charges 85% of charges 387 297.99 Percent of charges 77% of charges 387 251.55 Percent of charges 65% of charges 387 301.86 Percent of charges 78% of charges 387 185.76 Percent of charges 48% of charges 387 387 BIL FOOT MIN 3 VIEWS 73630 CPT 4602681 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BIL FOREARM 2 VIEWS 73090 CPT 4602440 LOCAL outpatient 420 420 420 306.6 Percent of total billed charges 73% of charges 420 256.2 Percent of total billed charges 61% of chages 420 243.6 Percent of charges 58% of charges 420 205.8 Percent of charges 49% of charges 420 357 Percent of charges 85% of charges 420 323.4 Percent of charges 77% of charges 420 273 Percent of charges 65% of charges 420 327.6 Percent of charges 78% of charges 420 201.6 Percent of charges 48% of charges 420 420 BIL HAND MIN 2 VIEWS 73120 CPT 4603122 LOCAL outpatient 387 387 387 282.51 Percent of total billed charges 73% of charges 387 236.07 Percent of total billed charges 61% of chages 387 224.46 Percent of charges 58% of charges 387 189.63 Percent of charges 49% of charges 387 328.95 Percent of charges 85% of charges 387 297.99 Percent of charges 77% of charges 387 251.55 Percent of charges 65% of charges 387 301.86 Percent of charges 78% of charges 387 185.76 Percent of charges 48% of charges 387 387 BIL HAND MIN 3 VIEWS 73130 CPT 4602481 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BIL HIPS 3-4 VIEWS 73522 CPT 4603522 LOCAL outpatient 517 517 517 377.41 Percent of total billed charges 73% of charges 517 315.37 Percent of total billed charges 61% of chages 517 299.86 Percent of charges 58% of charges 517 253.33 Percent of charges 49% of charges 517 439.45 Percent of charges 85% of charges 517 398.09 Percent of charges 77% of charges 517 336.05 Percent of charges 65% of charges 517 403.26 Percent of charges 78% of charges 517 248.16 Percent of charges 48% of charges 517 517 BIL INJ PROC MAMM DUCT 19030 CPT 4615155 LOCAL 26 outpatient 625 625 625 456.25 Percent of total billed charges 73% of charges 625 381.25 Percent of total billed charges 61% of chages 625 362.5 Percent of charges 58% of charges 625 306.25 Percent of charges 49% of charges 625 531.25 Percent of charges 85% of charges 625 481.25 Percent of charges 77% of charges 625 406.25 Percent of charges 65% of charges 625 487.5 Percent of charges 78% of charges 625 300 Percent of charges 48% of charges 625 625 BIL KNEE 4 VIEWS 73564 CPT 4602914 LOCAL outpatient 629 629 629 459.17 Percent of total billed charges 73% of charges 629 383.69 Percent of total billed charges 61% of chages 629 364.82 Percent of charges 58% of charges 629 308.21 Percent of charges 49% of charges 629 534.65 Percent of charges 85% of charges 629 484.33 Percent of charges 77% of charges 629 408.85 Percent of charges 65% of charges 629 490.62 Percent of charges 78% of charges 629 301.92 Percent of charges 48% of charges 629 629 BIL KNEES 1-2 VIEWS 73560 CPT 4602906 LOCAL outpatient 397 397 397 289.81 Percent of total billed charges 73% of charges 397 242.17 Percent of total billed charges 61% of chages 397 230.26 Percent of charges 58% of charges 397 194.53 Percent of charges 49% of charges 397 337.45 Percent of charges 85% of charges 397 305.69 Percent of charges 77% of charges 397 258.05 Percent of charges 65% of charges 397 309.66 Percent of charges 78% of charges 397 190.56 Percent of charges 48% of charges 397 397 BIL KNEES MIN 3 VIEWS 73562 CPT 4602907 LOCAL outpatient 451 451 451 329.23 Percent of total billed charges 73% of charges 451 275.11 Percent of total billed charges 61% of chages 451 261.58 Percent of charges 58% of charges 451 220.99 Percent of charges 49% of charges 451 383.35 Percent of charges 85% of charges 451 347.27 Percent of charges 77% of charges 451 293.15 Percent of charges 65% of charges 451 351.78 Percent of charges 78% of charges 451 216.48 Percent of charges 48% of charges 451 451 BIL LE MIN 2 VIEWS INFANT 73592 CPT 4603594 LOCAL outpatient 419 419 419 305.87 Percent of total billed charges 73% of charges 419 255.59 Percent of total billed charges 61% of chages 419 243.02 Percent of charges 58% of charges 419 205.31 Percent of charges 49% of charges 419 356.15 Percent of charges 85% of charges 419 322.63 Percent of charges 77% of charges 419 272.35 Percent of charges 65% of charges 419 326.82 Percent of charges 78% of charges 419 201.12 Percent of charges 48% of charges 419 419 BIL LOWER LEG 2 VIEWS TIB/FIB 73590 CPT 4602941 LOCAL outpatient 430 430 430 313.9 Percent of total billed charges 73% of charges 430 262.3 Percent of total billed charges 61% of chages 430 249.4 Percent of charges 58% of charges 430 210.7 Percent of charges 49% of charges 430 365.5 Percent of charges 85% of charges 430 331.1 Percent of charges 77% of charges 430 279.5 Percent of charges 65% of charges 430 335.4 Percent of charges 78% of charges 430 206.4 Percent of charges 48% of charges 430 430 Bil Nerve Block Genicular-FAC 64454 CPT 64454F50 LOCAL TC outpatient 1794 1794 1794 1309.62 Percent of total billed charges 73% of charges 1794 1094.34 Percent of total billed charges 61% of chages 1794 1040.52 Percent of charges 58% of charges 1794 879.06 Percent of charges 49% of charges 1794 1524.9 Percent of charges 85% of charges 1794 1381.38 Percent of charges 77% of charges 1794 1166.1 Percent of charges 65% of charges 1794 1399.32 Percent of charges 78% of charges 1794 861.12 Percent of charges 48% of charges 1794 1794 BIL RIBS W PA CHEST MIN4 VIEWS 71111 CPT 4600411 LOCAL outpatient 457 457 457 333.61 Percent of total billed charges 73% of charges 457 278.77 Percent of total billed charges 61% of chages 457 265.06 Percent of charges 58% of charges 457 223.93 Percent of charges 49% of charges 457 388.45 Percent of charges 85% of charges 457 351.89 Percent of charges 77% of charges 457 297.05 Percent of charges 65% of charges 457 356.46 Percent of charges 78% of charges 457 219.36 Percent of charges 48% of charges 457 457 BIL SCR MAMM CONVERT DIAG +CAD 77066 CPT 4615137 LOCAL outpatient 538 538 538 392.74 Percent of total billed charges 73% of charges 538 328.18 Percent of total billed charges 61% of chages 538 312.04 Percent of charges 58% of charges 538 263.62 Percent of charges 49% of charges 538 457.3 Percent of charges 85% of charges 538 414.26 Percent of charges 77% of charges 538 349.7 Percent of charges 65% of charges 538 419.64 Percent of charges 78% of charges 538 258.24 Percent of charges 48% of charges 538 538 BIL SCREEN MAMM-DIGITAL+CAD 77067 CPT 4610200 LOCAL outpatient 505 505 505 368.65 Percent of total billed charges 73% of charges 505 308.05 Percent of total billed charges 61% of chages 505 292.9 Percent of charges 58% of charges 505 247.45 Percent of charges 49% of charges 505 429.25 Percent of charges 85% of charges 505 388.85 Percent of charges 77% of charges 505 328.25 Percent of charges 65% of charges 505 393.9 Percent of charges 78% of charges 505 242.4 Percent of charges 48% of charges 505 505 BIL SCRN IMPLANT DIGITAL+CAD 77067 CPT 4610206 LOCAL outpatient 472 472 472 344.56 Percent of total billed charges 73% of charges 472 287.92 Percent of total billed charges 61% of chages 472 273.76 Percent of charges 58% of charges 472 231.28 Percent of charges 49% of charges 472 401.2 Percent of charges 85% of charges 472 363.44 Percent of charges 77% of charges 472 306.8 Percent of charges 65% of charges 472 368.16 Percent of charges 78% of charges 472 226.56 Percent of charges 48% of charges 472 472 BIL SHOULDER 1 VIEW 73020 CPT 4603022 LOCAL outpatient 397 397 397 289.81 Percent of total billed charges 73% of charges 397 242.17 Percent of total billed charges 61% of chages 397 230.26 Percent of charges 58% of charges 397 194.53 Percent of charges 49% of charges 397 337.45 Percent of charges 85% of charges 397 305.69 Percent of charges 77% of charges 397 258.05 Percent of charges 65% of charges 397 309.66 Percent of charges 78% of charges 397 190.56 Percent of charges 48% of charges 397 397 "BIL TOES, MIN 2 VIEWS" 73660 CPT 4603660 LOCAL outpatient 358 358 358 261.34 Percent of total billed charges 73% of charges 358 218.38 Percent of total billed charges 61% of chages 358 207.64 Percent of charges 58% of charges 358 175.42 Percent of charges 49% of charges 358 304.3 Percent of charges 85% of charges 358 275.66 Percent of charges 77% of charges 358 232.7 Percent of charges 65% of charges 358 279.24 Percent of charges 78% of charges 358 171.84 Percent of charges 48% of charges 358 358 BIL WRIST MIN 2 VIEWS 73100 CPT 4603102 LOCAL outpatient 387 387 387 282.51 Percent of total billed charges 73% of charges 387 236.07 Percent of total billed charges 61% of chages 387 224.46 Percent of charges 58% of charges 387 189.63 Percent of charges 49% of charges 387 328.95 Percent of charges 85% of charges 387 297.99 Percent of charges 77% of charges 387 251.55 Percent of charges 65% of charges 387 301.86 Percent of charges 78% of charges 387 185.76 Percent of charges 48% of charges 387 387 BIL WRIST MIN 3 VIEWS 73110 CPT 4602460 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BILAT CLAVICLE 73000 CPT 4602330 LOCAL outpatient 451 451 451 329.23 Percent of total billed charges 73% of charges 451 275.11 Percent of total billed charges 61% of chages 451 261.58 Percent of charges 58% of charges 451 220.99 Percent of charges 49% of charges 451 383.35 Percent of charges 85% of charges 451 347.27 Percent of charges 77% of charges 451 293.15 Percent of charges 65% of charges 451 351.78 Percent of charges 78% of charges 451 216.48 Percent of charges 48% of charges 451 451 BILATERAL EXTREM ANGIOGRAM-PRO 75716 CPT 75716P LOCAL 26 outpatient 325 325 325 237.25 Percent of total billed charges 73% of charges 325 198.25 Percent of total billed charges 61% of chages 325 188.5 Percent of charges 58% of charges 325 159.25 Percent of charges 49% of charges 325 276.25 Percent of charges 85% of charges 325 250.25 Percent of charges 77% of charges 325 211.25 Percent of charges 65% of charges 325 253.5 Percent of charges 78% of charges 325 156 Percent of charges 48% of charges 325 325 BILATERAL EXTREMITY ANGIOGRAM 75716 CPT 4605716 LOCAL outpatient 7400 7400 7400 5402 Percent of total billed charges 73% of charges 7400 4514 Percent of total billed charges 61% of chages 7400 4292 Percent of charges 58% of charges 7400 3626 Percent of charges 49% of charges 7400 6290 Percent of charges 85% of charges 7400 5698 Percent of charges 77% of charges 7400 4810 Percent of charges 65% of charges 7400 5772 Percent of charges 78% of charges 7400 3552 Percent of charges 48% of charges 7400 7400 BILATERAL HUMERUS MIN 2 VW 73060 CPT 4602410 LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 BILATERAL SCAPULA 73010 CPT 4602340 LOCAL outpatient 696 696 696 508.08 Percent of total billed charges 73% of charges 696 424.56 Percent of total billed charges 61% of chages 696 403.68 Percent of charges 58% of charges 696 341.04 Percent of charges 49% of charges 696 591.6 Percent of charges 85% of charges 696 535.92 Percent of charges 77% of charges 696 452.4 Percent of charges 65% of charges 696 542.88 Percent of charges 78% of charges 696 334.08 Percent of charges 48% of charges 696 696 BILATERAL SHOULDER 2 VIEW 73030 CPT 4602360 LOCAL outpatient 451 451 451 329.23 Percent of total billed charges 73% of charges 451 275.11 Percent of total billed charges 61% of chages 451 261.58 Percent of charges 58% of charges 451 220.99 Percent of charges 49% of charges 451 383.35 Percent of charges 85% of charges 451 347.27 Percent of charges 77% of charges 451 293.15 Percent of charges 65% of charges 451 351.78 Percent of charges 78% of charges 451 216.48 Percent of charges 48% of charges 451 451 BILATERAL UE 2VW INFANT 73092 CPT 4602382 LOCAL outpatient 519 519 519 378.87 Percent of total billed charges 73% of charges 519 316.59 Percent of total billed charges 61% of chages 519 301.02 Percent of charges 58% of charges 519 254.31 Percent of charges 49% of charges 519 441.15 Percent of charges 85% of charges 519 399.63 Percent of charges 77% of charges 519 337.35 Percent of charges 65% of charges 519 404.82 Percent of charges 78% of charges 519 249.12 Percent of charges 48% of charges 519 519 BILE ACIDS FRACT + TOTAL 82239 CPT 4303789 LOCAL both 645 645 645 470.85 Percent of total billed charges 73% of charges 645 393.45 Percent of total billed charges 61% of chages 645 374.1 Percent of charges 58% of charges 645 316.05 Percent of charges 49% of charges 645 548.25 Percent of charges 85% of charges 645 496.65 Percent of charges 77% of charges 645 419.25 Percent of charges 65% of charges 645 503.1 Percent of charges 78% of charges 645 309.6 Percent of charges 48% of charges 645 645 "BILE ACIDS, TOTAL-SERUM" 82239 CPT 4302239 LOCAL both 194 194 194 141.62 Percent of total billed charges 73% of charges 194 118.34 Percent of total billed charges 61% of chages 194 112.52 Percent of charges 58% of charges 194 95.06 Percent of charges 49% of charges 194 164.9 Percent of charges 85% of charges 194 149.38 Percent of charges 77% of charges 194 126.1 Percent of charges 65% of charges 194 151.32 Percent of charges 78% of charges 194 93.12 Percent of charges 48% of charges 194 194 BILICHEK-INFANT-BILIRUBIN 88720 CPT 4308400 LOCAL both 44 44 44 32.12 Percent of total billed charges 73% of charges 44 26.84 Percent of total billed charges 61% of chages 44 25.52 Percent of charges 58% of charges 44 21.56 Percent of charges 49% of charges 44 37.4 Percent of charges 85% of charges 44 33.88 Percent of charges 77% of charges 44 28.6 Percent of charges 65% of charges 44 34.32 Percent of charges 78% of charges 44 21.12 Percent of charges 48% of charges 44 44 BILILITE BOARDER BABY BED 3400014 LOCAL both 1034 1034 1034 754.82 Percent of total billed charges 73% of charges 1034 630.74 Percent of total billed charges 61% of chages 1034 599.72 Percent of charges 58% of charges 1034 506.66 Percent of charges 49% of charges 1034 878.9 Percent of charges 85% of charges 1034 796.18 Percent of charges 77% of charges 1034 672.1 Percent of charges 65% of charges 1034 806.52 Percent of charges 78% of charges 1034 496.32 Percent of charges 48% of charges 1034 1034 BILILITE BOARDER BED ISO/TELEM 3400023 LOCAL both 1507 1507 1507 1100.11 Percent of total billed charges 73% of charges 1507 919.27 Percent of total billed charges 61% of chages 1507 874.06 Percent of charges 58% of charges 1507 738.43 Percent of charges 49% of charges 1507 1280.95 Percent of charges 85% of charges 1507 1160.39 Percent of charges 77% of charges 1507 979.55 Percent of charges 65% of charges 1507 1175.46 Percent of charges 78% of charges 1507 723.36 Percent of charges 48% of charges 1507 1507 BILIRUBIN DIRECT 82248 CPT 4302248 LOCAL both 55 55 55 40.15 Percent of total billed charges 73% of charges 55 33.55 Percent of total billed charges 61% of chages 55 31.9 Percent of charges 58% of charges 55 26.95 Percent of charges 49% of charges 55 46.75 Percent of charges 85% of charges 55 42.35 Percent of charges 77% of charges 55 35.75 Percent of charges 65% of charges 55 42.9 Percent of charges 78% of charges 55 26.4 Percent of charges 48% of charges 55 55 "BIL-SYMPATHETIC BLK,LUMBAR/TX" 64520 CPT 64520F50 LOCAL outpatient 2330 2330 2330 1700.9 Percent of total billed charges 73% of charges 2330 1421.3 Percent of total billed charges 61% of chages 2330 1351.4 Percent of charges 58% of charges 2330 1141.7 Percent of charges 49% of charges 2330 1980.5 Percent of charges 85% of charges 2330 1794.1 Percent of charges 77% of charges 2330 1514.5 Percent of charges 65% of charges 2330 1817.4 Percent of charges 78% of charges 2330 1118.4 Percent of charges 48% of charges 2330 2330 BIO PELV NEURO RE-ED EA 15 MIN 97112 CPT 5107114 LOCAL outpatient 116 116 116 84.68 Percent of total billed charges 73% of charges 116 70.76 Percent of total billed charges 61% of chages 116 67.28 Percent of charges 58% of charges 116 56.84 Percent of charges 49% of charges 116 98.6 Percent of charges 85% of charges 116 89.32 Percent of charges 77% of charges 116 75.4 Percent of charges 65% of charges 116 90.48 Percent of charges 78% of charges 116 55.68 Percent of charges 48% of charges 116 116 BIOFEED NEURO RE-ED EA 15 MIN 97112 CPT 5107112 LOCAL outpatient 137 137 137 100.01 Percent of total billed charges 73% of charges 137 83.57 Percent of total billed charges 61% of chages 137 79.46 Percent of charges 58% of charges 137 67.13 Percent of charges 49% of charges 137 116.45 Percent of charges 85% of charges 137 105.49 Percent of charges 77% of charges 137 89.05 Percent of charges 65% of charges 137 106.86 Percent of charges 78% of charges 137 65.76 Percent of charges 48% of charges 137 137 BIOPHYSICAL PROFILE 76819 CPT 4650194 LOCAL 26 outpatient 552 552 552 402.96 Percent of total billed charges 73% of charges 552 336.72 Percent of total billed charges 61% of chages 552 320.16 Percent of charges 58% of charges 552 270.48 Percent of charges 49% of charges 552 469.2 Percent of charges 85% of charges 552 425.04 Percent of charges 77% of charges 552 358.8 Percent of charges 65% of charges 552 430.56 Percent of charges 78% of charges 552 264.96 Percent of charges 48% of charges 552 552 BIOPSY OF NAIL UNIT-FAC 11755 CPT 11755F LOCAL TC outpatient 1179 1179 1179 860.67 Percent of total billed charges 73% of charges 1179 719.19 Percent of total billed charges 61% of chages 1179 683.82 Percent of charges 58% of charges 1179 577.71 Percent of charges 49% of charges 1179 1002.15 Percent of charges 85% of charges 1179 907.83 Percent of charges 77% of charges 1179 766.35 Percent of charges 65% of charges 1179 919.62 Percent of charges 78% of charges 1179 565.92 Percent of charges 48% of charges 1179 1179 BIOPSY OF OVARY - PRO 58900 CPT 58900P LOCAL 26 outpatient 830 830 830 605.9 Percent of total billed charges 73% of charges 830 506.3 Percent of total billed charges 61% of chages 830 481.4 Percent of charges 58% of charges 830 406.7 Percent of charges 49% of charges 830 705.5 Percent of charges 85% of charges 830 639.1 Percent of charges 77% of charges 830 539.5 Percent of charges 65% of charges 830 647.4 Percent of charges 78% of charges 830 398.4 Percent of charges 48% of charges 830 830 BIOPSY OF RECTUM-PRO 45100 CPT 45100P LOCAL 26 outpatient 577 577 577 421.21 Percent of total billed charges 73% of charges 577 351.97 Percent of total billed charges 61% of chages 577 334.66 Percent of charges 58% of charges 577 282.73 Percent of charges 49% of charges 577 490.45 Percent of charges 85% of charges 577 444.29 Percent of charges 77% of charges 577 375.05 Percent of charges 65% of charges 577 450.06 Percent of charges 78% of charges 577 276.96 Percent of charges 48% of charges 577 577 BIOPSY OF VAGINAL MUCOSA - PRO 57100 CPT 57100P LOCAL 26 outpatient 130 130 130 94.9 Percent of total billed charges 73% of charges 130 79.3 Percent of total billed charges 61% of chages 130 75.4 Percent of charges 58% of charges 130 63.7 Percent of charges 49% of charges 130 110.5 Percent of charges 85% of charges 130 100.1 Percent of charges 77% of charges 130 84.5 Percent of charges 65% of charges 130 101.4 Percent of charges 78% of charges 130 62.4 Percent of charges 48% of charges 130 130 BIOPSY OF VAGINAL MUCOSA-FAC 57100 CPT 57100F LOCAL TC outpatient 1175 1175 1175 857.75 Percent of total billed charges 73% of charges 1175 716.75 Percent of total billed charges 61% of chages 1175 681.5 Percent of charges 58% of charges 1175 575.75 Percent of charges 49% of charges 1175 998.75 Percent of charges 85% of charges 1175 904.75 Percent of charges 77% of charges 1175 763.75 Percent of charges 65% of charges 1175 916.5 Percent of charges 78% of charges 1175 564 Percent of charges 48% of charges 1175 1175 BIOPSY OF VAGINAL MUCOSA-TOT 57100 CPT 57100 LOCAL outpatient 1305 1305 1305 952.65 Percent of total billed charges 73% of charges 1305 796.05 Percent of total billed charges 61% of chages 1305 756.9 Percent of charges 58% of charges 1305 639.45 Percent of charges 49% of charges 1305 1109.25 Percent of charges 85% of charges 1305 1004.85 Percent of charges 77% of charges 1305 848.25 Percent of charges 65% of charges 1305 1017.9 Percent of charges 78% of charges 1305 626.4 Percent of charges 48% of charges 1305 1305 BIOZORB 2x3 CM C9728 HCPCS 3800860 LOCAL both 5628 5628 5628 4108.44 Percent of total billed charges 73% of charges 5628 3433.08 Percent of total billed charges 61% of chages 5628 3264.24 Percent of charges 58% of charges 5628 2757.72 Percent of charges 49% of charges 5628 4783.8 Percent of charges 85% of charges 5628 4333.56 Percent of charges 77% of charges 5628 3658.2 Percent of charges 65% of charges 5628 4389.84 Percent of charges 78% of charges 5628 2701.44 Percent of charges 48% of charges 5628 5628 BIPOLAR HIP REPLACEMENT-PRO 27236 CPT 27236P LOCAL 26 inpatient 2315 2315 2315 1689.95 Percent of total billed charges 73% of charges 2315 1412.15 Percent of total billed charges 61% of chages 2315 1342.7 Percent of charges 58% of charges 2315 1134.35 Percent of charges 49% of charges 2315 1967.75 Percent of charges 85% of charges 2315 1782.55 Percent of charges 77% of charges 2315 1504.75 Percent of charges 65% of charges 2315 1805.7 Percent of charges 78% of charges 2315 1111.2 Percent of charges 48% of charges 2315 2315 BK VIRUS QUAL PCR 87798 CPT 4301012 LOCAL both 268 268 268 195.64 Percent of total billed charges 73% of charges 268 163.48 Percent of total billed charges 61% of chages 268 155.44 Percent of charges 58% of charges 268 131.32 Percent of charges 49% of charges 268 227.8 Percent of charges 85% of charges 268 206.36 Percent of charges 77% of charges 268 174.2 Percent of charges 65% of charges 268 209.04 Percent of charges 78% of charges 268 128.64 Percent of charges 48% of charges 268 268 BKV QUANT PCR 87799 CPT 4300847 LOCAL both 361 361 361 263.53 Percent of total billed charges 73% of charges 361 220.21 Percent of total billed charges 61% of chages 361 209.38 Percent of charges 58% of charges 361 176.89 Percent of charges 49% of charges 361 306.85 Percent of charges 85% of charges 361 277.97 Percent of charges 77% of charges 361 234.65 Percent of charges 65% of charges 361 281.58 Percent of charges 78% of charges 361 173.28 Percent of charges 48% of charges 361 361 BLADDER INSTILL ANTICARC 51720 CPT 51720F LOCAL outpatient 450 450 450 328.5 Percent of total billed charges 73% of charges 450 274.5 Percent of total billed charges 61% of chages 450 261 Percent of charges 58% of charges 450 220.5 Percent of charges 49% of charges 450 382.5 Percent of charges 85% of charges 450 346.5 Percent of charges 77% of charges 450 292.5 Percent of charges 65% of charges 450 351 Percent of charges 78% of charges 450 216 Percent of charges 48% of charges 450 450 BLADDER IRRIGATION 51700 CPT 51700F LOCAL outpatient 450 450 450 328.5 Percent of total billed charges 73% of charges 450 274.5 Percent of total billed charges 61% of chages 450 261 Percent of charges 58% of charges 450 220.5 Percent of charges 49% of charges 450 382.5 Percent of charges 85% of charges 450 346.5 Percent of charges 77% of charges 450 292.5 Percent of charges 65% of charges 450 351 Percent of charges 78% of charges 450 216 Percent of charges 48% of charges 450 450 BLADDER SLG OBTRYX M0068505110 3800683 LOCAL both 7000 7000 7000 5110 Percent of total billed charges 73% of charges 7000 4270 Percent of total billed charges 61% of chages 7000 4060 Percent of charges 58% of charges 7000 3430 Percent of charges 49% of charges 7000 5950 Percent of charges 85% of charges 7000 5390 Percent of charges 77% of charges 7000 4550 Percent of charges 65% of charges 7000 5460 Percent of charges 78% of charges 7000 3360 Percent of charges 48% of charges 7000 7000 BLADDER TUMOR ASSOCIATED 86294 CPT 4306294 LOCAL both 253 253 253 184.69 Percent of total billed charges 73% of charges 253 154.33 Percent of total billed charges 61% of chages 253 146.74 Percent of charges 58% of charges 253 123.97 Percent of charges 49% of charges 253 215.05 Percent of charges 85% of charges 253 194.81 Percent of charges 77% of charges 253 164.45 Percent of charges 65% of charges 253 197.34 Percent of charges 78% of charges 253 121.44 Percent of charges 48% of charges 253 253 BLADE DUAL CUT SAG 4125127090 3801286 LOCAL both 342 342 342 249.66 Percent of total billed charges 73% of charges 342 208.62 Percent of total billed charges 61% of chages 342 198.36 Percent of charges 58% of charges 342 167.58 Percent of charges 49% of charges 342 290.7 Percent of charges 85% of charges 342 263.34 Percent of charges 77% of charges 342 222.3 Percent of charges 65% of charges 342 266.76 Percent of charges 78% of charges 342 164.16 Percent of charges 48% of charges 342 342 BLADE ROUND BURR 2.4 1608-2-9 3800356 LOCAL both 324 324 324 236.52 Percent of total billed charges 73% of charges 324 197.64 Percent of total billed charges 61% of chages 324 187.92 Percent of charges 58% of charges 324 158.76 Percent of charges 49% of charges 324 275.4 Percent of charges 85% of charges 324 249.48 Percent of charges 77% of charges 324 210.6 Percent of charges 65% of charges 324 252.72 Percent of charges 78% of charges 324 155.52 Percent of charges 48% of charges 324 324 BLADE AVERAGE MED 2296-3-111 3802864 LOCAL both 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 BLADE CRES OFFSET 5400-31-171 3800354 LOCAL both 743 743 743 542.39 Percent of total billed charges 73% of charges 743 453.23 Percent of total billed charges 61% of chages 743 430.94 Percent of charges 58% of charges 743 364.07 Percent of charges 49% of charges 743 631.55 Percent of charges 85% of charges 743 572.11 Percent of charges 77% of charges 743 482.95 Percent of charges 65% of charges 743 579.54 Percent of charges 78% of charges 743 356.64 Percent of charges 48% of charges 743 743 BLADE CRESCENTIC SAW Z0-072 3800355 LOCAL both 722 722 722 527.06 Percent of total billed charges 73% of charges 722 440.42 Percent of total billed charges 61% of chages 722 418.76 Percent of charges 58% of charges 722 353.78 Percent of charges 49% of charges 722 613.7 Percent of charges 85% of charges 722 555.94 Percent of charges 77% of charges 722 469.3 Percent of charges 65% of charges 722 563.16 Percent of charges 78% of charges 722 346.56 Percent of charges 48% of charges 722 722 BLADE EGG BURR 1607-2-35 3800357 LOCAL both 368 368 368 268.64 Percent of total billed charges 73% of charges 368 224.48 Percent of total billed charges 61% of chages 368 213.44 Percent of charges 58% of charges 368 180.32 Percent of charges 49% of charges 368 312.8 Percent of charges 85% of charges 368 283.36 Percent of charges 77% of charges 368 239.2 Percent of charges 65% of charges 368 287.04 Percent of charges 78% of charges 368 176.64 Percent of charges 48% of charges 368 368 BLADE GIGLI 300MM 3812859 LOCAL both 128 128 128 93.44 Percent of total billed charges 73% of charges 128 78.08 Percent of total billed charges 61% of chages 128 74.24 Percent of charges 58% of charges 128 62.72 Percent of charges 49% of charges 128 108.8 Percent of charges 85% of charges 128 98.56 Percent of charges 77% of charges 128 83.2 Percent of charges 65% of charges 128 99.84 Percent of charges 78% of charges 128 61.44 Percent of charges 48% of charges 128 128 BLADE HELICOID RASP 1608-2-103 3800358 LOCAL both 402 402 402 293.46 Percent of total billed charges 73% of charges 402 245.22 Percent of total billed charges 61% of chages 402 233.16 Percent of charges 58% of charges 402 196.98 Percent of charges 49% of charges 402 341.7 Percent of charges 85% of charges 402 309.54 Percent of charges 77% of charges 402 261.3 Percent of charges 65% of charges 402 313.56 Percent of charges 78% of charges 402 192.96 Percent of charges 48% of charges 402 402 BLADE LONG NARROW 2296-3-414 3801651 LOCAL both 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 BLADE LONG WIDE 2296-3-104 3801652 LOCAL both 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 BLADE OST LONG THIN 10MM 3812874 LOCAL both 1012 1012 1012 738.76 Percent of total billed charges 73% of charges 1012 617.32 Percent of total billed charges 61% of chages 1012 586.96 Percent of charges 58% of charges 1012 495.88 Percent of charges 49% of charges 1012 860.2 Percent of charges 85% of charges 1012 779.24 Percent of charges 77% of charges 1012 657.8 Percent of charges 65% of charges 1012 789.36 Percent of charges 78% of charges 1012 485.76 Percent of charges 48% of charges 1012 1012 BLADE OST LONG THIN 8MM 3812862 LOCAL both 1012 1012 1012 738.76 Percent of total billed charges 73% of charges 1012 617.32 Percent of total billed charges 61% of chages 1012 586.96 Percent of charges 58% of charges 1012 495.88 Percent of charges 49% of charges 1012 860.2 Percent of charges 85% of charges 1012 779.24 Percent of charges 77% of charges 1012 657.8 Percent of charges 65% of charges 1012 789.36 Percent of charges 78% of charges 1012 485.76 Percent of charges 48% of charges 1012 1012 BLADE OST THIN 8MM 3812863 LOCAL both 1012 1012 1012 738.76 Percent of total billed charges 73% of charges 1012 617.32 Percent of total billed charges 61% of chages 1012 586.96 Percent of charges 58% of charges 1012 495.88 Percent of charges 49% of charges 1012 860.2 Percent of charges 85% of charges 1012 779.24 Percent of charges 77% of charges 1012 657.8 Percent of charges 65% of charges 1012 789.36 Percent of charges 78% of charges 1012 485.76 Percent of charges 48% of charges 1012 1012 BLADE RECIP 12076100SRT 3801288 LOCAL both 269 269 269 196.37 Percent of total billed charges 73% of charges 269 164.09 Percent of total billed charges 61% of chages 269 156.02 Percent of charges 58% of charges 269 131.81 Percent of charges 49% of charges 269 228.65 Percent of charges 85% of charges 269 207.13 Percent of charges 77% of charges 269 174.85 Percent of charges 65% of charges 269 209.82 Percent of charges 78% of charges 269 129.12 Percent of charges 48% of charges 269 269 BLADE RECIP OFFSET SR-325 3812833 LOCAL both 276 276 276 201.48 Percent of total billed charges 73% of charges 276 168.36 Percent of total billed charges 61% of chages 276 160.08 Percent of charges 58% of charges 276 135.24 Percent of charges 49% of charges 276 234.6 Percent of charges 85% of charges 276 212.52 Percent of charges 77% of charges 276 179.4 Percent of charges 65% of charges 276 215.28 Percent of charges 78% of charges 276 132.48 Percent of charges 48% of charges 276 276 BLADE RND BUR 3.2MM 1608-2-11 3802863 LOCAL both 377 377 377 275.21 Percent of total billed charges 73% of charges 377 229.97 Percent of total billed charges 61% of chages 377 218.66 Percent of charges 58% of charges 377 184.73 Percent of charges 49% of charges 377 320.45 Percent of charges 85% of charges 377 290.29 Percent of charges 77% of charges 377 245.05 Percent of charges 65% of charges 377 294.06 Percent of charges 78% of charges 377 180.96 Percent of charges 48% of charges 377 377 BLADE RND FST CUT BUR 16086143 3801653 LOCAL both 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 BLADE SAG 25090119YG1 3801287 LOCAL both 310 310 310 226.3 Percent of total billed charges 73% of charges 310 189.1 Percent of total billed charges 61% of chages 310 179.8 Percent of charges 58% of charges 310 151.9 Percent of charges 49% of charges 310 263.5 Percent of charges 85% of charges 310 238.7 Percent of charges 77% of charges 310 201.5 Percent of charges 65% of charges 310 241.8 Percent of charges 78% of charges 310 148.8 Percent of charges 48% of charges 310 310 BLADE SAGGITAL G125-127-100 3801289 LOCAL both 369 369 369 269.37 Percent of total billed charges 73% of charges 369 225.09 Percent of total billed charges 61% of chages 369 214.02 Percent of charges 58% of charges 369 180.81 Percent of charges 49% of charges 369 313.65 Percent of charges 85% of charges 369 284.13 Percent of charges 77% of charges 369 239.85 Percent of charges 65% of charges 369 287.82 Percent of charges 78% of charges 369 177.12 Percent of charges 48% of charges 369 369 BLADE SIDE CUT BUR 1607002103 3800353 LOCAL both 71 71 71 51.83 Percent of total billed charges 73% of charges 71 43.31 Percent of total billed charges 61% of chages 71 41.18 Percent of charges 58% of charges 71 34.79 Percent of charges 49% of charges 71 60.35 Percent of charges 85% of charges 71 54.67 Percent of charges 77% of charges 71 46.15 Percent of charges 65% of charges 71 55.38 Percent of charges 78% of charges 71 34.08 Percent of charges 48% of charges 71 71 BLADE STRY SAG 4118-127-100 3813065 LOCAL both 328 328 328 239.44 Percent of total billed charges 73% of charges 328 200.08 Percent of total billed charges 61% of chages 328 190.24 Percent of charges 58% of charges 328 160.72 Percent of charges 49% of charges 328 278.8 Percent of charges 85% of charges 328 252.56 Percent of charges 77% of charges 328 213.2 Percent of charges 65% of charges 328 255.84 Percent of charges 78% of charges 328 157.44 Percent of charges 48% of charges 328 328 BLADE STRY SAG 6118-127-100 3813280 LOCAL both 345 345 345 251.85 Percent of total billed charges 73% of charges 345 210.45 Percent of total billed charges 61% of chages 345 200.1 Percent of charges 58% of charges 345 169.05 Percent of charges 49% of charges 345 293.25 Percent of charges 85% of charges 345 265.65 Percent of charges 77% of charges 345 224.25 Percent of charges 65% of charges 345 269.1 Percent of charges 78% of charges 345 165.6 Percent of charges 48% of charges 345 345 "BLADE STRY SAG, 6118-127-090" 3800349 LOCAL both 372 372 372 271.56 Percent of total billed charges 73% of charges 372 226.92 Percent of total billed charges 61% of chages 372 215.76 Percent of charges 58% of charges 372 182.28 Percent of charges 49% of charges 372 316.2 Percent of charges 85% of charges 372 286.44 Percent of charges 77% of charges 372 241.8 Percent of charges 65% of charges 372 290.16 Percent of charges 78% of charges 372 178.56 Percent of charges 48% of charges 372 372 BLADE THIN OFFSET 2296-003-511 3813212 LOCAL both 238 238 238 173.74 Percent of total billed charges 73% of charges 238 145.18 Percent of total billed charges 61% of chages 238 138.04 Percent of charges 58% of charges 238 116.62 Percent of charges 49% of charges 238 202.3 Percent of charges 85% of charges 238 183.26 Percent of charges 77% of charges 238 154.7 Percent of charges 65% of charges 238 185.64 Percent of charges 78% of charges 238 114.24 Percent of charges 48% of charges 238 238 BLASTOMYCES AB 86612 CPT 4306612 LOCAL both 134 134 134 97.82 Percent of total billed charges 73% of charges 134 81.74 Percent of total billed charges 61% of chages 134 77.72 Percent of charges 58% of charges 134 65.66 Percent of charges 49% of charges 134 113.9 Percent of charges 85% of charges 134 103.18 Percent of charges 77% of charges 134 87.1 Percent of charges 65% of charges 134 104.52 Percent of charges 78% of charges 134 64.32 Percent of charges 48% of charges 134 134 BLEEDING TIME 85002 CPT 4305002 LOCAL both 88 88 88 64.24 Percent of total billed charges 73% of charges 88 53.68 Percent of total billed charges 61% of chages 88 51.04 Percent of charges 58% of charges 88 43.12 Percent of charges 49% of charges 88 74.8 Percent of charges 85% of charges 88 67.76 Percent of charges 77% of charges 88 57.2 Percent of charges 65% of charges 88 68.64 Percent of charges 78% of charges 88 42.24 Percent of charges 48% of charges 88 88 "BLEPHAROTMY, DRN ABSC, EYELID" 67700 CPT 67700F LOCAL outpatient 518 518 518 378.14 Percent of total billed charges 73% of charges 518 315.98 Percent of total billed charges 61% of chages 518 300.44 Percent of charges 58% of charges 518 253.82 Percent of charges 49% of charges 518 440.3 Percent of charges 85% of charges 518 398.86 Percent of charges 77% of charges 518 336.7 Percent of charges 65% of charges 518 404.04 Percent of charges 78% of charges 518 248.64 Percent of charges 48% of charges 518 518 BLOOD COUNT HEMOGRAM 85027 CPT 4305027 LOCAL both 63 63 63 45.99 Percent of total billed charges 73% of charges 63 38.43 Percent of total billed charges 61% of chages 63 36.54 Percent of charges 58% of charges 63 30.87 Percent of charges 49% of charges 63 53.55 Percent of charges 85% of charges 63 48.51 Percent of charges 77% of charges 63 40.95 Percent of charges 65% of charges 63 49.14 Percent of charges 78% of charges 63 30.24 Percent of charges 48% of charges 63 63 BLOOD COUNT RBC-ONLY 85041 CPT 4305041 LOCAL both 38 38 38 27.74 Percent of total billed charges 73% of charges 38 23.18 Percent of total billed charges 61% of chages 38 22.04 Percent of charges 58% of charges 38 18.62 Percent of charges 49% of charges 38 32.3 Percent of charges 85% of charges 38 29.26 Percent of charges 77% of charges 38 24.7 Percent of charges 65% of charges 38 29.64 Percent of charges 78% of charges 38 18.24 Percent of charges 48% of charges 38 38 BLOOD CROSSMATCH 86922 CPT 4306922 LOCAL both 300 300 300 219 Percent of total billed charges 73% of charges 300 183 Percent of total billed charges 61% of chages 300 174 Percent of charges 58% of charges 300 147 Percent of charges 49% of charges 300 255 Percent of charges 85% of charges 300 231 Percent of charges 77% of charges 300 195 Percent of charges 65% of charges 300 234 Percent of charges 78% of charges 300 144 Percent of charges 48% of charges 300 300 BLOOD CULTURE ID PANEL 87154 CPT 4307150 LOCAL both 747 747 747 545.31 Percent of total billed charges 73% of charges 747 455.67 Percent of total billed charges 61% of chages 747 433.26 Percent of charges 58% of charges 747 366.03 Percent of charges 49% of charges 747 634.95 Percent of charges 85% of charges 747 575.19 Percent of charges 77% of charges 747 485.55 Percent of charges 65% of charges 747 582.66 Percent of charges 78% of charges 747 358.56 Percent of charges 48% of charges 747 747 BLOOD DIFFERENTIAL-MANUAL 85007 CPT 4305007 LOCAL both 62 62 62 45.26 Percent of total billed charges 73% of charges 62 37.82 Percent of total billed charges 61% of chages 62 35.96 Percent of charges 58% of charges 62 30.38 Percent of charges 49% of charges 62 52.7 Percent of charges 85% of charges 62 47.74 Percent of charges 77% of charges 62 40.3 Percent of charges 65% of charges 62 48.36 Percent of charges 78% of charges 62 29.76 Percent of charges 48% of charges 62 62 BLOOD DRAW FROM PICC 36592 CPT 36592F LOCAL outpatient 209 209 209 152.57 Percent of total billed charges 73% of charges 209 127.49 Percent of total billed charges 61% of chages 209 121.22 Percent of charges 58% of charges 209 102.41 Percent of charges 49% of charges 209 177.65 Percent of charges 85% of charges 209 160.93 Percent of charges 77% of charges 209 135.85 Percent of charges 65% of charges 209 163.02 Percent of charges 78% of charges 209 100.32 Percent of charges 48% of charges 209 209 BLOOD DRAW IMPLANTABLE PORT 36591 CPT 36591F LOCAL outpatient 209 209 209 152.57 Percent of total billed charges 73% of charges 209 127.49 Percent of total billed charges 61% of chages 209 121.22 Percent of charges 58% of charges 209 102.41 Percent of charges 49% of charges 209 177.65 Percent of charges 85% of charges 209 160.93 Percent of charges 77% of charges 209 135.85 Percent of charges 65% of charges 209 163.02 Percent of charges 78% of charges 209 100.32 Percent of charges 48% of charges 209 209 BLOOD GAS CAPILLARY 82805 CPT 4300588 LOCAL both 330 330 330 240.9 Percent of total billed charges 73% of charges 330 201.3 Percent of total billed charges 61% of chages 330 191.4 Percent of charges 58% of charges 330 161.7 Percent of charges 49% of charges 330 280.5 Percent of charges 85% of charges 330 254.1 Percent of charges 77% of charges 330 214.5 Percent of charges 65% of charges 330 257.4 Percent of charges 78% of charges 330 158.4 Percent of charges 48% of charges 330 330 BLOOD GAS CORD-VENOUS 82805 CPT 4300586 LOCAL both 330 330 330 240.9 Percent of total billed charges 73% of charges 330 201.3 Percent of total billed charges 61% of chages 330 191.4 Percent of charges 58% of charges 330 161.7 Percent of charges 49% of charges 330 280.5 Percent of charges 85% of charges 330 254.1 Percent of charges 77% of charges 330 214.5 Percent of charges 65% of charges 330 257.4 Percent of charges 78% of charges 330 158.4 Percent of charges 48% of charges 330 330 BLOOD GAS-CORD-ARTERIAL 82805 CPT 4300587 LOCAL both 330 330 330 240.9 Percent of total billed charges 73% of charges 330 201.3 Percent of total billed charges 61% of chages 330 191.4 Percent of charges 58% of charges 330 161.7 Percent of charges 49% of charges 330 280.5 Percent of charges 85% of charges 330 254.1 Percent of charges 77% of charges 330 214.5 Percent of charges 65% of charges 330 257.4 Percent of charges 78% of charges 330 158.4 Percent of charges 48% of charges 330 330 BLOOD GASES WITH O2 SAT 82805 CPT 4302805 LOCAL both 330 330 330 240.9 Percent of total billed charges 73% of charges 330 201.3 Percent of total billed charges 61% of chages 330 191.4 Percent of charges 58% of charges 330 161.7 Percent of charges 49% of charges 330 280.5 Percent of charges 85% of charges 330 254.1 Percent of charges 77% of charges 330 214.5 Percent of charges 65% of charges 330 257.4 Percent of charges 78% of charges 330 158.4 Percent of charges 48% of charges 330 330 BLOOD GAS-VENOUS 82805 CPT 4300589 LOCAL both 330 330 330 240.9 Percent of total billed charges 73% of charges 330 201.3 Percent of total billed charges 61% of chages 330 191.4 Percent of charges 58% of charges 330 161.7 Percent of charges 49% of charges 330 280.5 Percent of charges 85% of charges 330 254.1 Percent of charges 77% of charges 330 214.5 Percent of charges 65% of charges 330 257.4 Percent of charges 78% of charges 330 158.4 Percent of charges 48% of charges 330 330 BLOOD INFUSION 36430 CPT 36430F LOCAL outpatient 743 743 743 542.39 Percent of total billed charges 73% of charges 743 453.23 Percent of total billed charges 61% of chages 743 430.94 Percent of charges 58% of charges 743 364.07 Percent of charges 49% of charges 743 631.55 Percent of charges 85% of charges 743 572.11 Percent of charges 77% of charges 743 482.95 Percent of charges 65% of charges 743 579.54 Percent of charges 78% of charges 743 356.64 Percent of charges 48% of charges 743 743 BLOOD INVESTIGATE TRANSFU 86078 CPT 4306078 LOCAL outpatient 449 449 449 327.77 Percent of total billed charges 73% of charges 449 273.89 Percent of total billed charges 61% of chages 449 260.42 Percent of charges 58% of charges 449 220.01 Percent of charges 49% of charges 449 381.65 Percent of charges 85% of charges 449 345.73 Percent of charges 77% of charges 449 291.85 Percent of charges 65% of charges 449 350.22 Percent of charges 78% of charges 449 215.52 Percent of charges 48% of charges 449 449 BLOOD OCCULT-SLG POST DRE 82272 CPT 4302272 LOCAL both 43 43 43 31.39 Percent of total billed charges 73% of charges 43 26.23 Percent of total billed charges 61% of chages 43 24.94 Percent of charges 58% of charges 43 21.07 Percent of charges 49% of charges 43 36.55 Percent of charges 85% of charges 43 33.11 Percent of charges 77% of charges 43 27.95 Percent of charges 65% of charges 43 33.54 Percent of charges 78% of charges 43 20.64 Percent of charges 48% of charges 43 43 BLOOD TYPING 86900 CPT 4306900 LOCAL both 97 97 97 70.81 Percent of total billed charges 73% of charges 97 59.17 Percent of total billed charges 61% of chages 97 56.26 Percent of charges 58% of charges 97 47.53 Percent of charges 49% of charges 97 82.45 Percent of charges 85% of charges 97 74.69 Percent of charges 77% of charges 97 63.05 Percent of charges 65% of charges 97 75.66 Percent of charges 78% of charges 97 46.56 Percent of charges 48% of charges 97 97 BLOOD TYPING Rh (D) 86901 CPT 4306901 LOCAL both 54 54 54 39.42 Percent of total billed charges 73% of charges 54 32.94 Percent of total billed charges 61% of chages 54 31.32 Percent of charges 58% of charges 54 26.46 Percent of charges 49% of charges 54 45.9 Percent of charges 85% of charges 54 41.58 Percent of charges 77% of charges 54 35.1 Percent of charges 65% of charges 54 42.12 Percent of charges 78% of charges 54 25.92 Percent of charges 48% of charges 54 54 BM AC JT DBL ZIPLOOP 3812959 LOCAL both 4536 4536 4536 3311.28 Percent of total billed charges 73% of charges 4536 2766.96 Percent of total billed charges 61% of chages 4536 2630.88 Percent of charges 58% of charges 4536 2222.64 Percent of charges 49% of charges 4536 3855.6 Percent of charges 85% of charges 4536 3492.72 Percent of charges 77% of charges 4536 2948.4 Percent of charges 65% of charges 4536 3538.08 Percent of charges 78% of charges 4536 2177.28 Percent of charges 48% of charges 4536 4536 BM AC JT DISP KIT 3812961 LOCAL both 4335 4335 4335 3164.55 Percent of total billed charges 73% of charges 4335 2644.35 Percent of total billed charges 61% of chages 4335 2514.3 Percent of charges 58% of charges 4335 2124.15 Percent of charges 49% of charges 4335 3684.75 Percent of charges 85% of charges 4335 3337.95 Percent of charges 77% of charges 4335 2817.75 Percent of charges 65% of charges 4335 3381.3 Percent of charges 78% of charges 4335 2080.8 Percent of charges 48% of charges 4335 4335 BM AC JT SINGLE ZIPLOOP 3812960 LOCAL both 4001 4001 4001 2920.73 Percent of total billed charges 73% of charges 4001 2440.61 Percent of total billed charges 61% of chages 4001 2320.58 Percent of charges 58% of charges 4001 1960.49 Percent of charges 49% of charges 4001 3400.85 Percent of charges 85% of charges 4001 3080.77 Percent of charges 77% of charges 4001 2600.65 Percent of charges 65% of charges 4001 3120.78 Percent of charges 78% of charges 4001 1920.48 Percent of charges 48% of charges 4001 4001 BM CAN SCR 6.5 WASHER C1713 HCPCS 3804937 LOCAL both 224 224 224 163.52 Percent of total billed charges 73% of charges 224 136.64 Percent of total billed charges 61% of chages 224 129.92 Percent of charges 58% of charges 224 109.76 Percent of charges 49% of charges 224 190.4 Percent of charges 85% of charges 224 172.48 Percent of charges 77% of charges 224 145.6 Percent of charges 65% of charges 224 174.72 Percent of charges 78% of charges 224 107.52 Percent of charges 48% of charges 224 224 BM CAN SCR 6.5/22/100MM C1713 HCPCS 3801949 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/105MM C1713 HCPCS 3801950 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/110MM C1713 HCPCS 3801951 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/115MM C1713 HCPCS 3801952 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/120MM C1713 HCPCS 3801953 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/25MM C1713 HCPCS 3804940 LOCAL both 1879 1879 1879 1371.67 Percent of total billed charges 73% of charges 1879 1146.19 Percent of total billed charges 61% of chages 1879 1089.82 Percent of charges 58% of charges 1879 920.71 Percent of charges 49% of charges 1879 1597.15 Percent of charges 85% of charges 1879 1446.83 Percent of charges 77% of charges 1879 1221.35 Percent of charges 65% of charges 1879 1465.62 Percent of charges 78% of charges 1879 901.92 Percent of charges 48% of charges 1879 1879 BM CAN SCR 6.5/22/30MM C1713 HCPCS 3801954 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/35MM C1713 HCPCS 3801955 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/40MM C1713 HCPCS 3801956 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/45MM C1713 HCPCS 3801957 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/50MM C1713 HCPCS 3801958 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/55MM C1713 HCPCS 3801959 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/60MM C1713 HCPCS 3801960 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/65MM C1713 HCPCS 3801961 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/70MM C1713 HCPCS 3801962 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/75MM C1713 HCPCS 3801963 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/80MM C1713 HCPCS 3801964 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/85MM C1713 HCPCS 3801965 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/90MM C1713 HCPCS 3801966 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/22/95MM C1713 HCPCS 3801967 LOCAL both 1825 1825 1825 1332.25 Percent of total billed charges 73% of charges 1825 1113.25 Percent of total billed charges 61% of chages 1825 1058.5 Percent of charges 58% of charges 1825 894.25 Percent of charges 49% of charges 1825 1551.25 Percent of charges 85% of charges 1825 1405.25 Percent of charges 77% of charges 1825 1186.25 Percent of charges 65% of charges 1825 1423.5 Percent of charges 78% of charges 1825 876 Percent of charges 48% of charges 1825 1825 BM CAN SCR 6.5/40/100MM C1713 HCPCS 3801968 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/105MM C1713 HCPCS 3801969 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/110MM C1713 HCPCS 3801970 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/40MM C1713 HCPCS 3801971 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/45MM C1713 HCPCS 3801972 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/50MM C1713 HCPCS 3801973 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/55MM C1713 HCPCS 3801974 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/60MM C1713 HCPCS 3801975 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/65MM C1713 HCPCS 3801976 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/70MM C1713 HCPCS 3801977 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/75MM C1713 HCPCS 3801978 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/80MM C1713 HCPCS 3801979 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/85MM C1713 HCPCS 3801980 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/90MM C1713 HCPCS 3801981 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 6.5/40/95MM C1713 HCPCS 3801982 LOCAL both 1617 1617 1617 1180.41 Percent of total billed charges 73% of charges 1617 986.37 Percent of total billed charges 61% of chages 1617 937.86 Percent of charges 58% of charges 1617 792.33 Percent of charges 49% of charges 1617 1374.45 Percent of charges 85% of charges 1617 1245.09 Percent of charges 77% of charges 1617 1051.05 Percent of charges 65% of charges 1617 1261.26 Percent of charges 78% of charges 1617 776.16 Percent of charges 48% of charges 1617 1617 BM CAN SCR 8.0/100MM C1713 HCPCS 3801983 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/105MM C1713 HCPCS 3801984 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/110MM C1713 HCPCS 3801985 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/40MM C1713 HCPCS 3804939 LOCAL both 1723 1723 1723 1257.79 Percent of total billed charges 73% of charges 1723 1051.03 Percent of total billed charges 61% of chages 1723 999.34 Percent of charges 58% of charges 1723 844.27 Percent of charges 49% of charges 1723 1464.55 Percent of charges 85% of charges 1723 1326.71 Percent of charges 77% of charges 1723 1119.95 Percent of charges 65% of charges 1723 1343.94 Percent of charges 78% of charges 1723 827.04 Percent of charges 48% of charges 1723 1723 BM CAN SCR 8.0/45MM C1713 HCPCS 3801986 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/50MM C1713 HCPCS 3801987 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/55MM C1713 HCPCS 3801988 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/60MM C1713 HCPCS 3801989 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/65MM C1713 HCPCS 3801990 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/70MM C1713 HCPCS 3801991 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/75MM C1713 HCPCS 3801992 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/80MM C1713 HCPCS 3801993 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/85MM C1713 HCPCS 3801994 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/90MM C1713 HCPCS 3801995 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8.0/95MM C1713 HCPCS 3801996 LOCAL both 1672 1672 1672 1220.56 Percent of total billed charges 73% of charges 1672 1019.92 Percent of total billed charges 61% of chages 1672 969.76 Percent of charges 58% of charges 1672 819.28 Percent of charges 49% of charges 1672 1421.2 Percent of charges 85% of charges 1672 1287.44 Percent of charges 77% of charges 1672 1086.8 Percent of charges 65% of charges 1672 1304.16 Percent of charges 78% of charges 1672 802.56 Percent of charges 48% of charges 1672 1672 BM CAN SCR 8MM WASHER C1713 HCPCS 3804935 LOCAL both 351 351 351 256.23 Percent of total billed charges 73% of charges 351 214.11 Percent of total billed charges 61% of chages 351 203.58 Percent of charges 58% of charges 351 171.99 Percent of charges 49% of charges 351 298.35 Percent of charges 85% of charges 351 270.27 Percent of charges 77% of charges 351 228.15 Percent of charges 65% of charges 351 273.78 Percent of charges 78% of charges 351 168.48 Percent of charges 48% of charges 351 351 BM CAN SCR CAN DRILL 3804938 LOCAL both 1815 1815 1815 1324.95 Percent of total billed charges 73% of charges 1815 1107.15 Percent of total billed charges 61% of chages 1815 1052.7 Percent of charges 58% of charges 1815 889.35 Percent of charges 49% of charges 1815 1542.75 Percent of charges 85% of charges 1815 1397.55 Percent of charges 77% of charges 1815 1179.75 Percent of charges 65% of charges 1815 1415.7 Percent of charges 78% of charges 1815 871.2 Percent of charges 48% of charges 1815 1815 BM CAN SCR GUIDE WIRE C1769 HCPCS 3804936 LOCAL both 256 256 256 186.88 Percent of total billed charges 73% of charges 256 156.16 Percent of total billed charges 61% of chages 256 148.48 Percent of charges 58% of charges 256 125.44 Percent of charges 49% of charges 256 217.6 Percent of charges 85% of charges 256 197.12 Percent of charges 77% of charges 256 166.4 Percent of charges 65% of charges 256 199.68 Percent of charges 78% of charges 256 122.88 Percent of charges 48% of charges 256 256 BM DRILL 4.5 MM CROWE PT 3812962 LOCAL both 987 987 987 720.51 Percent of total billed charges 73% of charges 987 602.07 Percent of total billed charges 61% of chages 987 572.46 Percent of charges 58% of charges 987 483.63 Percent of charges 49% of charges 987 838.95 Percent of charges 85% of charges 987 759.99 Percent of charges 77% of charges 987 641.55 Percent of charges 65% of charges 987 769.86 Percent of charges 78% of charges 987 473.76 Percent of charges 48% of charges 987 987 BM ELBOW IMPL SYS 11MM BUTT 3812973 LOCAL both 7978 7978 7978 5823.94 Percent of total billed charges 73% of charges 7978 4866.58 Percent of total billed charges 61% of chages 7978 4627.24 Percent of charges 58% of charges 7978 3909.22 Percent of charges 49% of charges 7978 6781.3 Percent of charges 85% of charges 7978 6143.06 Percent of charges 77% of charges 7978 5185.7 Percent of charges 65% of charges 7978 6222.84 Percent of charges 78% of charges 7978 3829.44 Percent of charges 48% of charges 7978 7978 BM ELBOW IMPL SYS 13MM BUTT 3812974 LOCAL both 7651 7651 7651 5585.23 Percent of total billed charges 73% of charges 7651 4667.11 Percent of total billed charges 61% of chages 7651 4437.58 Percent of charges 58% of charges 7651 3748.99 Percent of charges 49% of charges 7651 6503.35 Percent of charges 85% of charges 7651 5891.27 Percent of charges 77% of charges 7651 4973.15 Percent of charges 65% of charges 7651 5967.78 Percent of charges 78% of charges 7651 3672.48 Percent of charges 48% of charges 7651 7651 BM SHLD 5.5 ANCH W NEED 905943 C1713 HCPCS 3806152 LOCAL both 2505 2505 2505 1828.65 Percent of total billed charges 73% of charges 2505 1528.05 Percent of total billed charges 61% of chages 2505 1452.9 Percent of charges 58% of charges 2505 1227.45 Percent of charges 49% of charges 2505 2129.25 Percent of charges 85% of charges 2505 1928.85 Percent of charges 77% of charges 2505 1628.25 Percent of charges 65% of charges 2505 1953.9 Percent of charges 78% of charges 2505 1202.4 Percent of charges 48% of charges 2505 2505 BM SHLD 6.8 ANCH W NEED 905945 C1713 HCPCS 3806151 LOCAL both 2505 2505 2505 1828.65 Percent of total billed charges 73% of charges 2505 1528.05 Percent of total billed charges 61% of chages 2505 1452.9 Percent of charges 58% of charges 2505 1227.45 Percent of charges 49% of charges 2505 2129.25 Percent of charges 85% of charges 2505 1928.85 Percent of charges 77% of charges 2505 1628.25 Percent of charges 65% of charges 2505 1953.9 Percent of charges 78% of charges 2505 1202.4 Percent of charges 48% of charges 2505 2505 BM SHLD BIPAS DISP NITI 902092 3806153 LOCAL both 939 939 939 685.47 Percent of total billed charges 73% of charges 939 572.79 Percent of total billed charges 61% of chages 939 544.62 Percent of charges 58% of charges 939 460.11 Percent of charges 49% of charges 939 798.15 Percent of charges 85% of charges 939 723.03 Percent of charges 77% of charges 939 610.35 Percent of charges 65% of charges 939 732.42 Percent of charges 78% of charges 939 450.72 Percent of charges 48% of charges 939 939 BNP CONG HEART FAILURE 83880 CPT 4300402 LOCAL both 168 168 168 122.64 Percent of total billed charges 73% of charges 168 102.48 Percent of total billed charges 61% of chages 168 97.44 Percent of charges 58% of charges 168 82.32 Percent of charges 49% of charges 168 142.8 Percent of charges 85% of charges 168 129.36 Percent of charges 77% of charges 168 109.2 Percent of charges 65% of charges 168 131.04 Percent of charges 78% of charges 168 80.64 Percent of charges 48% of charges 168 168 BOARDER BABY 3400012 LOCAL inpatient 988 988 988 721.24 Percent of total billed charges 73% of charges 988 602.68 Percent of total billed charges 61% of chages 988 573.04 Percent of charges 58% of charges 988 484.12 Percent of charges 49% of charges 988 839.8 Percent of charges 85% of charges 988 760.76 Percent of charges 77% of charges 988 642.2 Percent of charges 65% of charges 988 770.64 Percent of charges 78% of charges 988 474.24 Percent of charges 48% of charges 988 988 BOARDER BABY ISO/TELEM 3400021 LOCAL both 1439 1439 1439 1050.47 Percent of total billed charges 73% of charges 1439 877.79 Percent of total billed charges 61% of chages 1439 834.62 Percent of charges 58% of charges 1439 705.11 Percent of charges 49% of charges 1439 1223.15 Percent of charges 85% of charges 1439 1108.03 Percent of charges 77% of charges 1439 935.35 Percent of charges 65% of charges 1439 1122.42 Percent of charges 78% of charges 1439 690.72 Percent of charges 48% of charges 1439 1439 BONE AGE STUDY 77072 CPT 4606020 LOCAL outpatient 286 286 286 208.78 Percent of total billed charges 73% of charges 286 174.46 Percent of total billed charges 61% of chages 286 165.88 Percent of charges 58% of charges 286 140.14 Percent of charges 49% of charges 286 243.1 Percent of charges 85% of charges 286 220.22 Percent of charges 77% of charges 286 185.9 Percent of charges 65% of charges 286 223.08 Percent of charges 78% of charges 286 137.28 Percent of charges 48% of charges 286 286 BONE CANCELLOUS CRUSHED 15ML 3812972 LOCAL both 15 ml 1002 1002 1002 731.46 Percent of total billed charges 73% of charges 1002 611.22 Percent of total billed charges 61% of chages 1002 581.16 Percent of charges 58% of charges 1002 490.98 Percent of charges 49% of charges 1002 851.7 Percent of charges 85% of charges 1002 771.54 Percent of charges 77% of charges 1002 651.3 Percent of charges 65% of charges 1002 781.56 Percent of charges 78% of charges 1002 480.96 Percent of charges 48% of charges 1002 1002 BONE CEMENT COBALT 3812931 LOCAL both 2571 2571 2571 1876.83 Percent of total billed charges 73% of charges 2571 1568.31 Percent of total billed charges 61% of chages 2571 1491.18 Percent of charges 58% of charges 2571 1259.79 Percent of charges 49% of charges 2571 2185.35 Percent of charges 85% of charges 2571 1979.67 Percent of charges 77% of charges 2571 1671.15 Percent of charges 65% of charges 2571 2005.38 Percent of charges 78% of charges 2571 1234.08 Percent of charges 48% of charges 2571 2571 BONE CEMENT MIXER - ZIM 3802807 LOCAL both 592 592 592 432.16 Percent of total billed charges 73% of charges 592 361.12 Percent of total billed charges 61% of chages 592 343.36 Percent of charges 58% of charges 592 290.08 Percent of charges 49% of charges 592 503.2 Percent of charges 85% of charges 592 455.84 Percent of charges 77% of charges 592 384.8 Percent of charges 65% of charges 592 461.76 Percent of charges 78% of charges 592 284.16 Percent of charges 48% of charges 592 592 BONE CEMENT REFOBACIN 3802806 LOCAL both 1540 1540 1540 1124.2 Percent of total billed charges 73% of charges 1540 939.4 Percent of total billed charges 61% of chages 1540 893.2 Percent of charges 58% of charges 1540 754.6 Percent of charges 49% of charges 1540 1309 Percent of charges 85% of charges 1540 1185.8 Percent of charges 77% of charges 1540 1001 Percent of charges 65% of charges 1540 1201.2 Percent of charges 78% of charges 1540 739.2 Percent of charges 48% of charges 1540 1540 BONE CEMENT SIMPLEX P SPEEDSET 3800023 LOCAL both 506 506 506 369.38 Percent of total billed charges 73% of charges 506 308.66 Percent of total billed charges 61% of chages 506 293.48 Percent of charges 58% of charges 506 247.94 Percent of charges 49% of charges 506 430.1 Percent of charges 85% of charges 506 389.62 Percent of charges 77% of charges 506 328.9 Percent of charges 65% of charges 506 394.68 Percent of charges 78% of charges 506 242.88 Percent of charges 48% of charges 506 506 BONE CEMENT SMARTSET 3812774 LOCAL both 820 820 820 598.6 Percent of total billed charges 73% of charges 820 500.2 Percent of total billed charges 61% of chages 820 475.6 Percent of charges 58% of charges 820 401.8 Percent of charges 49% of charges 820 697 Percent of charges 85% of charges 820 631.4 Percent of charges 77% of charges 820 533 Percent of charges 65% of charges 820 639.6 Percent of charges 78% of charges 820 393.6 Percent of charges 48% of charges 820 820 BONE CEMENT SN RALLY 40 GM 3813032 LOCAL both 790 790 790 576.7 Percent of total billed charges 73% of charges 790 481.9 Percent of total billed charges 61% of chages 790 458.2 Percent of charges 58% of charges 790 387.1 Percent of charges 49% of charges 790 671.5 Percent of charges 85% of charges 790 608.3 Percent of charges 77% of charges 790 513.5 Percent of charges 65% of charges 790 616.2 Percent of charges 78% of charges 790 379.2 Percent of charges 48% of charges 790 790 BONE CEMENT SPECTRUM 3800035 LOCAL both 1845 1845 1845 1346.85 Percent of total billed charges 73% of charges 1845 1125.45 Percent of total billed charges 61% of chages 1845 1070.1 Percent of charges 58% of charges 1845 904.05 Percent of charges 49% of charges 1845 1568.25 Percent of charges 85% of charges 1845 1420.65 Percent of charges 77% of charges 1845 1199.25 Percent of charges 65% of charges 1845 1439.1 Percent of charges 78% of charges 1845 885.6 Percent of charges 48% of charges 1845 1845 BONE CEMENT VERSABOND 3813010 LOCAL both 1014 1014 1014 740.22 Percent of total billed charges 73% of charges 1014 618.54 Percent of total billed charges 61% of chages 1014 588.12 Percent of charges 58% of charges 1014 496.86 Percent of charges 49% of charges 1014 861.9 Percent of charges 85% of charges 1014 780.78 Percent of charges 77% of charges 1014 659.1 Percent of charges 65% of charges 1014 790.92 Percent of charges 78% of charges 1014 486.72 Percent of charges 48% of charges 1014 1014 BONE LGTH STUDY/SCANOGRAM 77073 CPT 4606040 LOCAL outpatient 383 383 383 279.59 Percent of total billed charges 73% of charges 383 233.63 Percent of total billed charges 61% of chages 383 222.14 Percent of charges 58% of charges 383 187.67 Percent of charges 49% of charges 383 325.55 Percent of charges 85% of charges 383 294.91 Percent of charges 77% of charges 383 248.95 Percent of charges 65% of charges 383 298.74 Percent of charges 78% of charges 383 183.84 Percent of charges 48% of charges 383 383 BONE MARROW-BIOSPY-ONC 88305 CPT 4300614 LOCAL outpatient 631 631 631 460.63 Percent of total billed charges 73% of charges 631 384.91 Percent of total billed charges 61% of chages 631 365.98 Percent of charges 58% of charges 631 309.19 Percent of charges 49% of charges 631 536.35 Percent of charges 85% of charges 631 485.87 Percent of charges 77% of charges 631 410.15 Percent of charges 65% of charges 631 492.18 Percent of charges 78% of charges 631 302.88 Percent of charges 48% of charges 631 631 BONE SCAN 78306 CPT 4670116 LOCAL outpatient 1296 1296 1296 946.08 Percent of total billed charges 73% of charges 1296 790.56 Percent of total billed charges 61% of chages 1296 751.68 Percent of charges 58% of charges 1296 635.04 Percent of charges 49% of charges 1296 1101.6 Percent of charges 85% of charges 1296 997.92 Percent of charges 77% of charges 1296 842.4 Percent of charges 65% of charges 1296 1010.88 Percent of charges 78% of charges 1296 622.08 Percent of charges 48% of charges 1296 1296 BONE SCAN SPECT 78803 CPT 4678320 LOCAL outpatient 2478 2478 2478 1808.94 Percent of total billed charges 73% of charges 2478 1511.58 Percent of total billed charges 61% of chages 2478 1437.24 Percent of charges 58% of charges 2478 1214.22 Percent of charges 49% of charges 2478 2106.3 Percent of charges 85% of charges 2478 1908.06 Percent of charges 77% of charges 2478 1610.7 Percent of charges 65% of charges 2478 1932.84 Percent of charges 78% of charges 2478 1189.44 Percent of charges 48% of charges 2478 2478 BONE SCAN THREE PHASE 78315 CPT 4670126 LOCAL outpatient 1289 1289 1289 940.97 Percent of total billed charges 73% of charges 1289 786.29 Percent of total billed charges 61% of chages 1289 747.62 Percent of charges 58% of charges 1289 631.61 Percent of charges 49% of charges 1289 1095.65 Percent of charges 85% of charges 1289 992.53 Percent of charges 77% of charges 1289 837.85 Percent of charges 65% of charges 1289 1005.42 Percent of charges 78% of charges 1289 618.72 Percent of charges 48% of charges 1289 1289 BONE SCAN/LIMITED 78300 CPT 4670117 LOCAL outpatient 1053 1053 1053 768.69 Percent of total billed charges 73% of charges 1053 642.33 Percent of total billed charges 61% of chages 1053 610.74 Percent of charges 58% of charges 1053 515.97 Percent of charges 49% of charges 1053 895.05 Percent of charges 85% of charges 1053 810.81 Percent of charges 77% of charges 1053 684.45 Percent of charges 65% of charges 1053 821.34 Percent of charges 78% of charges 1053 505.44 Percent of charges 48% of charges 1053 1053 BONE/JOINT IMG-MULT AREAS 78305 CPT 4678305 LOCAL outpatient 894 894 894 652.62 Percent of total billed charges 73% of charges 894 545.34 Percent of total billed charges 61% of chages 894 518.52 Percent of charges 58% of charges 894 438.06 Percent of charges 49% of charges 894 759.9 Percent of charges 85% of charges 894 688.38 Percent of charges 77% of charges 894 581.1 Percent of charges 65% of charges 894 697.32 Percent of charges 78% of charges 894 429.12 Percent of charges 48% of charges 894 894 BONE/OSSE SURVEY-COMPLETE 77075 CPT 4605112 LOCAL outpatient 649 649 649 473.77 Percent of total billed charges 73% of charges 649 395.89 Percent of total billed charges 61% of chages 649 376.42 Percent of charges 58% of charges 649 318.01 Percent of charges 49% of charges 649 551.65 Percent of charges 85% of charges 649 499.73 Percent of charges 77% of charges 649 421.85 Percent of charges 65% of charges 649 506.22 Percent of charges 78% of charges 649 311.52 Percent of charges 48% of charges 649 649 BORRELIA BURG AB CONFIRM 86617 CPT 4306617 LOCAL both 215 215 215 156.95 Percent of total billed charges 73% of charges 215 131.15 Percent of total billed charges 61% of chages 215 124.7 Percent of charges 58% of charges 215 105.35 Percent of charges 49% of charges 215 182.75 Percent of charges 85% of charges 215 165.55 Percent of charges 77% of charges 215 139.75 Percent of charges 65% of charges 215 167.7 Percent of charges 78% of charges 215 103.2 Percent of charges 48% of charges 215 215 BOWEL IMAG-MECKELS LOCAL 78290 CPT 4670100 LOCAL outpatient 851 851 851 621.23 Percent of total billed charges 73% of charges 851 519.11 Percent of total billed charges 61% of chages 851 493.58 Percent of charges 58% of charges 851 416.99 Percent of charges 49% of charges 851 723.35 Percent of charges 85% of charges 851 655.27 Percent of charges 77% of charges 851 553.15 Percent of charges 65% of charges 851 663.78 Percent of charges 78% of charges 851 408.48 Percent of charges 48% of charges 851 851 BRACHIAL PLEXUS BLOCK 64415 CPT 64415P LOCAL outpatient 126 126 126 91.98 Percent of total billed charges 73% of charges 126 76.86 Percent of total billed charges 61% of chages 126 73.08 Percent of charges 58% of charges 126 61.74 Percent of charges 49% of charges 126 107.1 Percent of charges 85% of charges 126 97.02 Percent of charges 77% of charges 126 81.9 Percent of charges 65% of charges 126 98.28 Percent of charges 78% of charges 126 60.48 Percent of charges 48% of charges 126 126 BRAIN IMG FLOW & STATS 78606 CPT 4678606 LOCAL outpatient 1039 1039 1039 758.47 Percent of total billed charges 73% of charges 1039 633.79 Percent of total billed charges 61% of chages 1039 602.62 Percent of charges 58% of charges 1039 509.11 Percent of charges 49% of charges 1039 883.15 Percent of charges 85% of charges 1039 800.03 Percent of charges 77% of charges 1039 675.35 Percent of charges 65% of charges 1039 810.42 Percent of charges 78% of charges 1039 498.72 Percent of charges 48% of charges 1039 1039 BRAIN IMG SPECT 78803 CPT 4678607 LOCAL outpatient 1583 1583 1583 1155.59 Percent of total billed charges 73% of charges 1583 965.63 Percent of total billed charges 61% of chages 1583 918.14 Percent of charges 58% of charges 1583 775.67 Percent of charges 49% of charges 1583 1345.55 Percent of charges 85% of charges 1583 1218.91 Percent of charges 77% of charges 1583 1028.95 Percent of charges 65% of charges 1583 1234.74 Percent of charges 78% of charges 1583 759.84 Percent of charges 48% of charges 1583 1583 BRCA1 BRCA2 GENE ANALYSIS 81162 CPT 4301166 LOCAL both 2526 2526 2526 1843.98 Percent of total billed charges 73% of charges 2526 1540.86 Percent of total billed charges 61% of chages 2526 1465.08 Percent of charges 58% of charges 2526 1237.74 Percent of charges 49% of charges 2526 2147.1 Percent of charges 85% of charges 2526 1945.02 Percent of charges 77% of charges 2526 1641.9 Percent of charges 65% of charges 2526 1970.28 Percent of charges 78% of charges 2526 1212.48 Percent of charges 48% of charges 2526 2526 Breath Alcohol Test-FRASCO 5500029 LOCAL both 21 21 21 15.33 Percent of total billed charges 73% of charges 21 12.81 Percent of total billed charges 61% of chages 21 12.18 Percent of charges 58% of charges 21 10.29 Percent of charges 49% of charges 21 17.85 Percent of charges 85% of charges 21 16.17 Percent of charges 77% of charges 21 13.65 Percent of charges 65% of charges 21 16.38 Percent of charges 78% of charges 21 10.08 Percent of charges 48% of charges 21 21 "BREATH ALCOHOL, COMPANY" 5500025 LOCAL both 23 23 23 16.79 Percent of total billed charges 73% of charges 23 14.03 Percent of total billed charges 61% of chages 23 13.34 Percent of charges 58% of charges 23 11.27 Percent of charges 49% of charges 23 19.55 Percent of charges 85% of charges 23 17.71 Percent of charges 77% of charges 23 14.95 Percent of charges 65% of charges 23 17.94 Percent of charges 78% of charges 23 11.04 Percent of charges 48% of charges 23 23 BRIEF CHECK IN BY MD/QHP-PRO G2012 HCPCS G2012P LOCAL 26 outpatient 27 27 27 19.71 Percent of total billed charges 73% of charges 27 16.47 Percent of total billed charges 61% of chages 27 15.66 Percent of charges 58% of charges 27 13.23 Percent of charges 49% of charges 27 22.95 Percent of charges 85% of charges 27 20.79 Percent of charges 77% of charges 27 17.55 Percent of charges 65% of charges 27 21.06 Percent of charges 78% of charges 27 12.96 Percent of charges 48% of charges 27 27 BRUCELLA AB 86622 CPT 4306622 LOCAL both 144 144 144 105.12 Percent of total billed charges 73% of charges 144 87.84 Percent of total billed charges 61% of chages 144 83.52 Percent of charges 58% of charges 144 70.56 Percent of charges 49% of charges 144 122.4 Percent of charges 85% of charges 144 110.88 Percent of charges 77% of charges 144 93.6 Percent of charges 65% of charges 144 112.32 Percent of charges 78% of charges 144 69.12 Percent of charges 48% of charges 144 144 BUDESONIDE INH 0.5MG J7626 HCPCS 4811436 LOCAL both 55.5 55.5 55.5 40.52 Percent of total billed charges 73% of charges 55.5 33.855 Percent of total billed charges 61% of chages 55.5 32.19 Percent of charges 58% of charges 55.5 27.195 Percent of charges 49% of charges 55.5 47.175 Percent of charges 85% of charges 55.5 42.735 Percent of charges 77% of charges 55.5 36.075 Percent of charges 65% of charges 55.5 43.29 Percent of charges 78% of charges 55.5 26.64 Percent of charges 48% of charges 55.5 55.5 BUPIVACAINE 0.25% 10ML 4900332 LOCAL both 10 ml 15.75 15.75 15.75 11.5 Percent of total billed charges 73% of charges 15.75 9.6075 Percent of total billed charges 61% of chages 15.75 9.135 Percent of charges 58% of charges 15.75 7.7175 Percent of charges 49% of charges 15.75 13.3875 Percent of charges 85% of charges 15.75 12.1275 Percent of charges 77% of charges 15.75 10.2375 Percent of charges 65% of charges 15.75 12.285 Percent of charges 78% of charges 15.75 7.56 Percent of charges 48% of charges 15.75 15.75 BUPRENORPHINE 80348 CPT 4301056 LOCAL both 152 152 152 110.96 Percent of total billed charges 73% of charges 152 92.72 Percent of total billed charges 61% of chages 152 88.16 Percent of charges 58% of charges 152 74.48 Percent of charges 49% of charges 152 129.2 Percent of charges 85% of charges 152 117.04 Percent of charges 77% of charges 152 98.8 Percent of charges 65% of charges 152 118.56 Percent of charges 78% of charges 152 72.96 Percent of charges 48% of charges 152 152 "BUPRENORPHINE, URINE" 80348 CPT 4301154 LOCAL both 56 56 56 40.88 Percent of total billed charges 73% of charges 56 34.16 Percent of total billed charges 61% of chages 56 32.48 Percent of charges 58% of charges 56 27.44 Percent of charges 49% of charges 56 47.6 Percent of charges 85% of charges 56 43.12 Percent of charges 77% of charges 56 36.4 Percent of charges 65% of charges 56 43.68 Percent of charges 78% of charges 56 26.88 Percent of charges 48% of charges 56 56 BX BREAST 1ST LES US GD-PRO 19083 CPT 19083P LOCAL 26 outpatient 310 310 310 226.3 Percent of total billed charges 73% of charges 310 189.1 Percent of total billed charges 61% of chages 310 179.8 Percent of charges 58% of charges 310 151.9 Percent of charges 49% of charges 310 263.5 Percent of charges 85% of charges 310 238.7 Percent of charges 77% of charges 310 201.5 Percent of charges 65% of charges 310 241.8 Percent of charges 78% of charges 310 148.8 Percent of charges 48% of charges 310 310 BX CERVIX W/ SCOPE LEEP-TOT 57460 CPT 57460 LOCAL outpatient 5093 5093 5093 3717.89 Percent of total billed charges 73% of charges 5093 3106.73 Percent of total billed charges 61% of chages 5093 2953.94 Percent of charges 58% of charges 5093 2495.57 Percent of charges 49% of charges 5093 4329.05 Percent of charges 85% of charges 5093 3921.61 Percent of charges 77% of charges 5093 3310.45 Percent of charges 65% of charges 5093 3972.54 Percent of charges 78% of charges 5093 2444.64 Percent of charges 48% of charges 5093 5093 BX CERVIX W/SCOPE LEEP-FAC 57460 CPT 57460F LOCAL TC outpatient 4778 4778 4778 3487.94 Percent of total billed charges 73% of charges 4778 2914.58 Percent of total billed charges 61% of chages 4778 2771.24 Percent of charges 58% of charges 4778 2341.22 Percent of charges 49% of charges 4778 4061.3 Percent of charges 85% of charges 4778 3679.06 Percent of charges 77% of charges 4778 3105.7 Percent of charges 65% of charges 4778 3726.84 Percent of charges 78% of charges 4778 2293.44 Percent of charges 48% of charges 4778 4778 BX EA ADDITIONAL LESION 56606 CPT 56606 LOCAL outpatient 2641 2641 2641 1927.93 Percent of total billed charges 73% of charges 2641 1611.01 Percent of total billed charges 61% of chages 2641 1531.78 Percent of charges 58% of charges 2641 1294.09 Percent of charges 49% of charges 2641 2244.85 Percent of charges 85% of charges 2641 2033.57 Percent of charges 77% of charges 2641 1716.65 Percent of charges 65% of charges 2641 2059.98 Percent of charges 78% of charges 2641 1267.68 Percent of charges 48% of charges 2641 2641 BX EA ADDITIONAL LESION - PRO 56606 CPT 56606P LOCAL 26 outpatient 59 59 59 43.07 Percent of total billed charges 73% of charges 59 35.99 Percent of total billed charges 61% of chages 59 34.22 Percent of charges 58% of charges 59 28.91 Percent of charges 49% of charges 59 50.15 Percent of charges 85% of charges 59 45.43 Percent of charges 77% of charges 59 38.35 Percent of charges 65% of charges 59 46.02 Percent of charges 78% of charges 59 28.32 Percent of charges 48% of charges 59 59 BX EA ADDITIONAL LESION-FAC 56606 CPT 56606F LOCAL TC outpatient 2582 2582 2582 1884.86 Percent of total billed charges 73% of charges 2582 1575.02 Percent of total billed charges 61% of chages 2582 1497.56 Percent of charges 58% of charges 2582 1265.18 Percent of charges 49% of charges 2582 2194.7 Percent of charges 85% of charges 2582 1988.14 Percent of charges 77% of charges 2582 1678.3 Percent of charges 65% of charges 2582 2013.96 Percent of charges 78% of charges 2582 1239.36 Percent of charges 48% of charges 2582 2582 BX EXTERNAL EAR -FAC 69100 CPT 69100F LOCAL TC outpatient 389 389 389 283.97 Percent of total billed charges 73% of charges 389 237.29 Percent of total billed charges 61% of chages 389 225.62 Percent of charges 58% of charges 389 190.61 Percent of charges 49% of charges 389 330.65 Percent of charges 85% of charges 389 299.53 Percent of charges 77% of charges 389 252.85 Percent of charges 65% of charges 389 303.42 Percent of charges 78% of charges 389 186.72 Percent of charges 48% of charges 389 389 BX EXTERNAL EAR -PRO 69100 CPT 69100P LOCAL 26 outpatient 93 93 93 67.89 Percent of total billed charges 73% of charges 93 56.73 Percent of total billed charges 61% of chages 93 53.94 Percent of charges 58% of charges 93 45.57 Percent of charges 49% of charges 93 79.05 Percent of charges 85% of charges 93 71.61 Percent of charges 77% of charges 93 60.45 Percent of charges 65% of charges 93 72.54 Percent of charges 78% of charges 93 44.64 Percent of charges 48% of charges 93 93 BX EXTERNAL EAR-TOTAL 69100 CPT 69100 LOCAL outpatient 482 482 482 351.86 Percent of total billed charges 73% of charges 482 294.02 Percent of total billed charges 61% of chages 482 279.56 Percent of charges 58% of charges 482 236.18 Percent of charges 49% of charges 482 409.7 Percent of charges 85% of charges 482 371.14 Percent of charges 77% of charges 482 313.3 Percent of charges 65% of charges 482 375.96 Percent of charges 78% of charges 482 231.36 Percent of charges 48% of charges 482 482 BX OF CERVIX - FAC 57500 CPT 57500F LOCAL TC outpatient 1167 1167 1167 851.91 Percent of total billed charges 73% of charges 1167 711.87 Percent of total billed charges 61% of chages 1167 676.86 Percent of charges 58% of charges 1167 571.83 Percent of charges 49% of charges 1167 991.95 Percent of charges 85% of charges 1167 898.59 Percent of charges 77% of charges 1167 758.55 Percent of charges 65% of charges 1167 910.26 Percent of charges 78% of charges 1167 560.16 Percent of charges 48% of charges 1167 1167 BX OF CERVIX - PRO 57500 CPT 57500P LOCAL 26 outpatient 145 145 145 105.85 Percent of total billed charges 73% of charges 145 88.45 Percent of total billed charges 61% of chages 145 84.1 Percent of charges 58% of charges 145 71.05 Percent of charges 49% of charges 145 123.25 Percent of charges 85% of charges 145 111.65 Percent of charges 77% of charges 145 94.25 Percent of charges 65% of charges 145 113.1 Percent of charges 78% of charges 145 69.6 Percent of charges 48% of charges 145 145 BX OF CERVIX - TOT 57500 CPT 57500 LOCAL outpatient 1312 1312 1312 957.76 Percent of total billed charges 73% of charges 1312 800.32 Percent of total billed charges 61% of chages 1312 760.96 Percent of charges 58% of charges 1312 642.88 Percent of charges 49% of charges 1312 1115.2 Percent of charges 85% of charges 1312 1010.24 Percent of charges 77% of charges 1312 852.8 Percent of charges 65% of charges 1312 1023.36 Percent of charges 78% of charges 1312 629.76 Percent of charges 48% of charges 1312 1312 BX OF SOFT TISS NECK/CHES 21550 CPT 4651550 LOCAL outpatient 2814 2814 2814 2054.22 Percent of total billed charges 73% of charges 2814 1716.54 Percent of total billed charges 61% of chages 2814 1632.12 Percent of charges 58% of charges 2814 1378.86 Percent of charges 49% of charges 2814 2391.9 Percent of charges 85% of charges 2814 2166.78 Percent of charges 77% of charges 2814 1829.1 Percent of charges 65% of charges 2814 2194.92 Percent of charges 78% of charges 2814 1350.72 Percent of charges 48% of charges 2814 2814 "BX SALIVARY GLAND, INC-PRO" 42405 CPT 42405P LOCAL 26 outpatient 433 433 433 316.09 Percent of total billed charges 73% of charges 433 264.13 Percent of total billed charges 61% of chages 433 251.14 Percent of charges 58% of charges 433 212.17 Percent of charges 49% of charges 433 368.05 Percent of charges 85% of charges 433 333.41 Percent of charges 77% of charges 433 281.45 Percent of charges 65% of charges 433 337.74 Percent of charges 78% of charges 433 207.84 Percent of charges 48% of charges 433 433 BX SALIVARY GLAND;NEEDLE-PRO 42400 CPT 42400P LOCAL 26 outpatient 103 103 103 75.19 Percent of total billed charges 73% of charges 103 62.83 Percent of total billed charges 61% of chages 103 59.74 Percent of charges 58% of charges 103 50.47 Percent of charges 49% of charges 103 87.55 Percent of charges 85% of charges 103 79.31 Percent of charges 77% of charges 103 66.95 Percent of charges 65% of charges 103 80.34 Percent of charges 78% of charges 103 49.44 Percent of charges 48% of charges 103 103 BX THYROID PERC CORE NDL 60100 CPT 4650257 LOCAL outpatient 751 751 751 548.23 Percent of total billed charges 73% of charges 751 458.11 Percent of total billed charges 61% of chages 751 435.58 Percent of charges 58% of charges 751 367.99 Percent of charges 49% of charges 751 638.35 Percent of charges 85% of charges 751 578.27 Percent of charges 77% of charges 751 488.15 Percent of charges 65% of charges 751 585.78 Percent of charges 78% of charges 751 360.48 Percent of charges 48% of charges 751 751 BX THYROID PERC CORE NDL-PRO 60100 CPT 60100P LOCAL 26 outpatient 152 152 152 110.96 Percent of total billed charges 73% of charges 152 92.72 Percent of total billed charges 61% of chages 152 88.16 Percent of charges 58% of charges 152 74.48 Percent of charges 49% of charges 152 129.2 Percent of charges 85% of charges 152 117.04 Percent of charges 77% of charges 152 98.8 Percent of charges 65% of charges 152 118.56 Percent of charges 78% of charges 152 72.96 Percent of charges 48% of charges 152 152 "BX VAGINAL MUCOSA, EXTEN-FAC" 57105 CPT 57105F LOCAL TC outpatient 954 954 954 696.42 Percent of total billed charges 73% of charges 954 581.94 Percent of total billed charges 61% of chages 954 553.32 Percent of charges 58% of charges 954 467.46 Percent of charges 49% of charges 954 810.9 Percent of charges 85% of charges 954 734.58 Percent of charges 77% of charges 954 620.1 Percent of charges 65% of charges 954 744.12 Percent of charges 78% of charges 954 457.92 Percent of charges 48% of charges 954 954 "BX VAGINAL MUCOSA, EXTEN-PRO" 57105 CPT 57105P LOCAL 26 outpatient 3811 3811 3811 2782.03 Percent of total billed charges 73% of charges 3811 2324.71 Percent of total billed charges 61% of chages 3811 2210.38 Percent of charges 58% of charges 3811 1867.39 Percent of charges 49% of charges 3811 3239.35 Percent of charges 85% of charges 3811 2934.47 Percent of charges 77% of charges 3811 2477.15 Percent of charges 65% of charges 3811 2972.58 Percent of charges 78% of charges 3811 1829.28 Percent of charges 48% of charges 3811 3811 "BX VAGINAL MUCOSA, EXTEN-TOT" 57105 CPT 57105 LOCAL outpatient 4765 4765 4765 3478.45 Percent of total billed charges 73% of charges 4765 2906.65 Percent of total billed charges 61% of chages 4765 2763.7 Percent of charges 58% of charges 4765 2334.85 Percent of charges 49% of charges 4765 4050.25 Percent of charges 85% of charges 4765 3669.05 Percent of charges 77% of charges 4765 3097.25 Percent of charges 65% of charges 4765 3716.7 Percent of charges 78% of charges 4765 2287.2 Percent of charges 48% of charges 4765 4765 BX VULVA/PERINEUM-FAC 56605 CPT 56605F LOCAL TC outpatient 1222 1222 1222 892.06 Percent of total billed charges 73% of charges 1222 745.42 Percent of total billed charges 61% of chages 1222 708.76 Percent of charges 58% of charges 1222 598.78 Percent of charges 49% of charges 1222 1038.7 Percent of charges 85% of charges 1222 940.94 Percent of charges 77% of charges 1222 794.3 Percent of charges 65% of charges 1222 953.16 Percent of charges 78% of charges 1222 586.56 Percent of charges 48% of charges 1222 1222 BX VULVA/PERINEUM-TOT 56605 CPT 56605 LOCAL outpatient 1341 1341 1341 978.93 Percent of total billed charges 73% of charges 1341 818.01 Percent of total billed charges 61% of chages 1341 777.78 Percent of charges 58% of charges 1341 657.09 Percent of charges 49% of charges 1341 1139.85 Percent of charges 85% of charges 1341 1032.57 Percent of charges 77% of charges 1341 871.65 Percent of charges 65% of charges 1341 1045.98 Percent of charges 78% of charges 1341 643.68 Percent of charges 48% of charges 1341 1341 BX VULVAR/PERINEUM-1 LES-PRO 56605 CPT 56605P LOCAL 26 outpatient 119 119 119 86.87 Percent of total billed charges 73% of charges 119 72.59 Percent of total billed charges 61% of chages 119 69.02 Percent of charges 58% of charges 119 58.31 Percent of charges 49% of charges 119 101.15 Percent of charges 85% of charges 119 91.63 Percent of charges 77% of charges 119 77.35 Percent of charges 65% of charges 119 92.82 Percent of charges 78% of charges 119 57.12 Percent of charges 48% of charges 119 119 BX W/COLPOSCOPY ADD-ON-FAC 58110 CPT 58110F LOCAL TC outpatient 318 318 318 232.14 Percent of total billed charges 73% of charges 318 193.98 Percent of total billed charges 61% of chages 318 184.44 Percent of charges 58% of charges 318 155.82 Percent of charges 49% of charges 318 270.3 Percent of charges 85% of charges 318 244.86 Percent of charges 77% of charges 318 206.7 Percent of charges 65% of charges 318 248.04 Percent of charges 78% of charges 318 152.64 Percent of charges 48% of charges 318 318 BX W/COLPOSCOPY ADD-ON-TOT 58110 CPT 58110 LOCAL outpatient 399 399 399 291.27 Percent of total billed charges 73% of charges 399 243.39 Percent of total billed charges 61% of chages 399 231.42 Percent of charges 58% of charges 399 195.51 Percent of charges 49% of charges 399 339.15 Percent of charges 85% of charges 399 307.23 Percent of charges 77% of charges 399 259.35 Percent of charges 65% of charges 399 311.22 Percent of charges 78% of charges 399 191.52 Percent of charges 48% of charges 399 399 C PEPTIDE 84681 CPT 4304681 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 C TERMINAL TELOPEPTIDE 82523 CPT 4302397 LOCAL both 283 283 283 206.59 Percent of total billed charges 73% of charges 283 172.63 Percent of total billed charges 61% of chages 283 164.14 Percent of charges 58% of charges 283 138.67 Percent of charges 49% of charges 283 240.55 Percent of charges 85% of charges 283 217.91 Percent of charges 77% of charges 283 183.95 Percent of charges 65% of charges 283 220.74 Percent of charges 78% of charges 283 135.84 Percent of charges 48% of charges 283 283 C/S STERILIZATION 5109001 LOCAL both 63 63 63 45.99 Percent of total billed charges 73% of charges 63 38.43 Percent of total billed charges 61% of chages 63 36.54 Percent of charges 58% of charges 63 30.87 Percent of charges 49% of charges 63 53.55 Percent of charges 85% of charges 63 48.51 Percent of charges 77% of charges 63 40.95 Percent of charges 65% of charges 63 49.14 Percent of charges 78% of charges 63 30.24 Percent of charges 48% of charges 63 63 C/S STERILIZATION 5110100 LOCAL both 63 63 63 45.99 Percent of total billed charges 73% of charges 63 38.43 Percent of total billed charges 61% of chages 63 36.54 Percent of charges 58% of charges 63 30.87 Percent of charges 49% of charges 63 53.55 Percent of charges 85% of charges 63 48.51 Percent of charges 77% of charges 63 40.95 Percent of charges 65% of charges 63 49.14 Percent of charges 78% of charges 63 30.24 Percent of charges 48% of charges 63 63 C0 DIFFUSE CAPACITY-PRO 94729 CPT 94729P LOCAL 26 outpatient 102 102 102 74.46 Percent of total billed charges 73% of charges 102 62.22 Percent of total billed charges 61% of chages 102 59.16 Percent of charges 58% of charges 102 49.98 Percent of charges 49% of charges 102 86.7 Percent of charges 85% of charges 102 78.54 Percent of charges 77% of charges 102 66.3 Percent of charges 65% of charges 102 79.56 Percent of charges 78% of charges 102 48.96 Percent of charges 48% of charges 102 102 C1 ESTERASE 86161 CPT 4306161 LOCAL both 178 178 178 129.94 Percent of total billed charges 73% of charges 178 108.58 Percent of total billed charges 61% of chages 178 103.24 Percent of charges 58% of charges 178 87.22 Percent of charges 49% of charges 178 151.3 Percent of charges 85% of charges 178 137.06 Percent of charges 77% of charges 178 115.7 Percent of charges 65% of charges 178 138.84 Percent of charges 78% of charges 178 85.44 Percent of charges 48% of charges 178 178 C1 FUNCTION 86161 CPT 4300720 LOCAL both 488 488 488 356.24 Percent of total billed charges 73% of charges 488 297.68 Percent of total billed charges 61% of chages 488 283.04 Percent of charges 58% of charges 488 239.12 Percent of charges 49% of charges 488 414.8 Percent of charges 85% of charges 488 375.76 Percent of charges 77% of charges 488 317.2 Percent of charges 65% of charges 488 380.64 Percent of charges 78% of charges 488 234.24 Percent of charges 48% of charges 488 488 C1Q 86332 CPT 4301176 LOCAL both 286 286 286 208.78 Percent of total billed charges 73% of charges 286 174.46 Percent of total billed charges 61% of chages 286 165.88 Percent of charges 58% of charges 286 140.14 Percent of charges 49% of charges 286 243.1 Percent of charges 85% of charges 286 220.22 Percent of charges 77% of charges 286 185.9 Percent of charges 65% of charges 286 223.08 Percent of charges 78% of charges 286 137.28 Percent of charges 48% of charges 286 286 C1Q LEVEL 86161 CPT 4300555 LOCAL both 147 147 147 107.31 Percent of total billed charges 73% of charges 147 89.67 Percent of total billed charges 61% of chages 147 85.26 Percent of charges 58% of charges 147 72.03 Percent of charges 49% of charges 147 124.95 Percent of charges 85% of charges 147 113.19 Percent of charges 77% of charges 147 95.55 Percent of charges 65% of charges 147 114.66 Percent of charges 78% of charges 147 70.56 Percent of charges 48% of charges 147 147 C3 86160 CPT 4300933 LOCAL both 127 127 127 92.71 Percent of total billed charges 73% of charges 127 77.47 Percent of total billed charges 61% of chages 127 73.66 Percent of charges 58% of charges 127 62.23 Percent of charges 49% of charges 127 107.95 Percent of charges 85% of charges 127 97.79 Percent of charges 77% of charges 127 82.55 Percent of charges 65% of charges 127 99.06 Percent of charges 78% of charges 127 60.96 Percent of charges 48% of charges 127 127 C3 86332 CPT 4301177 LOCAL both 286 286 286 208.78 Percent of total billed charges 73% of charges 286 174.46 Percent of total billed charges 61% of chages 286 165.88 Percent of charges 58% of charges 286 140.14 Percent of charges 49% of charges 286 243.1 Percent of charges 85% of charges 286 220.22 Percent of charges 77% of charges 286 185.9 Percent of charges 65% of charges 286 223.08 Percent of charges 78% of charges 286 137.28 Percent of charges 48% of charges 286 286 C4 86160 CPT 4300878 LOCAL both 127 127 127 92.71 Percent of total billed charges 73% of charges 127 77.47 Percent of total billed charges 61% of chages 127 73.66 Percent of charges 58% of charges 127 62.23 Percent of charges 49% of charges 127 107.95 Percent of charges 85% of charges 127 97.79 Percent of charges 77% of charges 127 82.55 Percent of charges 65% of charges 127 99.06 Percent of charges 78% of charges 127 60.96 Percent of charges 48% of charges 127 127 CA 125 86304 CPT 4306304 LOCAL both 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 CA 15-3 86300 CPT 4306300 LOCAL both 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 CA 19-9 86301 CPT 4306301 LOCAL both 157 157 157 114.61 Percent of total billed charges 73% of charges 157 95.77 Percent of total billed charges 61% of chages 157 91.06 Percent of charges 58% of charges 157 76.93 Percent of charges 49% of charges 157 133.45 Percent of charges 85% of charges 157 120.89 Percent of charges 77% of charges 157 102.05 Percent of charges 65% of charges 157 122.46 Percent of charges 78% of charges 157 75.36 Percent of charges 48% of charges 157 157 CA 27.29 86300 CPT 4306316 LOCAL both 170 170 170 124.1 Percent of total billed charges 73% of charges 170 103.7 Percent of total billed charges 61% of chages 170 98.6 Percent of charges 58% of charges 170 83.3 Percent of charges 49% of charges 170 144.5 Percent of charges 85% of charges 170 130.9 Percent of charges 77% of charges 170 110.5 Percent of charges 65% of charges 170 132.6 Percent of charges 78% of charges 170 81.6 Percent of charges 48% of charges 170 170 CADMIUM 82300 CPT 4302300 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 CALCITONIN 82308 CPT 4302308 LOCAL both 203 203 203 148.19 Percent of total billed charges 73% of charges 203 123.83 Percent of total billed charges 61% of chages 203 117.74 Percent of charges 58% of charges 203 99.47 Percent of charges 49% of charges 203 172.55 Percent of charges 85% of charges 203 156.31 Percent of charges 77% of charges 203 131.95 Percent of charges 65% of charges 203 158.34 Percent of charges 78% of charges 203 97.44 Percent of charges 48% of charges 203 203 CALCIUM - RANDOM URINE 82340 CPT 4301022 LOCAL both 34 34 34 24.82 Percent of total billed charges 73% of charges 34 20.74 Percent of total billed charges 61% of chages 34 19.72 Percent of charges 58% of charges 34 16.66 Percent of charges 49% of charges 34 28.9 Percent of charges 85% of charges 34 26.18 Percent of charges 77% of charges 34 22.1 Percent of charges 65% of charges 34 26.52 Percent of charges 78% of charges 34 16.32 Percent of charges 48% of charges 34 34 CALCIUM IONIZED 82330 CPT 4302330 LOCAL both 123 123 123 89.79 Percent of total billed charges 73% of charges 123 75.03 Percent of total billed charges 61% of chages 123 71.34 Percent of charges 58% of charges 123 60.27 Percent of charges 49% of charges 123 104.55 Percent of charges 85% of charges 123 94.71 Percent of charges 77% of charges 123 79.95 Percent of charges 65% of charges 123 95.94 Percent of charges 78% of charges 123 59.04 Percent of charges 48% of charges 123 123 CALCIUM TOTAL 82310 CPT 4302310 LOCAL both 44 44 44 32.12 Percent of total billed charges 73% of charges 44 26.84 Percent of total billed charges 61% of chages 44 25.52 Percent of charges 58% of charges 44 21.56 Percent of charges 49% of charges 44 37.4 Percent of charges 85% of charges 44 33.88 Percent of charges 77% of charges 44 28.6 Percent of charges 65% of charges 44 34.32 Percent of charges 78% of charges 44 21.12 Percent of charges 48% of charges 44 44 CALL IN FEE AFTER HRS 86999 CPT 4350023 LOCAL both 311 311 311 227.03 Percent of total billed charges 73% of charges 311 189.71 Percent of total billed charges 61% of chages 311 180.38 Percent of charges 58% of charges 311 152.39 Percent of charges 49% of charges 311 264.35 Percent of charges 85% of charges 311 239.47 Percent of charges 77% of charges 311 202.15 Percent of charges 65% of charges 311 242.58 Percent of charges 78% of charges 311 149.28 Percent of charges 48% of charges 311 311 "CALPROTECTIN, FECES" 83993 CPT 4303993 LOCAL 26 both 518 518 518 378.14 Percent of total billed charges 73% of charges 518 315.98 Percent of total billed charges 61% of chages 518 300.44 Percent of charges 58% of charges 518 253.82 Percent of charges 49% of charges 518 440.3 Percent of charges 85% of charges 518 398.86 Percent of charges 77% of charges 518 336.7 Percent of charges 65% of charges 518 404.04 Percent of charges 78% of charges 518 248.64 Percent of charges 48% of charges 518 518 CANALITH REPOSITIONING 95992 CPT 5105992 LOCAL outpatient 128 128 128 93.44 Percent of total billed charges 73% of charges 128 78.08 Percent of total billed charges 61% of chages 128 74.24 Percent of charges 58% of charges 128 62.72 Percent of charges 49% of charges 128 108.8 Percent of charges 85% of charges 128 98.56 Percent of charges 77% of charges 128 83.2 Percent of charges 65% of charges 128 99.84 Percent of charges 78% of charges 128 61.44 Percent of charges 48% of charges 128 128 CANDIDA ALBICANS ABS IgG 86628 CPT 4306628 LOCAL both 150 150 150 109.5 Percent of total billed charges 73% of charges 150 91.5 Percent of total billed charges 61% of chages 150 87 Percent of charges 58% of charges 150 73.5 Percent of charges 49% of charges 150 127.5 Percent of charges 85% of charges 150 115.5 Percent of charges 77% of charges 150 97.5 Percent of charges 65% of charges 150 117 Percent of charges 78% of charges 150 72 Percent of charges 48% of charges 150 150 CANDIDA SPECIES - AMP PROBE 87481 CPT 4307481 LOCAL 26 both 128 128 128 93.44 Percent of total billed charges 73% of charges 128 78.08 Percent of total billed charges 61% of chages 128 74.24 Percent of charges 58% of charges 128 62.72 Percent of charges 49% of charges 128 108.8 Percent of charges 85% of charges 128 98.56 Percent of charges 77% of charges 128 83.2 Percent of charges 65% of charges 128 99.84 Percent of charges 78% of charges 128 61.44 Percent of charges 48% of charges 128 128 CANDIDA SPECIES - DIRECT PROBE 87480 CPT 4307480 LOCAL 26 both 91 91 91 66.43 Percent of total billed charges 73% of charges 91 55.51 Percent of total billed charges 61% of chages 91 52.78 Percent of charges 58% of charges 91 44.59 Percent of charges 49% of charges 91 77.35 Percent of charges 85% of charges 91 70.07 Percent of charges 77% of charges 91 59.15 Percent of charges 65% of charges 91 70.98 Percent of charges 78% of charges 91 43.68 Percent of charges 48% of charges 91 91 CAPILLARY BLOOD DRAW 36416 CPT 5006416 LOCAL both 31 31 31 22.63 Percent of total billed charges 73% of charges 31 18.91 Percent of total billed charges 61% of chages 31 17.98 Percent of charges 58% of charges 31 15.19 Percent of charges 49% of charges 31 26.35 Percent of charges 85% of charges 31 23.87 Percent of charges 77% of charges 31 20.15 Percent of charges 65% of charges 31 24.18 Percent of charges 78% of charges 31 14.88 Percent of charges 48% of charges 31 31 "CAPSULORRH, ANT;W/LAB RPR-PRO" 23455 CPT 23455P LOCAL 26 outpatient 1925 1925 1925 1405.25 Percent of total billed charges 73% of charges 1925 1174.25 Percent of total billed charges 61% of chages 1925 1116.5 Percent of charges 58% of charges 1925 943.25 Percent of charges 49% of charges 1925 1636.25 Percent of charges 85% of charges 1925 1482.25 Percent of charges 77% of charges 1925 1251.25 Percent of charges 65% of charges 1925 1501.5 Percent of charges 78% of charges 1925 924 Percent of charges 48% of charges 1925 1925 CAR SEAT CHALLENGE TEST-FAC 94780 CPT 94780F LOCAL TC outpatient 61 61 61 44.53 Percent of total billed charges 73% of charges 61 37.21 Percent of total billed charges 61% of chages 61 35.38 Percent of charges 58% of charges 61 29.89 Percent of charges 49% of charges 61 51.85 Percent of charges 85% of charges 61 46.97 Percent of charges 77% of charges 61 39.65 Percent of charges 65% of charges 61 47.58 Percent of charges 78% of charges 61 29.28 Percent of charges 48% of charges 61 61 CARB DEFICIENT TRANSFERRIN 82373 CPT 4302373 LOCAL both 540 540 540 394.2 Percent of total billed charges 73% of charges 540 329.4 Percent of total billed charges 61% of chages 540 313.2 Percent of charges 58% of charges 540 264.6 Percent of charges 49% of charges 540 459 Percent of charges 85% of charges 540 415.8 Percent of charges 77% of charges 540 351 Percent of charges 65% of charges 540 421.2 Percent of charges 78% of charges 540 259.2 Percent of charges 48% of charges 540 540 CARBAMAZEPINE (TEGRETOL) 80156 CPT 4300156 LOCAL both 221 221 221 161.33 Percent of total billed charges 73% of charges 221 134.81 Percent of total billed charges 61% of chages 221 128.18 Percent of charges 58% of charges 221 108.29 Percent of charges 49% of charges 221 187.85 Percent of charges 85% of charges 221 170.17 Percent of charges 77% of charges 221 143.65 Percent of charges 65% of charges 221 172.38 Percent of charges 78% of charges 221 106.08 Percent of charges 48% of charges 221 221 CARBON DIOXIDE 82374 CPT 4302374 LOCAL both 42 42 42 30.66 Percent of total billed charges 73% of charges 42 25.62 Percent of total billed charges 61% of chages 42 24.36 Percent of charges 58% of charges 42 20.58 Percent of charges 49% of charges 42 35.7 Percent of charges 85% of charges 42 32.34 Percent of charges 77% of charges 42 27.3 Percent of charges 65% of charges 42 32.76 Percent of charges 78% of charges 42 20.16 Percent of charges 48% of charges 42 42 CARBON MONOXIDE - QUANT 82375 CPT 4300523 LOCAL both 129 129 129 94.17 Percent of total billed charges 73% of charges 129 78.69 Percent of total billed charges 61% of chages 129 74.82 Percent of charges 58% of charges 129 63.21 Percent of charges 49% of charges 129 109.65 Percent of charges 85% of charges 129 99.33 Percent of charges 77% of charges 129 83.85 Percent of charges 65% of charges 129 100.62 Percent of charges 78% of charges 129 61.92 Percent of charges 48% of charges 129 129 CARCINOEMBRYONIC ANTI/CEA 82378 CPT 4302378 LOCAL both 152 152 152 110.96 Percent of total billed charges 73% of charges 152 92.72 Percent of total billed charges 61% of chages 152 88.16 Percent of charges 58% of charges 152 74.48 Percent of charges 49% of charges 152 129.2 Percent of charges 85% of charges 152 117.04 Percent of charges 77% of charges 152 98.8 Percent of charges 65% of charges 152 118.56 Percent of charges 78% of charges 152 72.96 Percent of charges 48% of charges 152 152 CARDIOLIPN(PHOSPOLIPD)IgA 86147 CPT 4300874 LOCAL both 151 151 151 110.23 Percent of total billed charges 73% of charges 151 92.11 Percent of total billed charges 61% of chages 151 87.58 Percent of charges 58% of charges 151 73.99 Percent of charges 49% of charges 151 128.35 Percent of charges 85% of charges 151 116.27 Percent of charges 77% of charges 151 98.15 Percent of charges 65% of charges 151 117.78 Percent of charges 78% of charges 151 72.48 Percent of charges 48% of charges 151 151 CARDIOLIPN(PHOSPOLIPD)IgG 86147 CPT 4306147 LOCAL both 210 210 210 153.3 Percent of total billed charges 73% of charges 210 128.1 Percent of total billed charges 61% of chages 210 121.8 Percent of charges 58% of charges 210 102.9 Percent of charges 49% of charges 210 178.5 Percent of charges 85% of charges 210 161.7 Percent of charges 77% of charges 210 136.5 Percent of charges 65% of charges 210 163.8 Percent of charges 78% of charges 210 100.8 Percent of charges 48% of charges 210 210 CARDIOLIPN(PHOSPOLIPD)IgM 86147 CPT 4300880 LOCAL both 151 151 151 110.23 Percent of total billed charges 73% of charges 151 92.11 Percent of total billed charges 61% of chages 151 87.58 Percent of charges 58% of charges 151 73.99 Percent of charges 49% of charges 151 128.35 Percent of charges 85% of charges 151 116.27 Percent of charges 77% of charges 151 98.15 Percent of charges 65% of charges 151 117.78 Percent of charges 78% of charges 151 72.48 Percent of charges 48% of charges 151 151 CARDIOLITE 40MCI STUDY/DS A9500 HCPCS 4679500 LOCAL both 509 509 509 371.57 Percent of total billed charges 73% of charges 509 310.49 Percent of total billed charges 61% of chages 509 295.22 Percent of charges 58% of charges 509 249.41 Percent of charges 49% of charges 509 432.65 Percent of charges 85% of charges 509 391.93 Percent of charges 77% of charges 509 330.85 Percent of charges 65% of charges 509 397.02 Percent of charges 78% of charges 509 244.32 Percent of charges 48% of charges 509 509 CARDIOLTE/TM STRS TEST INT-PRO 93018 CPT 93018P LOCAL 26 outpatient 31 31 31 22.63 Percent of total billed charges 73% of charges 31 18.91 Percent of total billed charges 61% of chages 31 17.98 Percent of charges 58% of charges 31 15.19 Percent of charges 49% of charges 31 26.35 Percent of charges 85% of charges 31 23.87 Percent of charges 77% of charges 31 20.15 Percent of charges 65% of charges 31 24.18 Percent of charges 78% of charges 31 14.88 Percent of charges 48% of charges 31 31 CARDIOVERSION ELECTRIC EXT-PRO 92960 CPT 92960P LOCAL 26 outpatient 199 199 199 145.27 Percent of total billed charges 73% of charges 199 121.39 Percent of total billed charges 61% of chages 199 115.42 Percent of charges 58% of charges 199 97.51 Percent of charges 49% of charges 199 169.15 Percent of charges 85% of charges 199 153.23 Percent of charges 77% of charges 199 129.35 Percent of charges 65% of charges 199 155.22 Percent of charges 78% of charges 199 95.52 Percent of charges 48% of charges 199 199 CARDIOVERSION/DEFIB 92960 CPT 92960F LOCAL outpatient 1386 1386 1386 1011.78 Percent of total billed charges 73% of charges 1386 845.46 Percent of total billed charges 61% of chages 1386 803.88 Percent of charges 58% of charges 1386 679.14 Percent of charges 49% of charges 1386 1178.1 Percent of charges 85% of charges 1386 1067.22 Percent of charges 77% of charges 1386 900.9 Percent of charges 65% of charges 1386 1081.08 Percent of charges 78% of charges 1386 665.28 Percent of charges 48% of charges 1386 1386 CARNITINE FREE & TOTAL 82379 CPT 4302379 LOCAL both 205 205 205 149.65 Percent of total billed charges 73% of charges 205 125.05 Percent of total billed charges 61% of chages 205 118.9 Percent of charges 58% of charges 205 100.45 Percent of charges 49% of charges 205 174.25 Percent of charges 85% of charges 205 157.85 Percent of charges 77% of charges 205 133.25 Percent of charges 65% of charges 205 159.9 Percent of charges 78% of charges 205 98.4 Percent of charges 48% of charges 205 205 CAROTENE 82380 CPT 4302380 LOCAL both 183 183 183 133.59 Percent of total billed charges 73% of charges 183 111.63 Percent of total billed charges 61% of chages 183 106.14 Percent of charges 58% of charges 183 89.67 Percent of charges 49% of charges 183 155.55 Percent of charges 85% of charges 183 140.91 Percent of charges 77% of charges 183 118.95 Percent of charges 65% of charges 183 142.74 Percent of charges 78% of charges 183 87.84 Percent of charges 48% of charges 183 183 CAROTID DUPLEX BILATERAL 93880 CPT 4660070 LOCAL outpatient 884 884 884 645.32 Percent of total billed charges 73% of charges 884 539.24 Percent of total billed charges 61% of chages 884 512.72 Percent of charges 58% of charges 884 433.16 Percent of charges 49% of charges 884 751.4 Percent of charges 85% of charges 884 680.68 Percent of charges 77% of charges 884 574.6 Percent of charges 65% of charges 884 689.52 Percent of charges 78% of charges 884 424.32 Percent of charges 48% of charges 884 884 Cash Dry Needle 1-2 Musc 20560 20560 CPT 5100020 LOCAL outpatient 40 40 40 29.2 Percent of total billed charges 73% of charges 40 24.4 Percent of total billed charges 61% of chages 40 23.2 Percent of charges 58% of charges 40 19.6 Percent of charges 49% of charges 40 34 Percent of charges 85% of charges 40 30.8 Percent of charges 77% of charges 40 26 Percent of charges 65% of charges 40 31.2 Percent of charges 78% of charges 40 19.2 Percent of charges 48% of charges 40 40 Cash Dry Needle 1-2 Musc 20560 20560 CPT 5110020 LOCAL outpatient 40 40 40 29.2 Percent of total billed charges 73% of charges 40 24.4 Percent of total billed charges 61% of chages 40 23.2 Percent of charges 58% of charges 40 19.6 Percent of charges 49% of charges 40 34 Percent of charges 85% of charges 40 30.8 Percent of charges 77% of charges 40 26 Percent of charges 65% of charges 40 31.2 Percent of charges 78% of charges 40 19.2 Percent of charges 48% of charges 40 40 Cash Dry Needle 3+ Musc 20561 20561 CPT 5100021 LOCAL outpatient 40 40 40 29.2 Percent of total billed charges 73% of charges 40 24.4 Percent of total billed charges 61% of chages 40 23.2 Percent of charges 58% of charges 40 19.6 Percent of charges 49% of charges 40 34 Percent of charges 85% of charges 40 30.8 Percent of charges 77% of charges 40 26 Percent of charges 65% of charges 40 31.2 Percent of charges 78% of charges 40 19.2 Percent of charges 48% of charges 40 40 Cash Dry Needle 3+ Musc 20561 20561 CPT 5110021 LOCAL outpatient 40 40 40 29.2 Percent of total billed charges 73% of charges 40 24.4 Percent of total billed charges 61% of chages 40 23.2 Percent of charges 58% of charges 40 19.6 Percent of charges 49% of charges 40 34 Percent of charges 85% of charges 40 30.8 Percent of charges 77% of charges 40 26 Percent of charges 65% of charges 40 31.2 Percent of charges 78% of charges 40 19.2 Percent of charges 48% of charges 40 40 CAST ORTHOGLASS 5 3813312 LOCAL both 85 85 85 62.05 Percent of total billed charges 73% of charges 85 51.85 Percent of total billed charges 61% of chages 85 49.3 Percent of charges 58% of charges 85 41.65 Percent of charges 49% of charges 85 72.25 Percent of charges 85% of charges 85 65.45 Percent of charges 77% of charges 85 55.25 Percent of charges 65% of charges 85 66.3 Percent of charges 78% of charges 85 40.8 Percent of charges 48% of charges 85 85 "CAST SCOTCHCAST 2""" 3701197 LOCAL both 14 14 14 10.22 Percent of total billed charges 73% of charges 14 8.54 Percent of total billed charges 61% of chages 14 8.12 Percent of charges 58% of charges 14 6.86 Percent of charges 49% of charges 14 11.9 Percent of charges 85% of charges 14 10.78 Percent of charges 77% of charges 14 9.1 Percent of charges 65% of charges 14 10.92 Percent of charges 78% of charges 14 6.72 Percent of charges 48% of charges 14 14 "CAST SCOTCHCAST 3""" 3701198 LOCAL both 22 22 22 16.06 Percent of total billed charges 73% of charges 22 13.42 Percent of total billed charges 61% of chages 22 12.76 Percent of charges 58% of charges 22 10.78 Percent of charges 49% of charges 22 18.7 Percent of charges 85% of charges 22 16.94 Percent of charges 77% of charges 22 14.3 Percent of charges 65% of charges 22 17.16 Percent of charges 78% of charges 22 10.56 Percent of charges 48% of charges 22 22 "CAST SCOTCHCAST 4""" 3701199 LOCAL both 25 25 25 18.25 Percent of total billed charges 73% of charges 25 15.25 Percent of total billed charges 61% of chages 25 14.5 Percent of charges 58% of charges 25 12.25 Percent of charges 49% of charges 25 21.25 Percent of charges 85% of charges 25 19.25 Percent of charges 77% of charges 25 16.25 Percent of charges 65% of charges 25 19.5 Percent of charges 78% of charges 25 12 Percent of charges 48% of charges 25 25 CATECHOLAMINES FRACT 82384 CPT 4302384 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 CATH BAKRI BALLOON 3702612 LOCAL both 1236 1236 1236 902.28 Percent of total billed charges 73% of charges 1236 753.96 Percent of total billed charges 61% of chages 1236 716.88 Percent of charges 58% of charges 1236 605.64 Percent of charges 49% of charges 1236 1050.6 Percent of charges 85% of charges 1236 951.72 Percent of charges 77% of charges 1236 803.4 Percent of charges 65% of charges 1236 964.08 Percent of charges 78% of charges 1236 593.28 Percent of charges 48% of charges 1236 1236 CATHETER COOK RING DRAINAGE 3813318 LOCAL both 305 305 305 222.65 Percent of total billed charges 73% of charges 305 186.05 Percent of total billed charges 61% of chages 305 176.9 Percent of charges 58% of charges 305 149.45 Percent of charges 49% of charges 305 259.25 Percent of charges 85% of charges 305 234.85 Percent of charges 77% of charges 305 198.25 Percent of charges 65% of charges 305 237.9 Percent of charges 78% of charges 305 146.4 Percent of charges 48% of charges 305 305 CATHETER COUNCIL TIP 16FR 3813104 LOCAL both 115 115 115 83.95 Percent of total billed charges 73% of charges 115 70.15 Percent of total billed charges 61% of chages 115 66.7 Percent of charges 58% of charges 115 56.35 Percent of charges 49% of charges 115 97.75 Percent of charges 85% of charges 115 88.55 Percent of charges 77% of charges 115 74.75 Percent of charges 65% of charges 115 89.7 Percent of charges 78% of charges 115 55.2 Percent of charges 48% of charges 115 115 CATHETER COUNTIL TIP 18FR 3813105 LOCAL both 115 115 115 83.95 Percent of total billed charges 73% of charges 115 70.15 Percent of total billed charges 61% of chages 115 66.7 Percent of charges 58% of charges 115 56.35 Percent of charges 49% of charges 115 97.75 Percent of charges 85% of charges 115 88.55 Percent of charges 77% of charges 115 74.75 Percent of charges 65% of charges 115 89.7 Percent of charges 78% of charges 115 55.2 Percent of charges 48% of charges 115 115 CATHETER FOLEY 22FR 3 WAY 30ML 3813171 LOCAL both 30 ml 162 162 162 118.26 Percent of total billed charges 73% of charges 162 98.82 Percent of total billed charges 61% of chages 162 93.96 Percent of charges 58% of charges 162 79.38 Percent of charges 49% of charges 162 137.7 Percent of charges 85% of charges 162 124.74 Percent of charges 77% of charges 162 105.3 Percent of charges 65% of charges 162 126.36 Percent of charges 78% of charges 162 77.76 Percent of charges 48% of charges 162 162 CATHETER FOLEY 22FR 3WAY 5CC 3700893 LOCAL both 61 61 61 44.53 Percent of total billed charges 73% of charges 61 37.21 Percent of total billed charges 61% of chages 61 35.38 Percent of charges 58% of charges 61 29.89 Percent of charges 49% of charges 61 51.85 Percent of charges 85% of charges 61 46.97 Percent of charges 77% of charges 61 39.65 Percent of charges 65% of charges 61 47.58 Percent of charges 78% of charges 61 29.28 Percent of charges 48% of charges 61 61 CATHETER LEG STRAP DALE 3804725 LOCAL both 34 34 34 24.82 Percent of total billed charges 73% of charges 34 20.74 Percent of total billed charges 61% of chages 34 19.72 Percent of charges 58% of charges 34 16.66 Percent of charges 49% of charges 34 28.9 Percent of charges 85% of charges 34 26.18 Percent of charges 77% of charges 34 22.1 Percent of charges 65% of charges 34 26.52 Percent of charges 78% of charges 34 16.32 Percent of charges 48% of charges 34 34 CBC W/AUTOMATED DIFF 85025 CPT 4305025 LOCAL both 103 103 103 75.19 Percent of total billed charges 73% of charges 103 62.83 Percent of total billed charges 61% of chages 103 59.74 Percent of charges 58% of charges 103 50.47 Percent of charges 49% of charges 103 87.55 Percent of charges 85% of charges 103 79.31 Percent of charges 77% of charges 103 66.95 Percent of charges 65% of charges 103 80.34 Percent of charges 78% of charges 103 49.44 Percent of charges 48% of charges 103 103 CD4 & CD8 COUNT 86360 CPT 4306360 LOCAL both 318 318 318 232.14 Percent of total billed charges 73% of charges 318 193.98 Percent of total billed charges 61% of chages 318 184.44 Percent of charges 58% of charges 318 155.82 Percent of charges 49% of charges 318 270.3 Percent of charges 85% of charges 318 244.86 Percent of charges 77% of charges 318 206.7 Percent of charges 65% of charges 318 248.04 Percent of charges 78% of charges 318 152.64 Percent of charges 48% of charges 318 318 CD4 ONLY COUNT 86361 CPT 4306361 LOCAL both 272 272 272 198.56 Percent of total billed charges 73% of charges 272 165.92 Percent of total billed charges 61% of chages 272 157.76 Percent of charges 58% of charges 272 133.28 Percent of charges 49% of charges 272 231.2 Percent of charges 85% of charges 272 209.44 Percent of charges 77% of charges 272 176.8 Percent of charges 65% of charges 272 212.16 Percent of charges 78% of charges 272 130.56 Percent of charges 48% of charges 272 272 C-DIFF AG - STOOL 87449 CPT 4300746 LOCAL both 118 118 118 86.14 Percent of total billed charges 73% of charges 118 71.98 Percent of total billed charges 61% of chages 118 68.44 Percent of charges 58% of charges 118 57.82 Percent of charges 49% of charges 118 100.3 Percent of charges 85% of charges 118 90.86 Percent of charges 77% of charges 118 76.7 Percent of charges 65% of charges 118 92.04 Percent of charges 78% of charges 118 56.64 Percent of charges 48% of charges 118 118 C-DIFF TOXIN BY PCR-STOOL 87493 CPT 4307493 LOCAL both 196 196 196 143.08 Percent of total billed charges 73% of charges 196 119.56 Percent of total billed charges 61% of chages 196 113.68 Percent of charges 58% of charges 196 96.04 Percent of charges 49% of charges 196 166.6 Percent of charges 85% of charges 196 150.92 Percent of charges 77% of charges 196 127.4 Percent of charges 65% of charges 196 152.88 Percent of charges 78% of charges 196 94.08 Percent of charges 48% of charges 196 196 C-DIFFICILE TOXIN 87324 CPT 4307324 LOCAL both 106 106 106 77.38 Percent of total billed charges 73% of charges 106 64.66 Percent of total billed charges 61% of chages 106 61.48 Percent of charges 58% of charges 106 51.94 Percent of charges 49% of charges 106 90.1 Percent of charges 85% of charges 106 81.62 Percent of charges 77% of charges 106 68.9 Percent of charges 65% of charges 106 82.68 Percent of charges 78% of charges 106 50.88 Percent of charges 48% of charges 106 106 CEA - NON BLOOD 82378 CPT 4301066 LOCAL both 141 141 141 102.93 Percent of total billed charges 73% of charges 141 86.01 Percent of total billed charges 61% of chages 141 81.78 Percent of charges 58% of charges 141 69.09 Percent of charges 49% of charges 141 119.85 Percent of charges 85% of charges 141 108.57 Percent of charges 77% of charges 141 91.65 Percent of charges 65% of charges 141 109.98 Percent of charges 78% of charges 141 67.68 Percent of charges 48% of charges 141 141 ceFAZolin INJ per 500 MG J0690 HCPCS 4801644 LOCAL both 15 15 15 10.95 Percent of total billed charges 73% of charges 15 9.15 Percent of total billed charges 61% of chages 15 8.7 Percent of charges 58% of charges 15 7.35 Percent of charges 49% of charges 15 12.75 Percent of charges 85% of charges 15 11.55 Percent of charges 77% of charges 15 9.75 Percent of charges 65% of charges 15 11.7 Percent of charges 78% of charges 15 7.2 Percent of charges 48% of charges 15 15 CEFDINIR 250/5 SUSP 60ML 4811340 LOCAL both 60 ml 497.5 497.5 497.5 363.18 Percent of total billed charges 73% of charges 497.5 303.475 Percent of total billed charges 61% of chages 497.5 288.55 Percent of charges 58% of charges 497.5 243.775 Percent of charges 49% of charges 497.5 422.875 Percent of charges 85% of charges 497.5 383.075 Percent of charges 77% of charges 497.5 323.375 Percent of charges 65% of charges 497.5 388.05 Percent of charges 78% of charges 497.5 238.8 Percent of charges 48% of charges 497.5 497.5 CEFTRIAXONE 1G INJ J0696 HCPCS 4801616 LOCAL both 230 230 230 167.9 Percent of total billed charges 73% of charges 230 140.3 Percent of total billed charges 61% of chages 230 133.4 Percent of charges 58% of charges 230 112.7 Percent of charges 49% of charges 230 195.5 Percent of charges 85% of charges 230 177.1 Percent of charges 77% of charges 230 149.5 Percent of charges 65% of charges 230 179.4 Percent of charges 78% of charges 230 110.4 Percent of charges 48% of charges 230 230 CEFTRIAXONE 250MG INJ J0696 HCPCS 4801084 LOCAL both 15 15 15 10.95 Percent of total billed charges 73% of charges 15 9.15 Percent of total billed charges 61% of chages 15 8.7 Percent of charges 58% of charges 15 7.35 Percent of charges 49% of charges 15 12.75 Percent of charges 85% of charges 15 11.55 Percent of charges 77% of charges 15 9.75 Percent of charges 65% of charges 15 11.7 Percent of charges 78% of charges 15 7.2 Percent of charges 48% of charges 15 15 CELL COUNT - MANUAL 85032 CPT 4305032 LOCAL both 44 44 44 32.12 Percent of total billed charges 73% of charges 44 26.84 Percent of total billed charges 61% of chages 44 25.52 Percent of charges 58% of charges 44 21.56 Percent of charges 49% of charges 44 37.4 Percent of charges 85% of charges 44 33.88 Percent of charges 77% of charges 44 28.6 Percent of charges 65% of charges 44 34.32 Percent of charges 78% of charges 44 21.12 Percent of charges 48% of charges 44 44 CELL COUNT CSF HCH 89050 CPT 4309050 LOCAL both 54 54 54 39.42 Percent of total billed charges 73% of charges 54 32.94 Percent of total billed charges 61% of chages 54 31.32 Percent of charges 58% of charges 54 26.46 Percent of charges 49% of charges 54 45.9 Percent of charges 85% of charges 54 41.58 Percent of charges 77% of charges 54 35.1 Percent of charges 65% of charges 54 42.12 Percent of charges 78% of charges 54 25.92 Percent of charges 48% of charges 54 54 CELL COUNT SEND OUT 89050 CPT 4300455 LOCAL both 52 52 52 37.96 Percent of total billed charges 73% of charges 52 31.72 Percent of total billed charges 61% of chages 52 30.16 Percent of charges 58% of charges 52 25.48 Percent of charges 49% of charges 52 44.2 Percent of charges 85% of charges 52 40.04 Percent of charges 77% of charges 52 33.8 Percent of charges 65% of charges 52 40.56 Percent of charges 78% of charges 52 24.96 Percent of charges 48% of charges 52 52 CELL COUNT W/DIFF COUNT 89051 CPT 4309051 LOCAL both 82 82 82 59.86 Percent of total billed charges 73% of charges 82 50.02 Percent of total billed charges 61% of chages 82 47.56 Percent of charges 58% of charges 82 40.18 Percent of charges 49% of charges 82 69.7 Percent of charges 85% of charges 82 63.14 Percent of charges 77% of charges 82 53.3 Percent of charges 65% of charges 82 63.96 Percent of charges 78% of charges 82 39.36 Percent of charges 48% of charges 82 82 CENTOMERE 86235 CPT 4306255 LOCAL both 165 165 165 120.45 Percent of total billed charges 73% of charges 165 100.65 Percent of total billed charges 61% of chages 165 95.7 Percent of charges 58% of charges 165 80.85 Percent of charges 49% of charges 165 140.25 Percent of charges 85% of charges 165 127.05 Percent of charges 77% of charges 165 107.25 Percent of charges 65% of charges 165 128.7 Percent of charges 78% of charges 165 79.2 Percent of charges 48% of charges 165 165 CENTRAL LINE INSERT >5 YR 36556 CPT 36556F LOCAL outpatient 5427 5427 5427 3961.71 Percent of total billed charges 73% of charges 5427 3310.47 Percent of total billed charges 61% of chages 5427 3147.66 Percent of charges 58% of charges 5427 2659.23 Percent of charges 49% of charges 5427 4612.95 Percent of charges 85% of charges 5427 4178.79 Percent of charges 77% of charges 5427 3527.55 Percent of charges 65% of charges 5427 4233.06 Percent of charges 78% of charges 5427 2604.96 Percent of charges 48% of charges 5427 5427 CERC CERV DUR PREG;VAGINAL-PRO 59320 CPT 59320P LOCAL 26 outpatient 298 298 298 217.54 Percent of total billed charges 73% of charges 298 181.78 Percent of total billed charges 61% of chages 298 172.84 Percent of charges 58% of charges 298 146.02 Percent of charges 49% of charges 298 253.3 Percent of charges 85% of charges 298 229.46 Percent of charges 77% of charges 298 193.7 Percent of charges 65% of charges 298 232.44 Percent of charges 78% of charges 298 143.04 Percent of charges 48% of charges 298 298 CERCLAGE OF UTER CX-NONOB-PRO 57700 CPT 57700P LOCAL 26 outpatient 643 643 643 469.39 Percent of total billed charges 73% of charges 643 392.23 Percent of total billed charges 61% of chages 643 372.94 Percent of charges 58% of charges 643 315.07 Percent of charges 49% of charges 643 546.55 Percent of charges 85% of charges 643 495.11 Percent of charges 77% of charges 643 417.95 Percent of charges 65% of charges 643 501.54 Percent of charges 78% of charges 643 308.64 Percent of charges 48% of charges 643 643 CERULOPLASMIN 82390 CPT 4302390 LOCAL both 210 210 210 153.3 Percent of total billed charges 73% of charges 210 128.1 Percent of total billed charges 61% of chages 210 121.8 Percent of charges 58% of charges 210 102.9 Percent of charges 49% of charges 210 178.5 Percent of charges 85% of charges 210 161.7 Percent of charges 77% of charges 210 136.5 Percent of charges 65% of charges 210 163.8 Percent of charges 78% of charges 210 100.8 Percent of charges 48% of charges 210 210 CERVIC COLP W CERVIX BX-FAC 57455 CPT 57455F LOCAL TC outpatient 519 519 519 378.87 Percent of total billed charges 73% of charges 519 316.59 Percent of total billed charges 61% of chages 519 301.02 Percent of charges 58% of charges 519 254.31 Percent of charges 49% of charges 519 441.15 Percent of charges 85% of charges 519 399.63 Percent of charges 77% of charges 519 337.35 Percent of charges 65% of charges 519 404.82 Percent of charges 78% of charges 519 249.12 Percent of charges 48% of charges 519 519 CERVIC COLP W CERVIX BX-TOT 57455 CPT 57455 LOCAL outpatient 735 735 735 536.55 Percent of total billed charges 73% of charges 735 448.35 Percent of total billed charges 61% of chages 735 426.3 Percent of charges 58% of charges 735 360.15 Percent of charges 49% of charges 735 624.75 Percent of charges 85% of charges 735 565.95 Percent of charges 77% of charges 735 477.75 Percent of charges 65% of charges 735 573.3 Percent of charges 78% of charges 735 352.8 Percent of charges 48% of charges 735 735 CERVICAL MYELOGRAM 62302 CPT 4602302 LOCAL outpatient 2000 2000 2000 1460 Percent of total billed charges 73% of charges 2000 1220 Percent of total billed charges 61% of chages 2000 1160 Percent of charges 58% of charges 2000 980 Percent of charges 49% of charges 2000 1700 Percent of charges 85% of charges 2000 1540 Percent of charges 77% of charges 2000 1300 Percent of charges 65% of charges 2000 1560 Percent of charges 78% of charges 2000 960 Percent of charges 48% of charges 2000 2000 CERVICAL SPINE 2-3 VIEWS 72040 CPT 4601340 LOCAL outpatient 358 358 358 261.34 Percent of total billed charges 73% of charges 358 218.38 Percent of total billed charges 61% of chages 358 207.64 Percent of charges 58% of charges 358 175.42 Percent of charges 49% of charges 358 304.3 Percent of charges 85% of charges 358 275.66 Percent of charges 77% of charges 358 232.7 Percent of charges 65% of charges 358 279.24 Percent of charges 78% of charges 358 171.84 Percent of charges 48% of charges 358 358 CERVICAL SPINE MIN 4 VIEW 72050 CPT 4602050 LOCAL outpatient 480 480 480 350.4 Percent of total billed charges 73% of charges 480 292.8 Percent of total billed charges 61% of chages 480 278.4 Percent of charges 58% of charges 480 235.2 Percent of charges 49% of charges 480 408 Percent of charges 85% of charges 480 369.6 Percent of charges 77% of charges 480 312 Percent of charges 65% of charges 480 374.4 Percent of charges 78% of charges 480 230.4 Percent of charges 48% of charges 480 480 CERVICECTOMY AMPUTATION - PRO 57530 CPT 57530P LOCAL 26 outpatient 697 697 697 508.81 Percent of total billed charges 73% of charges 697 425.17 Percent of total billed charges 61% of chages 697 404.26 Percent of charges 58% of charges 697 341.53 Percent of charges 49% of charges 697 592.45 Percent of charges 85% of charges 697 536.69 Percent of charges 77% of charges 697 453.05 Percent of charges 65% of charges 697 543.66 Percent of charges 78% of charges 697 334.56 Percent of charges 48% of charges 697 697 CESAREAN DELIVERY ONLY - PRO 59514 CPT 59514P LOCAL 26 inpatient 1814 1814 1814 1324.22 Percent of total billed charges 73% of charges 1814 1106.54 Percent of total billed charges 61% of chages 1814 1052.12 Percent of charges 58% of charges 1814 888.86 Percent of charges 49% of charges 1814 1541.9 Percent of charges 85% of charges 1814 1396.78 Percent of charges 77% of charges 1814 1179.1 Percent of charges 65% of charges 1814 1414.92 Percent of charges 78% of charges 1814 870.72 Percent of charges 48% of charges 1814 1814 CHEM CAUT GRANULATION TIS -FAC 17250 CPT 17250F LOCAL TC outpatient 335 335 335 244.55 Percent of total billed charges 73% of charges 335 204.35 Percent of total billed charges 61% of chages 335 194.3 Percent of charges 58% of charges 335 164.15 Percent of charges 49% of charges 335 284.75 Percent of charges 85% of charges 335 257.95 Percent of charges 77% of charges 335 217.75 Percent of charges 65% of charges 335 261.3 Percent of charges 78% of charges 335 160.8 Percent of charges 48% of charges 335 335 CHEM CAUT GRANULATION TIS -PRO 17250 CPT 17250P LOCAL 26 outpatient 71 71 71 51.83 Percent of total billed charges 73% of charges 71 43.31 Percent of total billed charges 61% of chages 71 41.18 Percent of charges 58% of charges 71 34.79 Percent of charges 49% of charges 71 60.35 Percent of charges 85% of charges 71 54.67 Percent of charges 77% of charges 71 46.15 Percent of charges 65% of charges 71 55.38 Percent of charges 78% of charges 71 34.08 Percent of charges 48% of charges 71 71 CHEM CAUT GRANULATION TIS-TOT 17250 CPT 17250 LOCAL outpatient 406 406 406 296.38 Percent of total billed charges 73% of charges 406 247.66 Percent of total billed charges 61% of chages 406 235.48 Percent of charges 58% of charges 406 198.94 Percent of charges 49% of charges 406 345.1 Percent of charges 85% of charges 406 312.62 Percent of charges 77% of charges 406 263.9 Percent of charges 65% of charges 406 316.68 Percent of charges 78% of charges 406 194.88 Percent of charges 48% of charges 406 406 CHEMILUMINESCENT ASSAY 82397 CPT 4300964 LOCAL both 115 115 115 83.95 Percent of total billed charges 73% of charges 115 70.15 Percent of total billed charges 61% of chages 115 66.7 Percent of charges 58% of charges 115 56.35 Percent of charges 49% of charges 115 97.75 Percent of charges 85% of charges 115 88.55 Percent of charges 77% of charges 115 74.75 Percent of charges 65% of charges 115 89.7 Percent of charges 78% of charges 115 55.2 Percent of charges 48% of charges 115 115 "CHEMO INFUSION, INIT HR" 96413 CPT 96413F LOCAL outpatient 813 813 813 593.49 Percent of total billed charges 73% of charges 813 495.93 Percent of total billed charges 61% of chages 813 471.54 Percent of charges 58% of charges 813 398.37 Percent of charges 49% of charges 813 691.05 Percent of charges 85% of charges 813 626.01 Percent of charges 77% of charges 813 528.45 Percent of charges 65% of charges 813 634.14 Percent of charges 78% of charges 813 390.24 Percent of charges 48% of charges 813 813 "CHEMO INFUSION,ADDL HRS" 96415 CPT 96415F LOCAL outpatient 315 315 315 229.95 Percent of total billed charges 73% of charges 315 192.15 Percent of total billed charges 61% of chages 315 182.7 Percent of charges 58% of charges 315 154.35 Percent of charges 49% of charges 315 267.75 Percent of charges 85% of charges 315 242.55 Percent of charges 77% of charges 315 204.75 Percent of charges 65% of charges 315 245.7 Percent of charges 78% of charges 315 151.2 Percent of charges 48% of charges 315 315 "CHEMO INFUSION,SUBSQ, 1HR" 96417 CPT 96417F LOCAL outpatient 313 313 313 228.49 Percent of total billed charges 73% of charges 313 190.93 Percent of total billed charges 61% of chages 313 181.54 Percent of charges 58% of charges 313 153.37 Percent of charges 49% of charges 313 266.05 Percent of charges 85% of charges 313 241.01 Percent of charges 77% of charges 313 203.45 Percent of charges 65% of charges 313 244.14 Percent of charges 78% of charges 313 150.24 Percent of charges 48% of charges 313 313 "CHEMO, HORMONAL, SQ/IM" 96402 CPT 96402F LOCAL outpatient 324 324 324 236.52 Percent of total billed charges 73% of charges 324 197.64 Percent of total billed charges 61% of chages 324 187.92 Percent of charges 58% of charges 324 158.76 Percent of charges 49% of charges 324 275.4 Percent of charges 85% of charges 324 249.48 Percent of charges 77% of charges 324 210.6 Percent of charges 65% of charges 324 252.72 Percent of charges 78% of charges 324 155.52 Percent of charges 48% of charges 324 324 "CHEMO, IV PUSH, ADDL" 96411 CPT 96411F LOCAL outpatient 308 308 308 224.84 Percent of total billed charges 73% of charges 308 187.88 Percent of total billed charges 61% of chages 308 178.64 Percent of charges 58% of charges 308 150.92 Percent of charges 49% of charges 308 261.8 Percent of charges 85% of charges 308 237.16 Percent of charges 77% of charges 308 200.2 Percent of charges 65% of charges 308 240.24 Percent of charges 78% of charges 308 147.84 Percent of charges 48% of charges 308 308 "CHEMO, IV PUSH, INIT" 96409 CPT 96409F LOCAL outpatient 411 411 411 300.03 Percent of total billed charges 73% of charges 411 250.71 Percent of total billed charges 61% of chages 411 238.38 Percent of charges 58% of charges 411 201.39 Percent of charges 49% of charges 411 349.35 Percent of charges 85% of charges 411 316.47 Percent of charges 77% of charges 411 267.15 Percent of charges 65% of charges 411 320.58 Percent of charges 78% of charges 411 197.28 Percent of charges 48% of charges 411 411 "CHEMO,NON-HORMONAL, SQ/IM" 96401 CPT 96401F LOCAL outpatient 290 290 290 211.7 Percent of total billed charges 73% of charges 290 176.9 Percent of total billed charges 61% of chages 290 168.2 Percent of charges 58% of charges 290 142.1 Percent of charges 49% of charges 290 246.5 Percent of charges 85% of charges 290 223.3 Percent of charges 77% of charges 290 188.5 Percent of charges 65% of charges 290 226.2 Percent of charges 78% of charges 290 139.2 Percent of charges 48% of charges 290 290 "CHEMO,PROLONG INFUS W/PMP" 96416 CPT 96416F LOCAL 26 outpatient 811 811 811 592.03 Percent of total billed charges 73% of charges 811 494.71 Percent of total billed charges 61% of chages 811 470.38 Percent of charges 58% of charges 811 397.39 Percent of charges 49% of charges 811 689.35 Percent of charges 85% of charges 811 624.47 Percent of charges 77% of charges 811 527.15 Percent of charges 65% of charges 811 632.58 Percent of charges 78% of charges 811 389.28 Percent of charges 48% of charges 811 811 CHEMODENERV 1 EXT 1-4MUSC-FAC 64642 CPT 64642F LOCAL TC outpatient 1196 1196 1196 873.08 Percent of total billed charges 73% of charges 1196 729.56 Percent of total billed charges 61% of chages 1196 693.68 Percent of charges 58% of charges 1196 586.04 Percent of charges 49% of charges 1196 1016.6 Percent of charges 85% of charges 1196 920.92 Percent of charges 77% of charges 1196 777.4 Percent of charges 65% of charges 1196 932.88 Percent of charges 78% of charges 1196 574.08 Percent of charges 48% of charges 1196 1196 CHEMODENERV MUSC MIGRAINE-FAC 64615 CPT 64615F LOCAL TC outpatient 501 501 501 365.73 Percent of total billed charges 73% of charges 501 305.61 Percent of total billed charges 61% of chages 501 290.58 Percent of charges 58% of charges 501 245.49 Percent of charges 49% of charges 501 425.85 Percent of charges 85% of charges 501 385.77 Percent of charges 77% of charges 501 325.65 Percent of charges 65% of charges 501 390.78 Percent of charges 78% of charges 501 240.48 Percent of charges 48% of charges 501 501 CHEMODENERV NECK MUSCLES-FAC 64616 CPT 64616F LOCAL TC outpatient 501 501 501 365.73 Percent of total billed charges 73% of charges 501 305.61 Percent of total billed charges 61% of chages 501 290.58 Percent of charges 58% of charges 501 245.49 Percent of charges 49% of charges 501 425.85 Percent of charges 85% of charges 501 385.77 Percent of charges 77% of charges 501 325.65 Percent of charges 65% of charges 501 390.78 Percent of charges 78% of charges 501 240.48 Percent of charges 48% of charges 501 501 CHEMODENERV TRUNK MUSCLE-FAC 64646 CPT 64646F LOCAL TC outpatient 1196 1196 1196 873.08 Percent of total billed charges 73% of charges 1196 729.56 Percent of total billed charges 61% of chages 1196 693.68 Percent of charges 58% of charges 1196 586.04 Percent of charges 49% of charges 1196 1016.6 Percent of charges 85% of charges 1196 920.92 Percent of charges 77% of charges 1196 777.4 Percent of charges 65% of charges 1196 932.88 Percent of charges 78% of charges 1196 574.08 Percent of charges 48% of charges 1196 1196 CHEST 1 VIEW 71045 CPT 4600310 LOCAL outpatient 275 275 275 200.75 Percent of total billed charges 73% of charges 275 167.75 Percent of total billed charges 61% of chages 275 159.5 Percent of charges 58% of charges 275 134.75 Percent of charges 49% of charges 275 233.75 Percent of charges 85% of charges 275 211.75 Percent of charges 77% of charges 275 178.75 Percent of charges 65% of charges 275 214.5 Percent of charges 78% of charges 275 132 Percent of charges 48% of charges 275 275 CHEST 2 VIEWS 71046 CPT 4600320 LOCAL outpatient 311 311 311 227.03 Percent of total billed charges 73% of charges 311 189.71 Percent of total billed charges 61% of chages 311 180.38 Percent of charges 58% of charges 311 152.39 Percent of charges 49% of charges 311 264.35 Percent of charges 85% of charges 311 239.47 Percent of charges 77% of charges 311 202.15 Percent of charges 65% of charges 311 242.58 Percent of charges 78% of charges 311 149.28 Percent of charges 48% of charges 311 311 CHEST 3 VIEW 71047 CPT 4600330 LOCAL outpatient 357 357 357 260.61 Percent of total billed charges 73% of charges 357 217.77 Percent of total billed charges 61% of chages 357 207.06 Percent of charges 58% of charges 357 174.93 Percent of charges 49% of charges 357 303.45 Percent of charges 85% of charges 357 274.89 Percent of charges 77% of charges 357 232.05 Percent of charges 65% of charges 357 278.46 Percent of charges 78% of charges 357 171.36 Percent of charges 48% of charges 357 357 CHEST 4 OR MORE VIEWS 71048 CPT 4601048 LOCAL outpatient 573 573 573 418.29 Percent of total billed charges 73% of charges 573 349.53 Percent of total billed charges 61% of chages 573 332.34 Percent of charges 58% of charges 573 280.77 Percent of charges 49% of charges 573 487.05 Percent of charges 85% of charges 573 441.21 Percent of charges 77% of charges 573 372.45 Percent of charges 65% of charges 573 446.94 Percent of charges 78% of charges 573 275.04 Percent of charges 48% of charges 573 573 CHEST TUBE 10 FR TROCAR 3701000 LOCAL both 104 104 104 75.92 Percent of total billed charges 73% of charges 104 63.44 Percent of total billed charges 61% of chages 104 60.32 Percent of charges 58% of charges 104 50.96 Percent of charges 49% of charges 104 88.4 Percent of charges 85% of charges 104 80.08 Percent of charges 77% of charges 104 67.6 Percent of charges 65% of charges 104 81.12 Percent of charges 78% of charges 104 49.92 Percent of charges 48% of charges 104 104 CHEST TUBE 24 FR TROCAR 3701006 LOCAL both 99 99 99 72.27 Percent of total billed charges 73% of charges 99 60.39 Percent of total billed charges 61% of chages 99 57.42 Percent of charges 58% of charges 99 48.51 Percent of charges 49% of charges 99 84.15 Percent of charges 85% of charges 99 76.23 Percent of charges 77% of charges 99 64.35 Percent of charges 65% of charges 99 77.22 Percent of charges 78% of charges 99 47.52 Percent of charges 48% of charges 99 99 CHEST TUBE 28 FR TROCAR 3701003 LOCAL both 96 96 96 70.08 Percent of total billed charges 73% of charges 96 58.56 Percent of total billed charges 61% of chages 96 55.68 Percent of charges 58% of charges 96 47.04 Percent of charges 49% of charges 96 81.6 Percent of charges 85% of charges 96 73.92 Percent of charges 77% of charges 96 62.4 Percent of charges 65% of charges 96 74.88 Percent of charges 78% of charges 96 46.08 Percent of charges 48% of charges 96 96 CHEST TUBE 28FR 3700801 LOCAL both 40 40 40 29.2 Percent of total billed charges 73% of charges 40 24.4 Percent of total billed charges 61% of chages 40 23.2 Percent of charges 58% of charges 40 19.6 Percent of charges 49% of charges 40 34 Percent of charges 85% of charges 40 30.8 Percent of charges 77% of charges 40 26 Percent of charges 65% of charges 40 31.2 Percent of charges 78% of charges 40 19.2 Percent of charges 48% of charges 40 40 CHEST TUBE 32FR TROCAR 3701007 LOCAL both 104 104 104 75.92 Percent of total billed charges 73% of charges 104 63.44 Percent of total billed charges 61% of chages 104 60.32 Percent of charges 58% of charges 104 50.96 Percent of charges 49% of charges 104 88.4 Percent of charges 85% of charges 104 80.08 Percent of charges 77% of charges 104 67.6 Percent of charges 65% of charges 104 81.12 Percent of charges 78% of charges 104 49.92 Percent of charges 48% of charges 104 104 CHEST TUBE DRN SYST PLEUR-EVAC 3700992 LOCAL both 297 297 297 216.81 Percent of total billed charges 73% of charges 297 181.17 Percent of total billed charges 61% of chages 297 172.26 Percent of charges 58% of charges 297 145.53 Percent of charges 49% of charges 297 252.45 Percent of charges 85% of charges 297 228.69 Percent of charges 77% of charges 297 193.05 Percent of charges 65% of charges 297 231.66 Percent of charges 78% of charges 297 142.56 Percent of charges 48% of charges 297 297 "CHG CYSTOSTOMY TUBE,SIMPL" 51705 CPT 51705F LOCAL outpatient 450 450 450 328.5 Percent of total billed charges 73% of charges 450 274.5 Percent of total billed charges 61% of chages 450 261 Percent of charges 58% of charges 450 220.5 Percent of charges 49% of charges 450 382.5 Percent of charges 85% of charges 450 346.5 Percent of charges 77% of charges 450 292.5 Percent of charges 65% of charges 450 351 Percent of charges 78% of charges 450 216 Percent of charges 48% of charges 450 450 CHLAMYDIA AB/IGM 86632 CPT 4306632 LOCAL both 112 112 112 81.76 Percent of total billed charges 73% of charges 112 68.32 Percent of total billed charges 61% of chages 112 64.96 Percent of charges 58% of charges 112 54.88 Percent of charges 49% of charges 112 95.2 Percent of charges 85% of charges 112 86.24 Percent of charges 77% of charges 112 72.8 Percent of charges 65% of charges 112 87.36 Percent of charges 78% of charges 112 53.76 Percent of charges 48% of charges 112 112 CHLAMYDIA DNA URINE 87491 CPT 4300832 LOCAL both 138 138 138 100.74 Percent of total billed charges 73% of charges 138 84.18 Percent of total billed charges 61% of chages 138 80.04 Percent of charges 58% of charges 138 67.62 Percent of charges 49% of charges 138 117.3 Percent of charges 85% of charges 138 106.26 Percent of charges 77% of charges 138 89.7 Percent of charges 65% of charges 138 107.64 Percent of charges 78% of charges 138 66.24 Percent of charges 48% of charges 138 138 CHLAMYDIA PNEUM AMP PROBE 87486 CPT 4307486 LOCAL 26 both 210 210 210 153.3 Percent of total billed charges 73% of charges 210 128.1 Percent of total billed charges 61% of chages 210 121.8 Percent of charges 58% of charges 210 102.9 Percent of charges 49% of charges 210 178.5 Percent of charges 85% of charges 210 161.7 Percent of charges 77% of charges 210 136.5 Percent of charges 65% of charges 210 163.8 Percent of charges 78% of charges 210 100.8 Percent of charges 48% of charges 210 210 CHLAMYDIA SWAB 87491 CPT 4307491 LOCAL both 172 172 172 125.56 Percent of total billed charges 73% of charges 172 104.92 Percent of total billed charges 61% of chages 172 99.76 Percent of charges 58% of charges 172 84.28 Percent of charges 49% of charges 172 146.2 Percent of charges 85% of charges 172 132.44 Percent of charges 77% of charges 172 111.8 Percent of charges 65% of charges 172 134.16 Percent of charges 78% of charges 172 82.56 Percent of charges 48% of charges 172 172 CHLAMYDIA THIN PREP 87491 CPT 4300836 LOCAL both 177 177 177 129.21 Percent of total billed charges 73% of charges 177 107.97 Percent of total billed charges 61% of chages 177 102.66 Percent of charges 58% of charges 177 86.73 Percent of charges 49% of charges 177 150.45 Percent of charges 85% of charges 177 136.29 Percent of charges 77% of charges 177 115.05 Percent of charges 65% of charges 177 138.06 Percent of charges 78% of charges 177 84.96 Percent of charges 48% of charges 177 177 CHLORIDE - NON BLOOD 82438 CPT 4302438 LOCAL both 49 49 49 35.77 Percent of total billed charges 73% of charges 49 29.89 Percent of total billed charges 61% of chages 49 28.42 Percent of charges 58% of charges 49 24.01 Percent of charges 49% of charges 49 41.65 Percent of charges 85% of charges 49 37.73 Percent of charges 77% of charges 49 31.85 Percent of charges 65% of charges 49 38.22 Percent of charges 78% of charges 49 23.52 Percent of charges 48% of charges 49 49 CHLORIDE-SERUM 82435 CPT 4302435 LOCAL both 44 44 44 32.12 Percent of total billed charges 73% of charges 44 26.84 Percent of total billed charges 61% of chages 44 25.52 Percent of charges 58% of charges 44 21.56 Percent of charges 49% of charges 44 37.4 Percent of charges 85% of charges 44 33.88 Percent of charges 77% of charges 44 28.6 Percent of charges 65% of charges 44 34.32 Percent of charges 78% of charges 44 21.12 Percent of charges 48% of charges 44 44 CHLORIDE-URINE 82436 CPT 4302436 LOCAL both 54 54 54 39.42 Percent of total billed charges 73% of charges 54 32.94 Percent of total billed charges 61% of chages 54 31.32 Percent of charges 58% of charges 54 26.46 Percent of charges 49% of charges 54 45.9 Percent of charges 85% of charges 54 41.58 Percent of charges 77% of charges 54 35.1 Percent of charges 65% of charges 54 42.12 Percent of charges 78% of charges 54 25.92 Percent of charges 48% of charges 54 54 CHOLANGIOGRAM (OR)ADD SET 74301 CPT 4604305 LOCAL outpatient 180 180 180 131.4 Percent of total billed charges 73% of charges 180 109.8 Percent of total billed charges 61% of chages 180 104.4 Percent of charges 58% of charges 180 88.2 Percent of charges 49% of charges 180 153 Percent of charges 85% of charges 180 138.6 Percent of charges 77% of charges 180 117 Percent of charges 65% of charges 180 140.4 Percent of charges 78% of charges 180 86.4 Percent of charges 48% of charges 180 180 CHOLECYSTECTMY;W CHOLANGIO-PRO 47605 CPT 47605P LOCAL 26 inpatient 2221 2221 2221 1621.33 Percent of total billed charges 73% of charges 2221 1354.81 Percent of total billed charges 61% of chages 2221 1288.18 Percent of charges 58% of charges 2221 1088.29 Percent of charges 49% of charges 2221 1887.85 Percent of charges 85% of charges 2221 1710.17 Percent of charges 77% of charges 2221 1443.65 Percent of charges 65% of charges 2221 1732.38 Percent of charges 78% of charges 2221 1066.08 Percent of charges 48% of charges 2221 2221 CHOLECYSTECTOMY;-PRO 47600 CPT 47600P LOCAL 26 inpatient 2109 2109 2109 1539.57 Percent of total billed charges 73% of charges 2109 1286.49 Percent of total billed charges 61% of chages 2109 1223.22 Percent of charges 58% of charges 2109 1033.41 Percent of charges 49% of charges 2109 1792.65 Percent of charges 85% of charges 2109 1623.93 Percent of charges 77% of charges 2109 1370.85 Percent of charges 65% of charges 2109 1645.02 Percent of charges 78% of charges 2109 1012.32 Percent of charges 48% of charges 2109 2109 CHOLESTEROL - FLUID 84311 CPT 4301046 LOCAL both 77 77 77 56.21 Percent of total billed charges 73% of charges 77 46.97 Percent of total billed charges 61% of chages 77 44.66 Percent of charges 58% of charges 77 37.73 Percent of charges 49% of charges 77 65.45 Percent of charges 85% of charges 77 59.29 Percent of charges 77% of charges 77 50.05 Percent of charges 65% of charges 77 60.06 Percent of charges 78% of charges 77 36.96 Percent of charges 48% of charges 77 77 "CHOLESTEROL, SERUM" 82465 CPT 4302465 LOCAL both 45 45 45 32.85 Percent of total billed charges 73% of charges 45 27.45 Percent of total billed charges 61% of chages 45 26.1 Percent of charges 58% of charges 45 22.05 Percent of charges 49% of charges 45 38.25 Percent of charges 85% of charges 45 34.65 Percent of charges 77% of charges 45 29.25 Percent of charges 65% of charges 45 35.1 Percent of charges 78% of charges 45 21.6 Percent of charges 48% of charges 45 45 CHOLETEC PER DOSE UP TO 15 MCI A9537 HCPCS 4679522 LOCAL both 350 350 350 255.5 Percent of total billed charges 73% of charges 350 213.5 Percent of total billed charges 61% of chages 350 203 Percent of charges 58% of charges 350 171.5 Percent of charges 49% of charges 350 297.5 Percent of charges 85% of charges 350 269.5 Percent of charges 77% of charges 350 227.5 Percent of charges 65% of charges 350 273 Percent of charges 78% of charges 350 168 Percent of charges 48% of charges 350 350 CHOLINESTERASE PLAS/SERUM 82480 CPT 4302480 LOCAL both 122 122 122 89.06 Percent of total billed charges 73% of charges 122 74.42 Percent of total billed charges 61% of chages 122 70.76 Percent of charges 58% of charges 122 59.78 Percent of charges 49% of charges 122 103.7 Percent of charges 85% of charges 122 93.94 Percent of charges 77% of charges 122 79.3 Percent of charges 65% of charges 122 95.16 Percent of charges 78% of charges 122 58.56 Percent of charges 48% of charges 122 122 CHOLINESTERASE RBC 82482 CPT 4302482 LOCAL both 134 134 134 97.82 Percent of total billed charges 73% of charges 134 81.74 Percent of total billed charges 61% of chages 134 77.72 Percent of charges 58% of charges 134 65.66 Percent of charges 49% of charges 134 113.9 Percent of charges 85% of charges 134 103.18 Percent of charges 77% of charges 134 87.1 Percent of charges 65% of charges 134 104.52 Percent of charges 78% of charges 134 64.32 Percent of charges 48% of charges 134 134 CHROM ANALYSIS 88230 88230 CPT 4300578 LOCAL both 659 659 659 481.07 Percent of total billed charges 73% of charges 659 401.99 Percent of total billed charges 61% of chages 659 382.22 Percent of charges 58% of charges 659 322.91 Percent of charges 49% of charges 659 560.15 Percent of charges 85% of charges 659 507.43 Percent of charges 77% of charges 659 428.35 Percent of charges 65% of charges 659 514.02 Percent of charges 78% of charges 659 316.32 Percent of charges 48% of charges 659 659 CHROMATIN IgG AB 86235 CPT 4300808 LOCAL both 217 217 217 158.41 Percent of total billed charges 73% of charges 217 132.37 Percent of total billed charges 61% of chages 217 125.86 Percent of charges 58% of charges 217 106.33 Percent of charges 49% of charges 217 184.45 Percent of charges 85% of charges 217 167.09 Percent of charges 77% of charges 217 141.05 Percent of charges 65% of charges 217 169.26 Percent of charges 78% of charges 217 104.16 Percent of charges 48% of charges 217 217 CHROMIUM 82495 CPT 4302495 LOCAL both 269 269 269 196.37 Percent of total billed charges 73% of charges 269 164.09 Percent of total billed charges 61% of chages 269 156.02 Percent of charges 58% of charges 269 131.81 Percent of charges 49% of charges 269 228.65 Percent of charges 85% of charges 269 207.13 Percent of charges 77% of charges 269 174.85 Percent of charges 65% of charges 269 209.82 Percent of charges 78% of charges 269 129.12 Percent of charges 48% of charges 269 269 CHROMOGRANIN 86316 CPT 4300515 LOCAL both 198 198 198 144.54 Percent of total billed charges 73% of charges 198 120.78 Percent of total billed charges 61% of chages 198 114.84 Percent of charges 58% of charges 198 97.02 Percent of charges 49% of charges 198 168.3 Percent of charges 85% of charges 198 152.46 Percent of charges 77% of charges 198 128.7 Percent of charges 65% of charges 198 154.44 Percent of charges 78% of charges 198 95.04 Percent of charges 48% of charges 198 198 CHROMOSOMAL MICROARRAY 81229 CPT 4301229 LOCAL both 5583 5583 5583 4075.59 Percent of total billed charges 73% of charges 5583 3405.63 Percent of total billed charges 61% of chages 5583 3238.14 Percent of charges 58% of charges 5583 2735.67 Percent of charges 49% of charges 5583 4745.55 Percent of charges 85% of charges 5583 4298.91 Percent of charges 77% of charges 5583 3628.95 Percent of charges 65% of charges 5583 4354.74 Percent of charges 78% of charges 5583 2679.84 Percent of charges 48% of charges 5583 5583 CHROMOSOME ANAL TISSUE/SKIN 88233 CPT 4301053 LOCAL both 596 596 596 435.08 Percent of total billed charges 73% of charges 596 363.56 Percent of total billed charges 61% of chages 596 345.68 Percent of charges 58% of charges 596 292.04 Percent of charges 49% of charges 596 506.6 Percent of charges 85% of charges 596 458.92 Percent of charges 77% of charges 596 387.4 Percent of charges 65% of charges 596 464.88 Percent of charges 78% of charges 596 286.08 Percent of charges 48% of charges 596 596 CHROMOSOME COUNT ADDT'L 88285 CPT 4308285 LOCAL both 161 161 161 117.53 Percent of total billed charges 73% of charges 161 98.21 Percent of total billed charges 61% of chages 161 93.38 Percent of charges 58% of charges 161 78.89 Percent of charges 49% of charges 161 136.85 Percent of charges 85% of charges 161 123.97 Percent of charges 77% of charges 161 104.65 Percent of charges 65% of charges 161 125.58 Percent of charges 78% of charges 161 77.28 Percent of charges 48% of charges 161 161 CHROMOSOME-KAROTYPE W/BAN 88261 CPT 4308261 LOCAL both 1204 1204 1204 878.92 Percent of total billed charges 73% of charges 1204 734.44 Percent of total billed charges 61% of chages 1204 698.32 Percent of charges 58% of charges 1204 589.96 Percent of charges 49% of charges 1204 1023.4 Percent of charges 85% of charges 1204 927.08 Percent of charges 77% of charges 1204 782.6 Percent of charges 65% of charges 1204 939.12 Percent of charges 78% of charges 1204 577.92 Percent of charges 48% of charges 1204 1204 CHROMOTUBATION - PRO 58350 CPT 58350P LOCAL 26 outpatient 167 167 167 121.91 Percent of total billed charges 73% of charges 167 101.87 Percent of total billed charges 61% of chages 167 96.86 Percent of charges 58% of charges 167 81.83 Percent of charges 49% of charges 167 141.95 Percent of charges 85% of charges 167 128.59 Percent of charges 77% of charges 167 108.55 Percent of charges 65% of charges 167 130.26 Percent of charges 78% of charges 167 80.16 Percent of charges 48% of charges 167 167 CHYLMADIA IgG 86631 CPT 4306631 LOCAL both 102 102 102 74.46 Percent of total billed charges 73% of charges 102 62.22 Percent of total billed charges 61% of chages 102 59.16 Percent of charges 58% of charges 102 49.98 Percent of charges 49% of charges 102 86.7 Percent of charges 85% of charges 102 78.54 Percent of charges 77% of charges 102 66.3 Percent of charges 65% of charges 102 79.56 Percent of charges 78% of charges 102 48.96 Percent of charges 48% of charges 102 102 CHYMOTRYPSIN 84311 CPT 4301136 LOCAL both 192 192 192 140.16 Percent of total billed charges 73% of charges 192 117.12 Percent of total billed charges 61% of chages 192 111.36 Percent of charges 58% of charges 192 94.08 Percent of charges 49% of charges 192 163.2 Percent of charges 85% of charges 192 147.84 Percent of charges 77% of charges 192 124.8 Percent of charges 65% of charges 192 149.76 Percent of charges 78% of charges 192 92.16 Percent of charges 48% of charges 192 192 CIPRO 0.3%+DEXAMETH 0.1% J3490 HCPCS 4811209 LOCAL 26 both 1401.25 1401.25 1401.25 1022.91 Percent of total billed charges 73% of charges 1401.25 854.7625 Percent of total billed charges 61% of chages 1401.25 812.725 Percent of charges 58% of charges 1401.25 686.6125 Percent of charges 49% of charges 1401.25 1191.0625 Percent of charges 85% of charges 1401.25 1078.9625 Percent of charges 77% of charges 1401.25 910.8125 Percent of charges 65% of charges 1401.25 1092.975 Percent of charges 78% of charges 1401.25 672.6 Percent of charges 48% of charges 1401.25 1401.25 CIRCUM NEONATE <=28 DAYS - PRO 54160 CPT 54160P LOCAL 26 outpatient 281 281 281 205.13 Percent of total billed charges 73% of charges 281 171.41 Percent of total billed charges 61% of chages 281 162.98 Percent of charges 58% of charges 281 137.69 Percent of charges 49% of charges 281 238.85 Percent of charges 85% of charges 281 216.37 Percent of charges 77% of charges 281 182.65 Percent of charges 65% of charges 281 219.18 Percent of charges 78% of charges 281 134.88 Percent of charges 48% of charges 281 281 CIRCUM W/REGIONAL BLOCK - PRO 54150 CPT 54150P LOCAL 26 outpatient 193 193 193 140.89 Percent of total billed charges 73% of charges 193 117.73 Percent of total billed charges 61% of chages 193 111.94 Percent of charges 58% of charges 193 94.57 Percent of charges 49% of charges 193 164.05 Percent of charges 85% of charges 193 148.61 Percent of charges 77% of charges 193 125.45 Percent of charges 65% of charges 193 150.54 Percent of charges 78% of charges 193 92.64 Percent of charges 48% of charges 193 193 CITRATE 82507 CPT 4302507 LOCAL both 373 373 373 272.29 Percent of total billed charges 73% of charges 373 227.53 Percent of total billed charges 61% of chages 373 216.34 Percent of charges 58% of charges 373 182.77 Percent of charges 49% of charges 373 317.05 Percent of charges 85% of charges 373 287.21 Percent of charges 77% of charges 373 242.45 Percent of charges 65% of charges 373 290.94 Percent of charges 78% of charges 373 179.04 Percent of charges 48% of charges 373 373 CITRIC ACID-NON BLOOD 82507 CPT 4301167 LOCAL both 204 204 204 148.92 Percent of total billed charges 73% of charges 204 124.44 Percent of total billed charges 61% of chages 204 118.32 Percent of charges 58% of charges 204 99.96 Percent of charges 49% of charges 204 173.4 Percent of charges 85% of charges 204 157.08 Percent of charges 77% of charges 204 132.6 Percent of charges 65% of charges 204 159.12 Percent of charges 78% of charges 204 97.92 Percent of charges 48% of charges 204 204 CK ISOENZYMES 82552 CPT 4302552 LOCAL both 122 122 122 89.06 Percent of total billed charges 73% of charges 122 74.42 Percent of total billed charges 61% of chages 122 70.76 Percent of charges 58% of charges 122 59.78 Percent of charges 49% of charges 122 103.7 Percent of charges 85% of charges 122 93.94 Percent of charges 77% of charges 122 79.3 Percent of charges 65% of charges 122 95.16 Percent of charges 78% of charges 122 58.56 Percent of charges 48% of charges 122 122 CL RED P-HIP ART DIS NO A 27265 CPT 27265F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL RED PROX HUM FX W MANIP-FAC 23605 CPT 23605F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CL RED PROX HUM FX W MANIP-PRO 23605 CPT 23605P LOCAL 26 outpatient 814 814 814 594.22 Percent of total billed charges 73% of charges 814 496.54 Percent of total billed charges 61% of chages 814 472.12 Percent of charges 58% of charges 814 398.86 Percent of charges 49% of charges 814 691.9 Percent of charges 85% of charges 814 626.78 Percent of charges 77% of charges 814 529.1 Percent of charges 65% of charges 814 634.92 Percent of charges 78% of charges 814 390.72 Percent of charges 48% of charges 814 814 CL TX ACLAV DISL WO MANIP-FAC 23540 CPT 23540F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX CLAVICLE FX WO MANIP-FAC 23500 CPT 23500F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX DST FIB FX WO MANIP-FAC 27786 CPT 27786F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX FX METACARIPHAL JT 26742 CPT 26742F LOCAL outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CL TX FX PHALNX WO MAN-FAC 28510 CPT 28510F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 CL TX HUMERUS FX WO MANIP-PRO 24500 CPT 24500P LOCAL 26 outpatient 624 624 624 455.52 Percent of total billed charges 73% of charges 624 380.64 Percent of total billed charges 61% of chages 624 361.92 Percent of charges 58% of charges 624 305.76 Percent of charges 49% of charges 624 530.4 Percent of charges 85% of charges 624 480.48 Percent of charges 77% of charges 624 405.6 Percent of charges 65% of charges 624 486.72 Percent of charges 78% of charges 624 299.52 Percent of charges 48% of charges 624 624 Cl Tx MCP Disloc wMan&Anes-FAC 26705 CPT 26705F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 Cl Tx MCP Disloc wMan&Anes-PRO 26705 CPT 26705P LOCAL 26 outpatient 730 730 730 532.9 Percent of total billed charges 73% of charges 730 445.3 Percent of total billed charges 61% of chages 730 423.4 Percent of charges 58% of charges 730 357.7 Percent of charges 49% of charges 730 620.5 Percent of charges 85% of charges 730 562.1 Percent of charges 77% of charges 730 474.5 Percent of charges 65% of charges 730 569.4 Percent of charges 78% of charges 730 350.4 Percent of charges 48% of charges 730 730 Cl Tx MCP Disloc wMan&Anes-TOT 26705 CPT 26705 LOCAL outpatient 3323 3323 3323 2425.79 Percent of total billed charges 73% of charges 3323 2027.03 Percent of total billed charges 61% of chages 3323 1927.34 Percent of charges 58% of charges 3323 1628.27 Percent of charges 49% of charges 3323 2824.55 Percent of charges 85% of charges 3323 2558.71 Percent of charges 77% of charges 3323 2159.95 Percent of charges 65% of charges 3323 2591.94 Percent of charges 78% of charges 3323 1595.04 Percent of charges 48% of charges 3323 3323 CL TX OF KNEE DISL W/O AN 27550 CPT 27550F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX PAT DISL W/ANEST 27652 CPT 27652F LOCAL outpatient 11439 11439 11439 8350.47 Percent of total billed charges 73% of charges 11439 6977.79 Percent of total billed charges 61% of chages 11439 6634.62 Percent of charges 58% of charges 11439 5605.11 Percent of charges 49% of charges 11439 9723.15 Percent of charges 85% of charges 11439 8808.03 Percent of charges 77% of charges 11439 7435.35 Percent of charges 65% of charges 11439 8922.42 Percent of charges 78% of charges 11439 5490.72 Percent of charges 48% of charges 11439 11439 CL TX PATELLAR FX WO MANIP-FAC 27520 CPT 27520F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX PROX HUMER NECK FX-PRO 23600 CPT 23600P LOCAL 26 outpatient 587 587 587 428.51 Percent of total billed charges 73% of charges 587 358.07 Percent of total billed charges 61% of chages 587 340.46 Percent of charges 58% of charges 587 287.63 Percent of charges 49% of charges 587 498.95 Percent of charges 85% of charges 587 451.99 Percent of charges 77% of charges 587 381.55 Percent of charges 65% of charges 587 457.86 Percent of charges 78% of charges 587 281.76 Percent of charges 48% of charges 587 587 "CL TX SCAPUL FX, W/O MANIP-PRO" 23570 CPT 23570P LOCAL 26 outpatient 454 454 454 331.42 Percent of total billed charges 73% of charges 454 276.94 Percent of total billed charges 61% of chages 454 263.32 Percent of charges 58% of charges 454 222.46 Percent of charges 49% of charges 454 385.9 Percent of charges 85% of charges 454 349.58 Percent of charges 77% of charges 454 295.1 Percent of charges 65% of charges 454 354.12 Percent of charges 78% of charges 454 217.92 Percent of charges 48% of charges 454 454 CL TX TIB FX SHFT W/MAN 27752 CPT 27752F LOCAL outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CL TX TIB SHFT FX WO MANIP-FAC 27750 CPT 27750F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 "CL TX ULNAR SHFT, WITH MANIP" 25535 CPT 25535F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CL TX-FX D PHAL FGR/TH W/O MAN 26750 CPT 26750F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLOBAZAM/ONFI/URBANOL 80339 CPT 4300339 LOCAL both 196 196 196 143.08 Percent of total billed charges 73% of charges 196 119.56 Percent of total billed charges 61% of chages 196 113.68 Percent of charges 58% of charges 196 96.04 Percent of charges 49% of charges 196 166.6 Percent of charges 85% of charges 196 150.92 Percent of charges 77% of charges 196 127.4 Percent of charges 65% of charges 196 152.88 Percent of charges 78% of charges 196 94.08 Percent of charges 48% of charges 196 196 CLOSE ANAL FISTULA W RECT -PRO 46288 CPT 46288P LOCAL 26 outpatient 1065 1065 1065 777.45 Percent of total billed charges 73% of charges 1065 649.65 Percent of total billed charges 61% of chages 1065 617.7 Percent of charges 58% of charges 1065 521.85 Percent of charges 49% of charges 1065 905.25 Percent of charges 85% of charges 1065 820.05 Percent of charges 77% of charges 1065 692.25 Percent of charges 65% of charges 1065 830.7 Percent of charges 78% of charges 1065 511.2 Percent of charges 48% of charges 1065 1065 CLOSE ENTEROSTMY LG/SM INT-PRO 44620 CPT 44620P LOCAL 26 inpatient 1702 1702 1702 1242.46 Percent of total billed charges 73% of charges 1702 1038.22 Percent of total billed charges 61% of chages 1702 987.16 Percent of charges 58% of charges 1702 833.98 Percent of charges 49% of charges 1702 1446.7 Percent of charges 85% of charges 1702 1310.54 Percent of charges 77% of charges 1702 1106.3 Percent of charges 65% of charges 1702 1327.56 Percent of charges 78% of charges 1702 816.96 Percent of charges 48% of charges 1702 1702 CLOSED TX OF TALUS FRACTU 28435 CPT 28435F LOCAL outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLOSED TX TALUS FX W/MAN-PRO 28435 CPT 28435P LOCAL 26 outpatient 605 605 605 441.65 Percent of total billed charges 73% of charges 605 369.05 Percent of total billed charges 61% of chages 605 350.9 Percent of charges 58% of charges 605 296.45 Percent of charges 49% of charges 605 514.25 Percent of charges 85% of charges 605 465.85 Percent of charges 77% of charges 605 393.25 Percent of charges 65% of charges 605 471.9 Percent of charges 78% of charges 605 290.4 Percent of charges 48% of charges 605 605 CLOSED TX TM DISLOC 21480 CPT 21480F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 "CLOSURE GASTROSTOMY, SURG-PRO" 43870 CPT 43870P LOCAL 26 outpatient 1398 1398 1398 1020.54 Percent of total billed charges 73% of charges 1398 852.78 Percent of total billed charges 61% of chages 1398 810.84 Percent of charges 58% of charges 1398 685.02 Percent of charges 49% of charges 1398 1188.3 Percent of charges 85% of charges 1398 1076.46 Percent of charges 77% of charges 1398 908.7 Percent of charges 65% of charges 1398 1090.44 Percent of charges 78% of charges 1398 671.04 Percent of charges 48% of charges 1398 1398 CLOTEST 87081 CPT 4307077 LOCAL both 137 137 137 100.01 Percent of total billed charges 73% of charges 137 83.57 Percent of total billed charges 61% of chages 137 79.46 Percent of charges 58% of charges 137 67.13 Percent of charges 49% of charges 137 116.45 Percent of charges 85% of charges 137 105.49 Percent of charges 77% of charges 137 89.05 Percent of charges 65% of charges 137 106.86 Percent of charges 78% of charges 137 65.76 Percent of charges 48% of charges 137 137 CLOZARIL 80159 CPT 4300307 LOCAL both 130 130 130 94.9 Percent of total billed charges 73% of charges 130 79.3 Percent of total billed charges 61% of chages 130 75.4 Percent of charges 58% of charges 130 63.7 Percent of charges 49% of charges 130 110.5 Percent of charges 85% of charges 130 100.1 Percent of charges 77% of charges 130 84.5 Percent of charges 65% of charges 130 101.4 Percent of charges 78% of charges 130 62.4 Percent of charges 48% of charges 130 130 CLSD FX/TRIMALLEOLAR RED 27818 CPT 27818F LOCAL outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLSD REDUCTION HIP 27250 CPT 27250F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLSD TX ELBOW DISLOCATION-PRO 24600 CPT 24600P LOCAL 26 outpatient 647 647 647 472.31 Percent of total billed charges 73% of charges 647 394.67 Percent of total billed charges 61% of chages 647 375.26 Percent of charges 58% of charges 647 317.03 Percent of charges 49% of charges 647 549.95 Percent of charges 85% of charges 647 498.19 Percent of charges 77% of charges 647 420.55 Percent of charges 65% of charges 647 504.66 Percent of charges 78% of charges 647 310.56 Percent of charges 48% of charges 647 647 CLSD TX FEM SHAFT FX 27502 CPT 27502F LOCAL outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLSD TX MTCRP FX W/MANIP 26605 CPT 26605F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLSD TX NSL FX W/MNPJ-FAC 21320 CPT 21320F LOCAL TC outpatient 5128 5128 5128 3743.44 Percent of total billed charges 73% of charges 5128 3128.08 Percent of total billed charges 61% of chages 5128 2974.24 Percent of charges 58% of charges 5128 2512.72 Percent of charges 49% of charges 5128 4358.8 Percent of charges 85% of charges 5128 3948.56 Percent of charges 77% of charges 5128 3333.2 Percent of charges 65% of charges 5128 3999.84 Percent of charges 78% of charges 5128 2461.44 Percent of charges 48% of charges 5128 5128 CLSD TX PHAL SHAFT FX PRX 26725 CPT 26725F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 "CLSD TX TALUS FX, WO MANIP-PRO" 28430 CPT 28430P LOCAL 26 outpatient 397 397 397 289.81 Percent of total billed charges 73% of charges 397 242.17 Percent of total billed charges 61% of chages 397 230.26 Percent of charges 58% of charges 397 194.53 Percent of charges 49% of charges 397 337.45 Percent of charges 85% of charges 397 305.69 Percent of charges 77% of charges 397 258.05 Percent of charges 65% of charges 397 309.66 Percent of charges 78% of charges 397 190.56 Percent of charges 48% of charges 397 397 "CLSD TX,NOT GT TOE,W/MAN" 28515 CPT 28515F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLTX ACETABULUM FX W MAN-PRO 27222 CPT 27222P LOCAL 26 inpatient 1885 1885 1885 1376.05 Percent of total billed charges 73% of charges 1885 1149.85 Percent of total billed charges 61% of chages 1885 1093.3 Percent of charges 58% of charges 1885 923.65 Percent of charges 49% of charges 1885 1602.25 Percent of charges 85% of charges 1885 1451.45 Percent of charges 77% of charges 1885 1225.25 Percent of charges 65% of charges 1885 1470.3 Percent of charges 78% of charges 1885 904.8 Percent of charges 48% of charges 1885 1885 "CLTX ACETABULUM FX, WO MAN-PRO" 27220 CPT 27220P LOCAL 26 outpatient 520 520 520 379.6 Percent of total billed charges 73% of charges 520 317.2 Percent of total billed charges 61% of chages 520 301.6 Percent of charges 58% of charges 520 254.8 Percent of charges 49% of charges 520 442 Percent of charges 85% of charges 520 400.4 Percent of charges 77% of charges 520 338 Percent of charges 65% of charges 520 405.6 Percent of charges 78% of charges 520 249.6 Percent of charges 48% of charges 520 520 CLTX ANKLE DISLOC WO ANES-FAC 27840 CPT 27840F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 "CLTX ANKLE DISLOC, WO ANES-PRO" 27840 CPT 27840P LOCAL 26 outpatient 721 721 721 526.33 Percent of total billed charges 73% of charges 721 439.81 Percent of total billed charges 61% of chages 721 418.18 Percent of charges 58% of charges 721 353.29 Percent of charges 49% of charges 721 612.85 Percent of charges 85% of charges 721 555.17 Percent of charges 77% of charges 721 468.65 Percent of charges 65% of charges 721 562.38 Percent of charges 78% of charges 721 346.08 Percent of charges 48% of charges 721 721 CLTX ART FX MCP/IP W MAN-PRO 26742 CPT 26742P LOCAL 26 outpatient 640 640 640 467.2 Percent of total billed charges 73% of charges 640 390.4 Percent of total billed charges 61% of chages 640 371.2 Percent of charges 58% of charges 640 313.6 Percent of charges 49% of charges 640 544 Percent of charges 85% of charges 640 492.8 Percent of charges 77% of charges 640 416 Percent of charges 65% of charges 640 499.2 Percent of charges 78% of charges 640 307.2 Percent of charges 48% of charges 640 640 CLTX ART FX MCP/IP;WO MAN-PRO 26740 CPT 26740P LOCAL 26 outpatient 412 412 412 300.76 Percent of total billed charges 73% of charges 412 251.32 Percent of total billed charges 61% of chages 412 238.96 Percent of charges 58% of charges 412 201.88 Percent of charges 49% of charges 412 350.2 Percent of charges 85% of charges 412 317.24 Percent of charges 77% of charges 412 267.8 Percent of charges 65% of charges 412 321.36 Percent of charges 78% of charges 412 197.76 Percent of charges 48% of charges 412 412 CLTX BIMALLEOLAR FX W MAN-FAC 27810 CPT 27810F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLTX BIMALLEOLAR FX W MAN-PRO 27810 CPT 27810P LOCAL 26 outpatient 812 812 812 592.76 Percent of total billed charges 73% of charges 812 495.32 Percent of total billed charges 61% of chages 812 470.96 Percent of charges 58% of charges 812 397.88 Percent of charges 49% of charges 812 690.2 Percent of charges 85% of charges 812 625.24 Percent of charges 77% of charges 812 527.8 Percent of charges 65% of charges 812 633.36 Percent of charges 78% of charges 812 389.76 Percent of charges 48% of charges 812 812 CLTX BIMALLEOLAR FX WO MAN-PRO 27808 CPT 27808P LOCAL 26 outpatient 573 573 573 418.29 Percent of total billed charges 73% of charges 573 349.53 Percent of total billed charges 61% of chages 573 332.34 Percent of charges 58% of charges 573 280.77 Percent of charges 49% of charges 573 487.05 Percent of charges 85% of charges 573 441.21 Percent of charges 77% of charges 573 372.45 Percent of charges 65% of charges 573 446.94 Percent of charges 78% of charges 573 275.04 Percent of charges 48% of charges 573 573 CLTX BIMALLR ANK FX WO MAN-FAC 27808 CPT 27808F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 "CLTX CALCANEAL FX, WO MAN-PRO" 28400 CPT 28400P LOCAL 26 outpatient 431 431 431 314.63 Percent of total billed charges 73% of charges 431 262.91 Percent of total billed charges 61% of chages 431 249.98 Percent of charges 58% of charges 431 211.19 Percent of charges 49% of charges 431 366.35 Percent of charges 85% of charges 431 331.87 Percent of charges 77% of charges 431 280.15 Percent of charges 65% of charges 431 336.18 Percent of charges 78% of charges 431 206.88 Percent of charges 48% of charges 431 431 "CLTX CARP SCAPH FX, WO MAN-PRO" 25622 CPT 25622P LOCAL 26 outpatient 531 531 531 387.63 Percent of total billed charges 73% of charges 531 323.91 Percent of total billed charges 61% of chages 531 307.98 Percent of charges 58% of charges 531 260.19 Percent of charges 49% of charges 531 451.35 Percent of charges 85% of charges 531 408.87 Percent of charges 77% of charges 531 345.15 Percent of charges 65% of charges 531 414.18 Percent of charges 78% of charges 531 254.88 Percent of charges 48% of charges 531 531 CLTX CARP SCAPHFX WO MANIP-FAC 25622 CPT 25622F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 CLTX CARPL BONE FX WO MAN-FAC 25630 CPT 25630F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 "CLTX CONDYLAR FX, W MANIP-PRO" 24577 CPT 24577P LOCAL 26 outpatient 965 965 965 704.45 Percent of total billed charges 73% of charges 965 588.65 Percent of total billed charges 61% of chages 965 559.7 Percent of charges 58% of charges 965 472.85 Percent of charges 49% of charges 965 820.25 Percent of charges 85% of charges 965 743.05 Percent of charges 77% of charges 965 627.25 Percent of charges 65% of charges 965 752.7 Percent of charges 78% of charges 965 463.2 Percent of charges 48% of charges 965 965 "CLTX CONDYLAR FX, WO MANIP-PRO" 24576 CPT 24576P LOCAL 26 outpatient 586 586 586 427.78 Percent of total billed charges 73% of charges 586 357.46 Percent of total billed charges 61% of chages 586 339.88 Percent of charges 58% of charges 586 287.14 Percent of charges 49% of charges 586 498.1 Percent of charges 85% of charges 586 451.22 Percent of charges 77% of charges 586 380.9 Percent of charges 65% of charges 586 457.08 Percent of charges 78% of charges 586 281.28 Percent of charges 48% of charges 586 586 "CLTX D FEM FX, WO MAN-PRO" 27508 CPT 27508P LOCAL 26 outpatient 952 952 952 694.96 Percent of total billed charges 73% of charges 952 580.72 Percent of total billed charges 61% of chages 952 552.16 Percent of charges 58% of charges 952 466.48 Percent of charges 49% of charges 952 809.2 Percent of charges 85% of charges 952 733.04 Percent of charges 77% of charges 952 618.8 Percent of charges 65% of charges 952 742.56 Percent of charges 78% of charges 952 456.96 Percent of charges 48% of charges 952 952 CLTX D PHAL FX W MANIP-PRO 26755 CPT 26755P LOCAL 26 outpatient 522 522 522 381.06 Percent of total billed charges 73% of charges 522 318.42 Percent of total billed charges 61% of chages 522 302.76 Percent of charges 58% of charges 522 255.78 Percent of charges 49% of charges 522 443.7 Percent of charges 85% of charges 522 401.94 Percent of charges 77% of charges 522 339.3 Percent of charges 65% of charges 522 407.16 Percent of charges 78% of charges 522 250.56 Percent of charges 48% of charges 522 522 "CLTX D PHAL FX, WO MANIP-PRO" 26750 CPT 26750P LOCAL 26 outpatient 352 352 352 256.96 Percent of total billed charges 73% of charges 352 214.72 Percent of total billed charges 61% of chages 352 204.16 Percent of charges 58% of charges 352 172.48 Percent of charges 49% of charges 352 299.2 Percent of charges 85% of charges 352 271.04 Percent of charges 77% of charges 352 228.8 Percent of charges 65% of charges 352 274.56 Percent of charges 78% of charges 352 168.96 Percent of charges 48% of charges 352 352 "CLTX DIST FEMUR FX,W MAN-PRO" 27510 CPT 27510P LOCAL 26 outpatient 1316 1316 1316 960.68 Percent of total billed charges 73% of charges 1316 802.76 Percent of total billed charges 61% of chages 1316 763.28 Percent of charges 58% of charges 1316 644.84 Percent of charges 49% of charges 1316 1118.6 Percent of charges 85% of charges 1316 1013.32 Percent of charges 77% of charges 1316 855.4 Percent of charges 65% of charges 1316 1026.48 Percent of charges 78% of charges 1316 631.68 Percent of charges 48% of charges 1316 1316 CLTX DST FIB FX WO MAN-PRO 27786 CPT 27786P LOCAL 26 outpatient 544 544 544 397.12 Percent of total billed charges 73% of charges 544 331.84 Percent of total billed charges 61% of chages 544 315.52 Percent of charges 58% of charges 544 266.56 Percent of charges 49% of charges 544 462.4 Percent of charges 85% of charges 544 418.88 Percent of charges 77% of charges 544 353.6 Percent of charges 65% of charges 544 424.32 Percent of charges 78% of charges 544 261.12 Percent of charges 48% of charges 544 544 CLTX DSTL FIB FX W MAN 27788 CPT 27788F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLTX DSTL FIB FX W MAN-PRO 27788 CPT 27788P LOCAL 26 outpatient 737 737 737 538.01 Percent of total billed charges 73% of charges 737 449.57 Percent of total billed charges 61% of chages 737 427.46 Percent of charges 58% of charges 737 361.13 Percent of charges 49% of charges 737 626.45 Percent of charges 85% of charges 737 567.49 Percent of charges 77% of charges 737 479.05 Percent of charges 65% of charges 737 574.86 Percent of charges 78% of charges 737 353.76 Percent of charges 48% of charges 737 737 CLTX DSTL RAD FX WO MAN-FAC 25600 CPT 25600F LOCAL TC outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLTX DSTL RAD FX WO MANIP-PRO 25600 CPT 25600P LOCAL 26 outpatient 594 594 594 433.62 Percent of total billed charges 73% of charges 594 362.34 Percent of total billed charges 61% of chages 594 344.52 Percent of charges 58% of charges 594 291.06 Percent of charges 49% of charges 594 504.9 Percent of charges 85% of charges 594 457.38 Percent of charges 77% of charges 594 386.1 Percent of charges 65% of charges 594 463.32 Percent of charges 78% of charges 594 285.12 Percent of charges 48% of charges 594 594 "CLTX DSTL RADIAL FX, W MAN-PRO" 25605 CPT 25605P LOCAL 26 outpatient 979 979 979 714.67 Percent of total billed charges 73% of charges 979 597.19 Percent of total billed charges 61% of chages 979 567.82 Percent of charges 58% of charges 979 479.71 Percent of charges 49% of charges 979 832.15 Percent of charges 85% of charges 979 753.83 Percent of charges 77% of charges 979 636.35 Percent of charges 65% of charges 979 763.62 Percent of charges 78% of charges 979 469.92 Percent of charges 48% of charges 979 979 "CLTX DSTL RADIAL FX,W MAN-FAC" 25605 CPT 25605F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 "CLTX FEM FX, P NECK W MAN-PRO" 27232 CPT 27232P LOCAL 26 inpatient 1455 1455 1455 1062.15 Percent of total billed charges 73% of charges 1455 887.55 Percent of total billed charges 61% of chages 1455 843.9 Percent of charges 58% of charges 1455 712.95 Percent of charges 49% of charges 1455 1236.75 Percent of charges 85% of charges 1455 1120.35 Percent of charges 77% of charges 1455 945.75 Percent of charges 65% of charges 1455 1134.9 Percent of charges 78% of charges 1455 698.4 Percent of charges 48% of charges 1455 1455 "CLTX FEM SHFT FX, WO MAN-PRO" 27500 CPT 27500P LOCAL 26 outpatient 924 924 924 674.52 Percent of total billed charges 73% of charges 924 563.64 Percent of total billed charges 61% of chages 924 535.92 Percent of charges 58% of charges 924 452.76 Percent of charges 49% of charges 924 785.4 Percent of charges 85% of charges 924 711.48 Percent of charges 77% of charges 924 600.6 Percent of charges 65% of charges 924 720.72 Percent of charges 78% of charges 924 443.52 Percent of charges 48% of charges 924 924 "CLTX FEM SHT FX W MAN, TRX-PRO" 27502 CPT 27502P LOCAL 26 outpatient 1474 1474 1474 1076.02 Percent of total billed charges 73% of charges 1474 899.14 Percent of total billed charges 61% of chages 1474 854.92 Percent of charges 58% of charges 1474 722.26 Percent of charges 49% of charges 1474 1252.9 Percent of charges 85% of charges 1474 1134.98 Percent of charges 77% of charges 1474 958.1 Percent of charges 65% of charges 1474 1149.72 Percent of charges 78% of charges 1474 707.52 Percent of charges 48% of charges 1474 1474 CLTX GT PHALANX(S)WO MAN-FAC 28490 CPT 28490F LOCAL TC outpatient 383 383 383 279.59 Percent of total billed charges 73% of charges 383 233.63 Percent of total billed charges 61% of chages 383 222.14 Percent of charges 58% of charges 383 187.67 Percent of charges 49% of charges 383 325.55 Percent of charges 85% of charges 383 294.91 Percent of charges 77% of charges 383 248.95 Percent of charges 65% of charges 383 298.74 Percent of charges 78% of charges 383 183.84 Percent of charges 48% of charges 383 383 CLTX GT PHALANX(S)WO MAN-PRO 28490 CPT 28490P LOCAL 26 outpatient 234 234 234 170.82 Percent of total billed charges 73% of charges 234 142.74 Percent of total billed charges 61% of chages 234 135.72 Percent of charges 58% of charges 234 114.66 Percent of charges 49% of charges 234 198.9 Percent of charges 85% of charges 234 180.18 Percent of charges 77% of charges 234 152.1 Percent of charges 65% of charges 234 182.52 Percent of charges 78% of charges 234 112.32 Percent of charges 48% of charges 234 234 CLTX HIP DISL TRAM W ANES-PRO 27252 CPT 27252P LOCAL 26 outpatient 1464 1464 1464 1068.72 Percent of total billed charges 73% of charges 1464 893.04 Percent of total billed charges 61% of chages 1464 849.12 Percent of charges 58% of charges 1464 717.36 Percent of charges 49% of charges 1464 1244.4 Percent of charges 85% of charges 1464 1127.28 Percent of charges 77% of charges 1464 951.6 Percent of charges 65% of charges 1464 1141.92 Percent of charges 78% of charges 1464 702.72 Percent of charges 48% of charges 1464 1464 CLTX HIP DISL TRAM WO ANES-PRO 27250 CPT 27250P LOCAL 26 outpatient 367 367 367 267.91 Percent of total billed charges 73% of charges 367 223.87 Percent of total billed charges 61% of chages 367 212.86 Percent of charges 58% of charges 367 179.83 Percent of charges 49% of charges 367 311.95 Percent of charges 85% of charges 367 282.59 Percent of charges 77% of charges 367 238.55 Percent of charges 65% of charges 367 286.26 Percent of charges 78% of charges 367 176.16 Percent of charges 48% of charges 367 367 CLTX HUMERUS FX W MANIP-FAC 24505 CPT 24505F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLTX HUMERUS FX W MANIP-TOT 24505 CPT 24505 LOCAL outpatient 3452 3452 3452 2519.96 Percent of total billed charges 73% of charges 3452 2105.72 Percent of total billed charges 61% of chages 3452 2002.16 Percent of charges 58% of charges 3452 1691.48 Percent of charges 49% of charges 3452 2934.2 Percent of charges 85% of charges 3452 2658.04 Percent of charges 77% of charges 3452 2243.8 Percent of charges 65% of charges 3452 2692.56 Percent of charges 78% of charges 3452 1656.96 Percent of charges 48% of charges 3452 3452 CLTX HUMERUS FX WITH MANIP-PRO 24505 CPT 24505P LOCAL 26 outpatient 859 859 859 627.07 Percent of total billed charges 73% of charges 859 523.99 Percent of total billed charges 61% of chages 859 498.22 Percent of charges 58% of charges 859 420.91 Percent of charges 49% of charges 859 730.15 Percent of charges 85% of charges 859 661.43 Percent of charges 77% of charges 859 558.35 Percent of charges 65% of charges 859 670.02 Percent of charges 78% of charges 859 412.32 Percent of charges 48% of charges 859 859 CLTX INTER/PERIFEM FX W M-PRO 27240 CPT 27240P LOCAL 26 inpatient 1846 1846 1846 1347.58 Percent of total billed charges 73% of charges 1846 1126.06 Percent of total billed charges 61% of chages 1846 1070.68 Percent of charges 58% of charges 1846 904.54 Percent of charges 49% of charges 1846 1569.1 Percent of charges 85% of charges 1846 1421.42 Percent of charges 77% of charges 1846 1199.9 Percent of charges 65% of charges 1846 1439.88 Percent of charges 78% of charges 1846 886.08 Percent of charges 48% of charges 1846 1846 CLTX INTER/PERIFEM FX WO M-PRO 27238 CPT 27238P LOCAL 26 outpatient 890 890 890 649.7 Percent of total billed charges 73% of charges 890 542.9 Percent of total billed charges 61% of chages 890 516.2 Percent of charges 58% of charges 890 436.1 Percent of charges 49% of charges 890 756.5 Percent of charges 85% of charges 890 685.3 Percent of charges 77% of charges 890 578.5 Percent of charges 65% of charges 890 694.2 Percent of charges 78% of charges 890 427.2 Percent of charges 48% of charges 890 890 "CLTX IP DISLOC, WO ANES-PRO" 28660 CPT 28660P LOCAL 26 outpatient 175 175 175 127.75 Percent of total billed charges 73% of charges 175 106.75 Percent of total billed charges 61% of chages 175 101.5 Percent of charges 58% of charges 175 85.75 Percent of charges 49% of charges 175 148.75 Percent of charges 85% of charges 175 134.75 Percent of charges 77% of charges 175 113.75 Percent of charges 65% of charges 175 136.5 Percent of charges 78% of charges 175 84 Percent of charges 48% of charges 175 175 "CLTX IP DISLOC,WO ANES-TOT" 28660 CPT 28660 LOCAL outpatient 588 588 588 429.24 Percent of total billed charges 73% of charges 588 358.68 Percent of total billed charges 61% of chages 588 341.04 Percent of charges 58% of charges 588 288.12 Percent of charges 49% of charges 588 499.8 Percent of charges 85% of charges 588 452.76 Percent of charges 77% of charges 588 382.2 Percent of charges 65% of charges 588 458.64 Percent of charges 78% of charges 588 282.24 Percent of charges 48% of charges 588 588 "CLTX JNT DISLOC, WO ANES-PRO" 28600 CPT 28600P LOCAL 26 outpatient 349 349 349 254.77 Percent of total billed charges 73% of charges 349 212.89 Percent of total billed charges 61% of chages 349 202.42 Percent of charges 58% of charges 349 171.01 Percent of charges 49% of charges 349 296.65 Percent of charges 85% of charges 349 268.73 Percent of charges 77% of charges 349 226.85 Percent of charges 65% of charges 349 272.22 Percent of charges 78% of charges 349 167.52 Percent of charges 48% of charges 349 349 CLTX KNEE DISL W ANES-PRO 27552 CPT 27552P LOCAL 26 outpatient 1209 1209 1209 882.57 Percent of total billed charges 73% of charges 1209 737.49 Percent of total billed charges 61% of chages 1209 701.22 Percent of charges 58% of charges 1209 592.41 Percent of charges 49% of charges 1209 1027.65 Percent of charges 85% of charges 1209 930.93 Percent of charges 77% of charges 1209 785.85 Percent of charges 65% of charges 1209 943.02 Percent of charges 78% of charges 1209 580.32 Percent of charges 48% of charges 1209 1209 "CLTX KNEE DISL, WO ANES-PRO" 27550 CPT 27550P LOCAL 26 outpatient 928 928 928 677.44 Percent of total billed charges 73% of charges 928 566.08 Percent of total billed charges 61% of chages 928 538.24 Percent of charges 58% of charges 928 454.72 Percent of charges 49% of charges 928 788.8 Percent of charges 85% of charges 928 714.56 Percent of charges 77% of charges 928 603.2 Percent of charges 65% of charges 928 723.84 Percent of charges 78% of charges 928 445.44 Percent of charges 48% of charges 928 928 "CLTX MC FX SGL, W MANIP-PRO" 26605 CPT 26605P LOCAL 26 outpatient 557 557 557 406.61 Percent of total billed charges 73% of charges 557 339.77 Percent of total billed charges 61% of chages 557 323.06 Percent of charges 58% of charges 557 272.93 Percent of charges 49% of charges 557 473.45 Percent of charges 85% of charges 557 428.89 Percent of charges 77% of charges 557 362.05 Percent of charges 65% of charges 557 434.46 Percent of charges 78% of charges 557 267.36 Percent of charges 48% of charges 557 557 CLTX MC FX SINGLE WO MAN-FAC 26600 CPT 26600F LOCAL TC outpatient 383 383 383 279.59 Percent of total billed charges 73% of charges 383 233.63 Percent of total billed charges 61% of chages 383 222.14 Percent of charges 58% of charges 383 187.67 Percent of charges 49% of charges 383 325.55 Percent of charges 85% of charges 383 294.91 Percent of charges 77% of charges 383 248.95 Percent of charges 65% of charges 383 298.74 Percent of charges 78% of charges 383 183.84 Percent of charges 48% of charges 383 383 "CLTX MC FX, SINGLE, WO MAN-PRO" 26600 CPT 26600P LOCAL 26 outpatient 529 529 529 386.17 Percent of total billed charges 73% of charges 529 322.69 Percent of total billed charges 61% of chages 529 306.82 Percent of charges 58% of charges 529 259.21 Percent of charges 49% of charges 529 449.65 Percent of charges 85% of charges 529 407.33 Percent of charges 77% of charges 529 343.85 Percent of charges 65% of charges 529 412.62 Percent of charges 78% of charges 529 253.92 Percent of charges 48% of charges 529 529 CLTX MED MAL FX WO MAN-FAC 27760 CPT 27760F LOCAL TC outpatient 383 383 383 279.59 Percent of total billed charges 73% of charges 383 233.63 Percent of total billed charges 61% of chages 383 222.14 Percent of charges 58% of charges 383 187.67 Percent of charges 49% of charges 383 325.55 Percent of charges 85% of charges 383 294.91 Percent of charges 77% of charges 383 248.95 Percent of charges 65% of charges 383 298.74 Percent of charges 78% of charges 383 183.84 Percent of charges 48% of charges 383 383 CLTX MED MAL FX WO MAN-PRO 27760 CPT 27760P LOCAL 26 outpatient 580 580 580 423.4 Percent of total billed charges 73% of charges 580 353.8 Percent of total billed charges 61% of chages 580 336.4 Percent of charges 58% of charges 580 284.2 Percent of charges 49% of charges 580 493 Percent of charges 85% of charges 580 446.6 Percent of charges 77% of charges 580 377 Percent of charges 65% of charges 580 452.4 Percent of charges 78% of charges 580 278.4 Percent of charges 48% of charges 580 580 CLTX MED MALL FX W MAN -PRO 27762 CPT 27762P LOCAL 26 outpatient 830 830 830 605.9 Percent of total billed charges 73% of charges 830 506.3 Percent of total billed charges 61% of chages 830 481.4 Percent of charges 58% of charges 830 406.7 Percent of charges 49% of charges 830 705.5 Percent of charges 85% of charges 830 639.1 Percent of charges 77% of charges 830 539.5 Percent of charges 65% of charges 830 647.4 Percent of charges 78% of charges 830 398.4 Percent of charges 48% of charges 830 830 CLTX MED MALL FX W MAN-FAC 27762 CPT 27762F LOCAL TC outpatient 2593 2593 2593 1892.89 Percent of total billed charges 73% of charges 2593 1581.73 Percent of total billed charges 61% of chages 2593 1503.94 Percent of charges 58% of charges 2593 1270.57 Percent of charges 49% of charges 2593 2204.05 Percent of charges 85% of charges 2593 1996.61 Percent of charges 77% of charges 2593 1685.45 Percent of charges 65% of charges 2593 2022.54 Percent of charges 78% of charges 2593 1244.64 Percent of charges 48% of charges 2593 2593 CLTX METATARSAL FX W MAN 28475 CPT 28475F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLTX METATARSAL FX W MAN -PRO 28475 CPT 28475P LOCAL 26 outpatient 433 433 433 316.09 Percent of total billed charges 73% of charges 433 264.13 Percent of total billed charges 61% of chages 433 251.14 Percent of charges 58% of charges 433 212.17 Percent of charges 49% of charges 433 368.05 Percent of charges 85% of charges 433 333.41 Percent of charges 77% of charges 433 281.45 Percent of charges 65% of charges 433 337.74 Percent of charges 78% of charges 433 207.84 Percent of charges 48% of charges 433 433 CLTX METATARSAL FX WO MAN-FAC 28470 CPT 28470F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 "CLTX METATARSAL FX, WO MAN-PRO" 28470 CPT 28470P LOCAL 26 outpatient 385 385 385 281.05 Percent of total billed charges 73% of charges 385 234.85 Percent of total billed charges 61% of chages 385 223.3 Percent of charges 58% of charges 385 188.65 Percent of charges 49% of charges 385 327.25 Percent of charges 85% of charges 385 296.45 Percent of charges 77% of charges 385 250.25 Percent of charges 65% of charges 385 300.3 Percent of charges 78% of charges 385 184.8 Percent of charges 48% of charges 385 385 "CLTX MONTEG ELB FX,W MANIP-PRO" 24620 CPT 24620P LOCAL 26 outpatient 1066 1066 1066 778.18 Percent of total billed charges 73% of charges 1066 650.26 Percent of total billed charges 61% of chages 1066 618.28 Percent of charges 58% of charges 1066 522.34 Percent of charges 49% of charges 1066 906.1 Percent of charges 85% of charges 1066 820.82 Percent of charges 77% of charges 1066 692.9 Percent of charges 65% of charges 1066 831.48 Percent of charges 78% of charges 1066 511.68 Percent of charges 48% of charges 1066 1066 CLTX MTP DISLOC WO ANES-PRO 28630 CPT 28630P LOCAL 26 outpatient 215 215 215 156.95 Percent of total billed charges 73% of charges 215 131.15 Percent of total billed charges 61% of chages 215 124.7 Percent of charges 58% of charges 215 105.35 Percent of charges 49% of charges 215 182.75 Percent of charges 85% of charges 215 165.55 Percent of charges 77% of charges 215 139.75 Percent of charges 65% of charges 215 167.7 Percent of charges 78% of charges 215 103.2 Percent of charges 48% of charges 215 215 CLTX NURSEMAID ELB WMAN-PRO 24640 CPT 24640P LOCAL 26 outpatient 151 151 151 110.23 Percent of total billed charges 73% of charges 151 92.11 Percent of total billed charges 61% of chages 151 87.58 Percent of charges 58% of charges 151 73.99 Percent of charges 49% of charges 151 128.35 Percent of charges 85% of charges 151 116.27 Percent of charges 77% of charges 151 98.15 Percent of charges 65% of charges 151 117.78 Percent of charges 78% of charges 151 72.48 Percent of charges 48% of charges 151 151 CLTX NURSEMAID ELB WMAN-TOT 24640 CPT 24640 LOCAL outpatient 564 564 564 411.72 Percent of total billed charges 73% of charges 564 344.04 Percent of total billed charges 61% of chages 564 327.12 Percent of charges 58% of charges 564 276.36 Percent of charges 49% of charges 564 479.4 Percent of charges 85% of charges 564 434.28 Percent of charges 77% of charges 564 366.6 Percent of charges 65% of charges 564 439.92 Percent of charges 78% of charges 564 270.72 Percent of charges 48% of charges 564 564 CLTX OTHER PHLX WO MAN-PRO 28510 CPT 28510P LOCAL 26 outpatient 224 224 224 163.52 Percent of total billed charges 73% of charges 224 136.64 Percent of total billed charges 61% of chages 224 129.92 Percent of charges 58% of charges 224 109.76 Percent of charges 49% of charges 224 190.4 Percent of charges 85% of charges 224 172.48 Percent of charges 77% of charges 224 145.6 Percent of charges 65% of charges 224 174.72 Percent of charges 78% of charges 224 107.52 Percent of charges 48% of charges 224 224 CLTX PATELLA DISL W/O ANES-PRO 27560 CPT 27560P LOCAL 26 outpatient 655 655 655 478.15 Percent of total billed charges 73% of charges 655 399.55 Percent of total billed charges 61% of chages 655 379.9 Percent of charges 58% of charges 655 320.95 Percent of charges 49% of charges 655 556.75 Percent of charges 85% of charges 655 504.35 Percent of charges 77% of charges 655 425.75 Percent of charges 65% of charges 655 510.9 Percent of charges 78% of charges 655 314.4 Percent of charges 48% of charges 655 655 CLTX PATELLA FX WO MANIP-PRO 27520 CPT 27520P LOCAL 26 outpatient 563 563 563 410.99 Percent of total billed charges 73% of charges 563 343.43 Percent of total billed charges 61% of chages 563 326.54 Percent of charges 58% of charges 563 275.87 Percent of charges 49% of charges 563 478.55 Percent of charges 85% of charges 563 433.51 Percent of charges 77% of charges 563 365.95 Percent of charges 65% of charges 563 439.14 Percent of charges 78% of charges 563 270.24 Percent of charges 48% of charges 563 563 CLTX PHAL SHFT FX;W MAN EA-PRO 26725 CPT 26725P LOCAL 26 outpatient 578 578 578 421.94 Percent of total billed charges 73% of charges 578 352.58 Percent of total billed charges 61% of chages 578 335.24 Percent of charges 58% of charges 578 283.22 Percent of charges 49% of charges 578 491.3 Percent of charges 85% of charges 578 445.06 Percent of charges 77% of charges 578 375.7 Percent of charges 65% of charges 578 450.84 Percent of charges 78% of charges 578 277.44 Percent of charges 48% of charges 578 578 CLTX POST HIP DISL W ANEST-PRO 27266 CPT 27266P LOCAL 26 outpatient 1121 1121 1121 818.33 Percent of total billed charges 73% of charges 1121 683.81 Percent of total billed charges 61% of chages 1121 650.18 Percent of charges 58% of charges 1121 549.29 Percent of charges 49% of charges 1121 952.85 Percent of charges 85% of charges 1121 863.17 Percent of charges 77% of charges 1121 728.65 Percent of charges 65% of charges 1121 874.38 Percent of charges 78% of charges 1121 538.08 Percent of charges 48% of charges 1121 1121 CLTX POST HIP DISL WO ANES-PRO 27265 CPT 27265P LOCAL 26 outpatient 778 778 778 567.94 Percent of total billed charges 73% of charges 778 474.58 Percent of total billed charges 61% of chages 778 451.24 Percent of charges 58% of charges 778 381.22 Percent of charges 49% of charges 778 661.3 Percent of charges 85% of charges 778 599.06 Percent of charges 77% of charges 778 505.7 Percent of charges 65% of charges 778 606.84 Percent of charges 78% of charges 778 373.44 Percent of charges 48% of charges 778 778 CLTX PROX TIBIAL FX WO MAN-FAC 27530 CPT 27530F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 CLTX PROX TIBIAL FX WO MAN-PRO 27530 CPT 27530P LOCAL 26 outpatient 536 536 536 391.28 Percent of total billed charges 73% of charges 536 326.96 Percent of total billed charges 61% of chages 536 310.88 Percent of charges 58% of charges 536 262.64 Percent of charges 49% of charges 536 455.6 Percent of charges 85% of charges 536 412.72 Percent of charges 77% of charges 536 348.4 Percent of charges 65% of charges 536 418.08 Percent of charges 78% of charges 536 257.28 Percent of charges 48% of charges 536 536 CLTX PRX FIB SHT FX WO MAN-PRO 27780 CPT 27780P LOCAL 26 outpatient 533 533 533 389.09 Percent of total billed charges 73% of charges 533 325.13 Percent of total billed charges 61% of chages 533 309.14 Percent of charges 58% of charges 533 261.17 Percent of charges 49% of charges 533 453.05 Percent of charges 85% of charges 533 410.41 Percent of charges 77% of charges 533 346.45 Percent of charges 65% of charges 533 415.74 Percent of charges 78% of charges 533 255.84 Percent of charges 48% of charges 533 533 "CLTX RAD&ULN FX,W/MAN-FAC" 25565 CPT 25565F LOCAL TC outpatient 1727 1727 1727 1260.71 Percent of total billed charges 73% of charges 1727 1053.47 Percent of total billed charges 61% of chages 1727 1001.66 Percent of charges 58% of charges 1727 846.23 Percent of charges 49% of charges 1727 1467.95 Percent of charges 85% of charges 1727 1329.79 Percent of charges 77% of charges 1727 1122.55 Percent of charges 65% of charges 1727 1347.06 Percent of charges 78% of charges 1727 828.96 Percent of charges 48% of charges 1727 1727 "CLTX RAD&ULN FX,W/MAN-PRO" 25565 CPT 25565P LOCAL 26 outpatient 890 890 890 649.7 Percent of total billed charges 73% of charges 890 542.9 Percent of total billed charges 61% of chages 890 516.2 Percent of charges 58% of charges 890 436.1 Percent of charges 49% of charges 890 756.5 Percent of charges 85% of charges 890 685.3 Percent of charges 77% of charges 890 578.5 Percent of charges 65% of charges 890 694.2 Percent of charges 78% of charges 890 427.2 Percent of charges 48% of charges 890 890 "CLTX RAD&ULN SFT FX,WO MAN-PRO" 25560 CPT 25560P LOCAL 26 outpatient 482 482 482 351.86 Percent of total billed charges 73% of charges 482 294.02 Percent of total billed charges 61% of chages 482 279.56 Percent of charges 58% of charges 482 236.18 Percent of charges 49% of charges 482 409.7 Percent of charges 85% of charges 482 371.14 Percent of charges 77% of charges 482 313.3 Percent of charges 65% of charges 482 375.96 Percent of charges 78% of charges 482 231.36 Percent of charges 48% of charges 482 482 "CLTX RADIAL HD/NK FX,W MAN-PRO" 24655 CPT 24655P LOCAL 26 outpatient 761 761 761 555.53 Percent of total billed charges 73% of charges 761 464.21 Percent of total billed charges 61% of chages 761 441.38 Percent of charges 58% of charges 761 372.89 Percent of charges 49% of charges 761 646.85 Percent of charges 85% of charges 761 585.97 Percent of charges 77% of charges 761 494.65 Percent of charges 65% of charges 761 593.58 Percent of charges 78% of charges 761 365.28 Percent of charges 48% of charges 761 761 "CLTX RADIAL SHFT FX,W/ MAN-PRO" 25505 CPT 25505P LOCAL 26 outpatient 878 878 878 640.94 Percent of total billed charges 73% of charges 878 535.58 Percent of total billed charges 61% of chages 878 509.24 Percent of charges 58% of charges 878 430.22 Percent of charges 49% of charges 878 746.3 Percent of charges 85% of charges 878 676.06 Percent of charges 77% of charges 878 570.7 Percent of charges 65% of charges 878 684.84 Percent of charges 78% of charges 878 421.44 Percent of charges 48% of charges 878 878 "CLTX RADIAL SHFT FX,W/MAN-FAC" 25505 CPT 25505F LOCAL TC outpatient 2641 2641 2641 1927.93 Percent of total billed charges 73% of charges 2641 1611.01 Percent of total billed charges 61% of chages 2641 1531.78 Percent of charges 58% of charges 2641 1294.09 Percent of charges 49% of charges 2641 2244.85 Percent of charges 85% of charges 2641 2033.57 Percent of charges 77% of charges 2641 1716.65 Percent of charges 65% of charges 2641 2059.98 Percent of charges 78% of charges 2641 1267.68 Percent of charges 48% of charges 2641 2641 "CLTX SC/TC FX, W MAN -PRO" 27503 CPT 27503P LOCAL 26 outpatient 1547 1547 1547 1129.31 Percent of total billed charges 73% of charges 1547 943.67 Percent of total billed charges 61% of chages 1547 897.26 Percent of charges 58% of charges 1547 758.03 Percent of charges 49% of charges 1547 1314.95 Percent of charges 85% of charges 1547 1191.19 Percent of charges 77% of charges 1547 1005.55 Percent of charges 65% of charges 1547 1206.66 Percent of charges 78% of charges 1547 742.56 Percent of charges 48% of charges 1547 1547 "CLTX SC/TC FX, WO MAN-PRO" 27501 CPT 27501P LOCAL 26 outpatient 956 956 956 697.88 Percent of total billed charges 73% of charges 956 583.16 Percent of total billed charges 61% of chages 956 554.48 Percent of charges 58% of charges 956 468.44 Percent of charges 49% of charges 956 812.6 Percent of charges 85% of charges 956 736.12 Percent of charges 77% of charges 956 621.4 Percent of charges 65% of charges 956 745.68 Percent of charges 78% of charges 956 458.88 Percent of charges 48% of charges 956 956 CLTX SC/TC HUMERS FX W MAN-PRO 24535 CPT 24535P LOCAL 26 outpatient 1087 1087 1087 793.51 Percent of total billed charges 73% of charges 1087 663.07 Percent of total billed charges 61% of chages 1087 630.46 Percent of charges 58% of charges 1087 532.63 Percent of charges 49% of charges 1087 923.95 Percent of charges 85% of charges 1087 836.99 Percent of charges 77% of charges 1087 706.55 Percent of charges 65% of charges 1087 847.86 Percent of charges 78% of charges 1087 521.76 Percent of charges 48% of charges 1087 1087 CLTX SC/TC HUMERUS FX WO M-FAC 24530 CPT 24530F LOCAL TC outpatient 383 383 383 279.59 Percent of total billed charges 73% of charges 383 233.63 Percent of total billed charges 61% of chages 383 222.14 Percent of charges 58% of charges 383 187.67 Percent of charges 49% of charges 383 325.55 Percent of charges 85% of charges 383 294.91 Percent of charges 77% of charges 383 248.95 Percent of charges 65% of charges 383 298.74 Percent of charges 78% of charges 383 183.84 Percent of charges 48% of charges 383 383 CLTX SC/TC HUMERUS FX WO M-PRO 24530 CPT 24530P LOCAL 26 outpatient 658 658 658 480.34 Percent of total billed charges 73% of charges 658 401.38 Percent of total billed charges 61% of chages 658 381.64 Percent of charges 58% of charges 658 322.42 Percent of charges 49% of charges 658 559.3 Percent of charges 85% of charges 658 506.66 Percent of charges 77% of charges 658 427.7 Percent of charges 65% of charges 658 513.24 Percent of charges 78% of charges 658 315.84 Percent of charges 48% of charges 658 658 CLTX SCLAV DISLOC WO MANIP-PRO 23520 CPT 23520P LOCAL 26 outpatient 446 446 446 325.58 Percent of total billed charges 73% of charges 446 272.06 Percent of total billed charges 61% of chages 446 258.68 Percent of charges 58% of charges 446 218.54 Percent of charges 49% of charges 446 379.1 Percent of charges 85% of charges 446 343.42 Percent of charges 77% of charges 446 289.9 Percent of charges 65% of charges 446 347.88 Percent of charges 78% of charges 446 214.08 Percent of charges 48% of charges 446 446 CLTX TIB SHFT FX W MAN -PRO 27752 CPT 27752P LOCAL 26 outpatient 945 945 945 689.85 Percent of total billed charges 73% of charges 945 576.45 Percent of total billed charges 61% of chages 945 548.1 Percent of charges 58% of charges 945 463.05 Percent of charges 49% of charges 945 803.25 Percent of charges 85% of charges 945 727.65 Percent of charges 77% of charges 945 614.25 Percent of charges 65% of charges 945 737.1 Percent of charges 78% of charges 945 453.6 Percent of charges 48% of charges 945 945 "CLTX TIB SHFT FX,WO MAN-PRO" 27750 CPT 27750P LOCAL 26 outpatient 606 606 606 442.38 Percent of total billed charges 73% of charges 606 369.66 Percent of total billed charges 61% of chages 606 351.48 Percent of charges 58% of charges 606 296.94 Percent of charges 49% of charges 606 515.1 Percent of charges 85% of charges 606 466.62 Percent of charges 77% of charges 606 393.9 Percent of charges 65% of charges 606 472.68 Percent of charges 78% of charges 606 290.88 Percent of charges 48% of charges 606 606 CLTX TRIMALLEOLR FX W MAN-PRO 27818 CPT 27818P LOCAL 26 outpatient 835 835 835 609.55 Percent of total billed charges 73% of charges 835 509.35 Percent of total billed charges 61% of chages 835 484.3 Percent of charges 58% of charges 835 409.15 Percent of charges 49% of charges 835 709.75 Percent of charges 85% of charges 835 642.95 Percent of charges 77% of charges 835 542.75 Percent of charges 65% of charges 835 651.3 Percent of charges 78% of charges 835 400.8 Percent of charges 48% of charges 835 835 CLTX TRIMALLEOLR FX WO MAN-PRO 27816 CPT 27816P LOCAL 26 outpatient 552 552 552 402.96 Percent of total billed charges 73% of charges 552 336.72 Percent of total billed charges 61% of chages 552 320.16 Percent of charges 58% of charges 552 270.48 Percent of charges 49% of charges 552 469.2 Percent of charges 85% of charges 552 425.04 Percent of charges 77% of charges 552 358.8 Percent of charges 65% of charges 552 430.56 Percent of charges 78% of charges 552 264.96 Percent of charges 48% of charges 552 552 CLTX ULNAR FX PRX WO MAN-FAC 24670 CPT 24670F LOCAL TC outpatient 394 394 394 287.62 Percent of total billed charges 73% of charges 394 240.34 Percent of total billed charges 61% of chages 394 228.52 Percent of charges 58% of charges 394 193.06 Percent of charges 49% of charges 394 334.9 Percent of charges 85% of charges 394 303.38 Percent of charges 77% of charges 394 256.1 Percent of charges 65% of charges 394 307.32 Percent of charges 78% of charges 394 189.12 Percent of charges 48% of charges 394 394 "CLTX ULNAR FX, PRX W MAN-PRO" 24675 CPT 24675P LOCAL 26 outpatient 794 794 794 579.62 Percent of total billed charges 73% of charges 794 484.34 Percent of total billed charges 61% of chages 794 460.52 Percent of charges 58% of charges 794 389.06 Percent of charges 49% of charges 794 674.9 Percent of charges 85% of charges 794 611.38 Percent of charges 77% of charges 794 516.1 Percent of charges 65% of charges 794 619.32 Percent of charges 78% of charges 794 381.12 Percent of charges 48% of charges 794 794 "CLTX ULNAR FX, PRX WO MAN-PRO" 24670 CPT 24670P LOCAL 26 outpatient 502 502 502 366.46 Percent of total billed charges 73% of charges 502 306.22 Percent of total billed charges 61% of chages 502 291.16 Percent of charges 58% of charges 502 245.98 Percent of charges 49% of charges 502 426.7 Percent of charges 85% of charges 502 386.54 Percent of charges 77% of charges 502 326.3 Percent of charges 65% of charges 502 391.56 Percent of charges 78% of charges 502 240.96 Percent of charges 48% of charges 502 502 CLTX ULNAR SHFT FX W/MAN-PRO 25535 CPT 25535P LOCAL 26 outpatient 864 864 864 630.72 Percent of total billed charges 73% of charges 864 527.04 Percent of total billed charges 61% of chages 864 501.12 Percent of charges 58% of charges 864 423.36 Percent of charges 49% of charges 864 734.4 Percent of charges 85% of charges 864 665.28 Percent of charges 77% of charges 864 561.6 Percent of charges 65% of charges 864 673.92 Percent of charges 78% of charges 864 414.72 Percent of charges 48% of charges 864 864 "CLTX, WB, DSTL TIB WO MAN-PRO" 27824 CPT 27824P LOCAL 26 outpatient 578 578 578 421.94 Percent of total billed charges 73% of charges 578 352.58 Percent of total billed charges 61% of chages 578 335.24 Percent of charges 58% of charges 578 283.22 Percent of charges 49% of charges 578 491.3 Percent of charges 85% of charges 578 445.06 Percent of charges 77% of charges 578 375.7 Percent of charges 65% of charges 578 450.84 Percent of charges 78% of charges 578 277.44 Percent of charges 48% of charges 578 578 CLTX-FX PHAL SHFT W/O MANIP 26720 CPT 26720F LOCAL outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 CLTX-FX PHAL SHFT W/O MAN-PRO 26720 CPT 26720P LOCAL 26 outpatient 350 350 350 255.5 Percent of total billed charges 73% of charges 350 213.5 Percent of total billed charges 61% of chages 350 203 Percent of charges 58% of charges 350 171.5 Percent of charges 49% of charges 350 297.5 Percent of charges 85% of charges 350 269.5 Percent of charges 77% of charges 350 227.5 Percent of charges 65% of charges 350 273 Percent of charges 78% of charges 350 168 Percent of charges 48% of charges 350 350 CMPLX OBS CARE A&D SDOS/HR-FAC 99236 CPT 99236F LOCAL TC outpatient 93 93 93 67.89 Percent of total billed charges 73% of charges 93 56.73 Percent of total billed charges 61% of chages 93 53.94 Percent of charges 58% of charges 93 45.57 Percent of charges 49% of charges 93 79.05 Percent of charges 85% of charges 93 71.61 Percent of charges 77% of charges 93 60.45 Percent of charges 65% of charges 93 72.54 Percent of charges 78% of charges 93 44.64 Percent of charges 48% of charges 93 93 CMV BY PCR 87497 CPT 4307497 LOCAL both 353 353 353 257.69 Percent of total billed charges 73% of charges 353 215.33 Percent of total billed charges 61% of chages 353 204.74 Percent of charges 58% of charges 353 172.97 Percent of charges 49% of charges 353 300.05 Percent of charges 85% of charges 353 271.81 Percent of charges 77% of charges 353 229.45 Percent of charges 65% of charges 353 275.34 Percent of charges 78% of charges 353 169.44 Percent of charges 48% of charges 353 353 CMV IGM 86645 CPT 4306645 LOCAL both 166 166 166 121.18 Percent of total billed charges 73% of charges 166 101.26 Percent of total billed charges 61% of chages 166 96.28 Percent of charges 58% of charges 166 81.34 Percent of charges 49% of charges 166 141.1 Percent of charges 85% of charges 166 127.82 Percent of charges 77% of charges 166 107.9 Percent of charges 65% of charges 166 129.48 Percent of charges 78% of charges 166 79.68 Percent of charges 48% of charges 166 166 CMV TOTAL IGG 86644 CPT 4306644 LOCAL both 131 131 131 95.63 Percent of total billed charges 73% of charges 131 79.91 Percent of total billed charges 61% of chages 131 75.98 Percent of charges 58% of charges 131 64.19 Percent of charges 49% of charges 131 111.35 Percent of charges 85% of charges 131 100.87 Percent of charges 77% of charges 131 85.15 Percent of charges 65% of charges 131 102.18 Percent of charges 78% of charges 131 62.88 Percent of charges 48% of charges 131 131 "CNTRL NASAL HEMOR, ANT COMPLEX" 30903 CPT 30903F LOCAL outpatient 209 209 209 152.57 Percent of total billed charges 73% of charges 209 127.49 Percent of total billed charges 61% of chages 209 121.22 Percent of charges 58% of charges 209 102.41 Percent of charges 49% of charges 209 177.65 Percent of charges 85% of charges 209 160.93 Percent of charges 77% of charges 209 135.85 Percent of charges 65% of charges 209 163.02 Percent of charges 78% of charges 209 100.32 Percent of charges 48% of charges 209 209 CO2 LASER 3850503 LOCAL both 1339 1339 1339 977.47 Percent of total billed charges 73% of charges 1339 816.79 Percent of total billed charges 61% of chages 1339 776.62 Percent of charges 58% of charges 1339 656.11 Percent of charges 49% of charges 1339 1138.15 Percent of charges 85% of charges 1339 1031.03 Percent of charges 77% of charges 1339 870.35 Percent of charges 65% of charges 1339 1044.42 Percent of charges 78% of charges 1339 642.72 Percent of charges 48% of charges 1339 1339 COAPTITE INJECT IMPL 1ML SYR 3801997 LOCAL both 1 ml 1733 1733 1733 1265.09 Percent of total billed charges 73% of charges 1733 1057.13 Percent of total billed charges 61% of chages 1733 1005.14 Percent of charges 58% of charges 1733 849.17 Percent of charges 49% of charges 1733 1473.05 Percent of charges 85% of charges 1733 1334.41 Percent of charges 77% of charges 1733 1126.45 Percent of charges 65% of charges 1733 1351.74 Percent of charges 78% of charges 1733 831.84 Percent of charges 48% of charges 1733 1733 COBALT 83018 CPT 4300695 LOCAL both 147 147 147 107.31 Percent of total billed charges 73% of charges 147 89.67 Percent of total billed charges 61% of chages 147 85.26 Percent of charges 58% of charges 147 72.03 Percent of charges 49% of charges 147 124.95 Percent of charges 85% of charges 147 113.19 Percent of charges 77% of charges 147 95.55 Percent of charges 65% of charges 147 114.66 Percent of charges 78% of charges 147 70.56 Percent of charges 48% of charges 147 147 COCAINE 80305 CPT 4300447 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 COCAINE QUANT BY GC/MS 80353 CPT 4300857 LOCAL both 182 182 182 132.86 Percent of total billed charges 73% of charges 182 111.02 Percent of total billed charges 61% of chages 182 105.56 Percent of charges 58% of charges 182 89.18 Percent of charges 49% of charges 182 154.7 Percent of charges 85% of charges 182 140.14 Percent of charges 77% of charges 182 118.3 Percent of charges 65% of charges 182 141.96 Percent of charges 78% of charges 182 87.36 Percent of charges 48% of charges 182 182 COCCIDMYCOSIS AB 86635 CPT 4306635 LOCAL both 183 183 183 133.59 Percent of total billed charges 73% of charges 183 111.63 Percent of total billed charges 61% of chages 183 106.14 Percent of charges 58% of charges 183 89.67 Percent of charges 49% of charges 183 155.55 Percent of charges 85% of charges 183 140.91 Percent of charges 77% of charges 183 118.95 Percent of charges 65% of charges 183 142.74 Percent of charges 78% of charges 183 87.84 Percent of charges 48% of charges 183 183 COENZYME Q10 82542 CPT 4300711 LOCAL both 281 281 281 205.13 Percent of total billed charges 73% of charges 281 171.41 Percent of total billed charges 61% of chages 281 162.98 Percent of charges 58% of charges 281 137.69 Percent of charges 49% of charges 281 238.85 Percent of charges 85% of charges 281 216.37 Percent of charges 77% of charges 281 182.65 Percent of charges 65% of charges 281 219.18 Percent of charges 78% of charges 281 134.88 Percent of charges 48% of charges 281 281 Cognitive Therapy - Init 15min 97129 CPT 5117129 LOCAL outpatient 130 130 130 94.9 Percent of total billed charges 73% of charges 130 79.3 Percent of total billed charges 61% of chages 130 75.4 Percent of charges 58% of charges 130 63.7 Percent of charges 49% of charges 130 110.5 Percent of charges 85% of charges 130 100.1 Percent of charges 77% of charges 130 84.5 Percent of charges 65% of charges 130 101.4 Percent of charges 78% of charges 130 62.4 Percent of charges 48% of charges 130 130 Cognitive Therapy-ea add 15min 97130 CPT 5117130 LOCAL outpatient 120 120 120 87.6 Percent of total billed charges 73% of charges 120 73.2 Percent of total billed charges 61% of chages 120 69.6 Percent of charges 58% of charges 120 58.8 Percent of charges 49% of charges 120 102 Percent of charges 85% of charges 120 92.4 Percent of charges 77% of charges 120 78 Percent of charges 65% of charges 120 93.6 Percent of charges 78% of charges 120 57.6 Percent of charges 48% of charges 120 120 COLCHICINE 0.6MG TAB J3490 HCPCS 4811783 LOCAL both 28 28 28 20.44 Percent of total billed charges 73% of charges 28 17.08 Percent of total billed charges 61% of chages 28 16.24 Percent of charges 58% of charges 28 13.72 Percent of charges 49% of charges 28 23.8 Percent of charges 85% of charges 28 21.56 Percent of charges 77% of charges 28 18.2 Percent of charges 65% of charges 28 21.84 Percent of charges 78% of charges 28 13.44 Percent of charges 48% of charges 28 28 COLD AGGLUTININ 86157 CPT 4306156 LOCAL both 130 130 130 94.9 Percent of total billed charges 73% of charges 130 79.3 Percent of total billed charges 61% of chages 130 75.4 Percent of charges 58% of charges 130 63.7 Percent of charges 49% of charges 130 110.5 Percent of charges 85% of charges 130 100.1 Percent of charges 77% of charges 130 84.5 Percent of charges 65% of charges 130 101.4 Percent of charges 78% of charges 130 62.4 Percent of charges 48% of charges 130 130 COLECT PT;W SL CEC/OSTOMY-PRO 44141 CPT 44141P LOCAL 26 inpatient 5536 5536 5536 4041.28 Percent of total billed charges 73% of charges 5536 3376.96 Percent of total billed charges 61% of chages 5536 3210.88 Percent of charges 58% of charges 5536 2712.64 Percent of charges 49% of charges 5536 4705.6 Percent of charges 85% of charges 5536 4262.72 Percent of charges 77% of charges 5536 3598.4 Percent of charges 65% of charges 5536 4318.08 Percent of charges 78% of charges 5536 2657.28 Percent of charges 48% of charges 5536 5536 "COLECT,TOT ABD,W ILEO-PRO" 44150 CPT 44150P LOCAL 26 inpatient 3658 3658 3658 2670.34 Percent of total billed charges 73% of charges 3658 2231.38 Percent of total billed charges 61% of chages 3658 2121.64 Percent of charges 58% of charges 3658 1792.42 Percent of charges 49% of charges 3658 3109.3 Percent of charges 85% of charges 3658 2816.66 Percent of charges 77% of charges 3658 2377.7 Percent of charges 65% of charges 3658 2853.24 Percent of charges 78% of charges 3658 1755.84 Percent of charges 48% of charges 3658 3658 "COLECTOMY,PART;HARTMAN TY-PRO" 44143 CPT 44143P LOCAL 26 inpatient 3278 3278 3278 2392.94 Percent of total billed charges 73% of charges 3278 1999.58 Percent of total billed charges 61% of chages 3278 1901.24 Percent of charges 58% of charges 3278 1606.22 Percent of charges 49% of charges 3278 2786.3 Percent of charges 85% of charges 3278 2524.06 Percent of charges 77% of charges 3278 2130.7 Percent of charges 65% of charges 3278 2556.84 Percent of charges 78% of charges 3278 1573.44 Percent of charges 48% of charges 3278 3278 "COLECTOMY,PART;W ANASTOMO-PRO" 44140 CPT 44140P LOCAL 26 inpatient 4107 4107 4107 2998.11 Percent of total billed charges 73% of charges 4107 2505.27 Percent of total billed charges 61% of chages 4107 2382.06 Percent of charges 58% of charges 4107 2012.43 Percent of charges 49% of charges 4107 3490.95 Percent of charges 85% of charges 4107 3162.39 Percent of charges 77% of charges 4107 2669.55 Percent of charges 65% of charges 4107 3203.46 Percent of charges 78% of charges 4107 1971.36 Percent of charges 48% of charges 4107 4107 Collar Stifneck Cervical 3700463 LOCAL both 66 66 66 48.18 Percent of total billed charges 73% of charges 66 40.26 Percent of total billed charges 61% of chages 66 38.28 Percent of charges 58% of charges 66 32.34 Percent of charges 49% of charges 66 56.1 Percent of charges 85% of charges 66 50.82 Percent of charges 77% of charges 66 42.9 Percent of charges 65% of charges 66 51.48 Percent of charges 78% of charges 66 31.68 Percent of charges 48% of charges 66 66 COLLECT ONLY DRUG SCREEN 5500014 LOCAL both 23 23 23 16.79 Percent of total billed charges 73% of charges 23 14.03 Percent of total billed charges 61% of chages 23 13.34 Percent of charges 58% of charges 23 11.27 Percent of charges 49% of charges 23 19.55 Percent of charges 85% of charges 23 17.71 Percent of charges 77% of charges 23 14.95 Percent of charges 65% of charges 23 17.94 Percent of charges 78% of charges 23 11.04 Percent of charges 48% of charges 23 23 COLLECT VEN BLD-VENIPUNCT-TOT 36415 CPT 36415 LOCAL both 29 29 29 21.17 Percent of total billed charges 73% of charges 29 17.69 Percent of total billed charges 61% of chages 29 16.82 Percent of charges 58% of charges 29 14.21 Percent of charges 49% of charges 29 24.65 Percent of charges 85% of charges 29 22.33 Percent of charges 77% of charges 29 18.85 Percent of charges 65% of charges 29 22.62 Percent of charges 78% of charges 29 13.92 Percent of charges 48% of charges 29 29 "COLNOSCPY, W DIL BY BALLN-PRO" 45386 CPT 45386P LOCAL 26 outpatient 413 413 413 301.49 Percent of total billed charges 73% of charges 413 251.93 Percent of total billed charges 61% of chages 413 239.54 Percent of charges 58% of charges 413 202.37 Percent of charges 49% of charges 413 351.05 Percent of charges 85% of charges 413 318.01 Percent of charges 77% of charges 413 268.45 Percent of charges 65% of charges 413 322.14 Percent of charges 78% of charges 413 198.24 Percent of charges 48% of charges 413 413 "COLNOSCPY,FX W REM LES SN-PRO" 45385 CPT 45385P LOCAL 26 outpatient 1350 1350 1350 985.5 Percent of total billed charges 73% of charges 1350 823.5 Percent of total billed charges 61% of chages 1350 783 Percent of charges 58% of charges 1350 661.5 Percent of charges 49% of charges 1350 1147.5 Percent of charges 85% of charges 1350 1039.5 Percent of charges 77% of charges 1350 877.5 Percent of charges 65% of charges 1350 1053 Percent of charges 78% of charges 1350 648 Percent of charges 48% of charges 1350 1350 COLONOSCOPE SUBMUCOUS INJ-PRO 45381 CPT 45381P LOCAL 26 outpatient 390 390 390 284.7 Percent of total billed charges 73% of charges 390 237.9 Percent of total billed charges 61% of chages 390 226.2 Percent of charges 58% of charges 390 191.1 Percent of charges 49% of charges 390 331.5 Percent of charges 85% of charges 390 300.3 Percent of charges 77% of charges 390 253.5 Percent of charges 65% of charges 390 304.2 Percent of charges 78% of charges 390 187.2 Percent of charges 48% of charges 390 390 COLONOSCOPY 3800802 LOCAL both 2758 2758 2758 2013.34 Percent of total billed charges 73% of charges 2758 1682.38 Percent of total billed charges 61% of chages 2758 1599.64 Percent of charges 58% of charges 2758 1351.42 Percent of charges 49% of charges 2758 2344.3 Percent of charges 85% of charges 2758 2123.66 Percent of charges 77% of charges 2758 1792.7 Percent of charges 65% of charges 2758 2151.24 Percent of charges 78% of charges 2758 1323.84 Percent of charges 48% of charges 2758 2758 COLONOSCOPY THRU STOMA;DX-PRO 44388 CPT 44388P LOCAL 26 outpatient 306 306 306 223.38 Percent of total billed charges 73% of charges 306 186.66 Percent of total billed charges 61% of chages 306 177.48 Percent of charges 58% of charges 306 149.94 Percent of charges 49% of charges 306 260.1 Percent of charges 85% of charges 306 235.62 Percent of charges 77% of charges 306 198.9 Percent of charges 65% of charges 306 238.68 Percent of charges 78% of charges 306 146.88 Percent of charges 48% of charges 306 306 COLONOSCOPY W/MUL INTERVENTION 3800812 LOCAL both 3972 3972 3972 2899.56 Percent of total billed charges 73% of charges 3972 2422.92 Percent of total billed charges 61% of chages 3972 2303.76 Percent of charges 58% of charges 3972 1946.28 Percent of charges 49% of charges 3972 3376.2 Percent of charges 85% of charges 3972 3058.44 Percent of charges 77% of charges 3972 2581.8 Percent of charges 65% of charges 3972 3098.16 Percent of charges 78% of charges 3972 1906.56 Percent of charges 48% of charges 3972 3972 COLONOSCOPY W/SGL INTERVENTION 3800811 LOCAL both 3310 3310 3310 2416.3 Percent of total billed charges 73% of charges 3310 2019.1 Percent of total billed charges 61% of chages 3310 1919.8 Percent of charges 58% of charges 3310 1621.9 Percent of charges 49% of charges 3310 2813.5 Percent of charges 85% of charges 3310 2548.7 Percent of charges 77% of charges 3310 2151.5 Percent of charges 65% of charges 3310 2581.8 Percent of charges 78% of charges 3310 1588.8 Percent of charges 48% of charges 3310 3310 "COLONOSCOPY,FLEX;DX-PRO" 45378 CPT 45378P LOCAL 26 outpatient 1009 1009 1009 736.57 Percent of total billed charges 73% of charges 1009 615.49 Percent of total billed charges 61% of chages 1009 585.22 Percent of charges 58% of charges 1009 494.41 Percent of charges 49% of charges 1009 857.65 Percent of charges 85% of charges 1009 776.93 Percent of charges 77% of charges 1009 655.85 Percent of charges 65% of charges 1009 787.02 Percent of charges 78% of charges 1009 484.32 Percent of charges 48% of charges 1009 1009 "COLONOSCOPY,FLX W BX;S/ML-PRO" 45380 CPT 45380P LOCAL 26 outpatient 1285 1285 1285 938.05 Percent of total billed charges 73% of charges 1285 783.85 Percent of total billed charges 61% of chages 1285 745.3 Percent of charges 58% of charges 1285 629.65 Percent of charges 49% of charges 1285 1092.25 Percent of charges 85% of charges 1285 989.45 Percent of charges 77% of charges 1285 835.25 Percent of charges 65% of charges 1285 1002.3 Percent of charges 78% of charges 1285 616.8 Percent of charges 48% of charges 1285 1285 "COLONOSCPY, FLX W REM LES -PRO" 45384 CPT 45384P LOCAL 26 outpatient 447 447 447 326.31 Percent of total billed charges 73% of charges 447 272.67 Percent of total billed charges 61% of chages 447 259.26 Percent of charges 58% of charges 447 219.03 Percent of charges 49% of charges 447 379.95 Percent of charges 85% of charges 447 344.19 Percent of charges 77% of charges 447 290.55 Percent of charges 65% of charges 447 348.66 Percent of charges 78% of charges 447 214.56 Percent of charges 48% of charges 447 447 COLONSCOPY THRU STOMA-PRO 44389 CPT 44389P LOCAL 26 outpatient 337 337 337 246.01 Percent of total billed charges 73% of charges 337 205.57 Percent of total billed charges 61% of chages 337 195.46 Percent of charges 58% of charges 337 165.13 Percent of charges 49% of charges 337 286.45 Percent of charges 85% of charges 337 259.49 Percent of charges 77% of charges 337 219.05 Percent of charges 65% of charges 337 262.86 Percent of charges 78% of charges 337 161.76 Percent of charges 48% of charges 337 337 COLONSCPY W/BAND LIG-PRO 45398 CPT 45398P LOCAL 26 outpatient 461 461 461 336.53 Percent of total billed charges 73% of charges 461 281.21 Percent of total billed charges 61% of chages 461 267.38 Percent of charges 58% of charges 461 225.89 Percent of charges 49% of charges 461 391.85 Percent of charges 85% of charges 461 354.97 Percent of charges 77% of charges 461 299.65 Percent of charges 65% of charges 461 359.58 Percent of charges 78% of charges 461 221.28 Percent of charges 48% of charges 461 461 "COLONSCPY, FLX, W/ABL PLP-PRO" 45388 CPT 45388P LOCAL 26 outpatient 529 529 529 386.17 Percent of total billed charges 73% of charges 529 322.69 Percent of total billed charges 61% of chages 529 306.82 Percent of charges 58% of charges 529 259.21 Percent of charges 49% of charges 529 449.65 Percent of charges 85% of charges 529 407.33 Percent of charges 77% of charges 529 343.85 Percent of charges 65% of charges 529 412.62 Percent of charges 78% of charges 529 253.92 Percent of charges 48% of charges 529 529 COLP CERVIX W BX&CUR-TOT 57454 CPT 57454 LOCAL outpatient 782 782 782 570.86 Percent of total billed charges 73% of charges 782 477.02 Percent of total billed charges 61% of chages 782 453.56 Percent of charges 58% of charges 782 383.18 Percent of charges 49% of charges 782 664.7 Percent of charges 85% of charges 782 602.14 Percent of charges 77% of charges 782 508.3 Percent of charges 65% of charges 782 609.96 Percent of charges 78% of charges 782 375.36 Percent of charges 48% of charges 782 782 Colp cx w bx & curettage-FAC 57454 CPT 57454F LOCAL TC outpatient 519 519 519 378.87 Percent of total billed charges 73% of charges 519 316.59 Percent of total billed charges 61% of chages 519 301.02 Percent of charges 58% of charges 519 254.31 Percent of charges 49% of charges 519 441.15 Percent of charges 85% of charges 519 399.63 Percent of charges 77% of charges 519 337.35 Percent of charges 65% of charges 519 404.82 Percent of charges 78% of charges 519 249.12 Percent of charges 48% of charges 519 519 COLPOCLEISIS(LE FORT TYPE)-PRO 57120 CPT 57120P LOCAL 26 outpatient 1015 1015 1015 740.95 Percent of total billed charges 73% of charges 1015 619.15 Percent of total billed charges 61% of chages 1015 588.7 Percent of charges 58% of charges 1015 497.35 Percent of charges 49% of charges 1015 862.75 Percent of charges 85% of charges 1015 781.55 Percent of charges 77% of charges 1015 659.75 Percent of charges 65% of charges 1015 791.7 Percent of charges 78% of charges 1015 487.2 Percent of charges 48% of charges 1015 1015 "COLPORRHPHY,SUT INJ, NONOB-PRO" 57200 CPT 57200P LOCAL 26 outpatient 611 611 611 446.03 Percent of total billed charges 73% of charges 611 372.71 Percent of total billed charges 61% of chages 611 354.38 Percent of charges 58% of charges 611 299.39 Percent of charges 49% of charges 611 519.35 Percent of charges 85% of charges 611 470.47 Percent of charges 77% of charges 611 397.15 Percent of charges 65% of charges 611 476.58 Percent of charges 78% of charges 611 293.28 Percent of charges 48% of charges 611 611 COLPOSCOPY CERVIX W/BX - PRO 57455 CPT 57455P LOCAL 26 outpatient 216 216 216 157.68 Percent of total billed charges 73% of charges 216 131.76 Percent of total billed charges 61% of chages 216 125.28 Percent of charges 58% of charges 216 105.84 Percent of charges 49% of charges 216 183.6 Percent of charges 85% of charges 216 166.32 Percent of charges 77% of charges 216 140.4 Percent of charges 65% of charges 216 168.48 Percent of charges 78% of charges 216 103.68 Percent of charges 48% of charges 216 216 COLPOSCOPY CERVIX W/ECC - PRO 57456 CPT 57456P LOCAL 26 outpatient 201 201 201 146.73 Percent of total billed charges 73% of charges 201 122.61 Percent of total billed charges 61% of chages 201 116.58 Percent of charges 58% of charges 201 98.49 Percent of charges 49% of charges 201 170.85 Percent of charges 85% of charges 201 154.77 Percent of charges 77% of charges 201 130.65 Percent of charges 65% of charges 201 156.78 Percent of charges 78% of charges 201 96.48 Percent of charges 48% of charges 201 201 COLPOSCOPY CERVIX W/ECC-FAC 57456 CPT 57456F LOCAL TC outpatient 519 519 519 378.87 Percent of total billed charges 73% of charges 519 316.59 Percent of total billed charges 61% of chages 519 301.02 Percent of charges 58% of charges 519 254.31 Percent of charges 49% of charges 519 441.15 Percent of charges 85% of charges 519 399.63 Percent of charges 77% of charges 519 337.35 Percent of charges 65% of charges 519 404.82 Percent of charges 78% of charges 519 249.12 Percent of charges 48% of charges 519 519 COLPOSCOPY CERVIX W/ECC-TOT 57456 CPT 57456 LOCAL outpatient 720 720 720 525.6 Percent of total billed charges 73% of charges 720 439.2 Percent of total billed charges 61% of chages 720 417.6 Percent of charges 58% of charges 720 352.8 Percent of charges 49% of charges 720 612 Percent of charges 85% of charges 720 554.4 Percent of charges 77% of charges 720 468 Percent of charges 65% of charges 720 561.6 Percent of charges 78% of charges 720 345.6 Percent of charges 48% of charges 720 720 COLPOSCOPY CX W/BX &CUR- PRO 57454 CPT 57454P LOCAL 26 outpatient 263 263 263 191.99 Percent of total billed charges 73% of charges 263 160.43 Percent of total billed charges 61% of chages 263 152.54 Percent of charges 58% of charges 263 128.87 Percent of charges 49% of charges 263 223.55 Percent of charges 85% of charges 263 202.51 Percent of charges 77% of charges 263 170.95 Percent of charges 65% of charges 263 205.14 Percent of charges 78% of charges 263 126.24 Percent of charges 48% of charges 263 263 COLPOSCOPY CX W/LOOP BX-PRO 57460 CPT 57460P LOCAL 26 outpatient 315 315 315 229.95 Percent of total billed charges 73% of charges 315 192.15 Percent of total billed charges 61% of chages 315 182.7 Percent of charges 58% of charges 315 154.35 Percent of charges 49% of charges 315 267.75 Percent of charges 85% of charges 315 242.55 Percent of charges 77% of charges 315 204.75 Percent of charges 65% of charges 315 245.7 Percent of charges 78% of charges 315 151.2 Percent of charges 48% of charges 315 315 COLPOSCOPY ENT VAG W/CERV-FAC 57420 CPT 57420F LOCAL TC outpatient 535 535 535 390.55 Percent of total billed charges 73% of charges 535 326.35 Percent of total billed charges 61% of chages 535 310.3 Percent of charges 58% of charges 535 262.15 Percent of charges 49% of charges 535 454.75 Percent of charges 85% of charges 535 411.95 Percent of charges 77% of charges 535 347.75 Percent of charges 65% of charges 535 417.3 Percent of charges 78% of charges 535 256.8 Percent of charges 48% of charges 535 535 COLPOSCOPY ENT VAG W/CERV-PRO 57420 CPT 57420P LOCAL 26 outpatient 177 177 177 129.21 Percent of total billed charges 73% of charges 177 107.97 Percent of total billed charges 61% of chages 177 102.66 Percent of charges 58% of charges 177 86.73 Percent of charges 49% of charges 177 150.45 Percent of charges 85% of charges 177 136.29 Percent of charges 77% of charges 177 115.05 Percent of charges 65% of charges 177 138.06 Percent of charges 78% of charges 177 84.96 Percent of charges 48% of charges 177 177 COLPOSCOPY ENT VAG W/CERV-TOT 57420 CPT 57420 LOCAL outpatient 712 712 712 519.76 Percent of total billed charges 73% of charges 712 434.32 Percent of total billed charges 61% of chages 712 412.96 Percent of charges 58% of charges 712 348.88 Percent of charges 49% of charges 712 605.2 Percent of charges 85% of charges 712 548.24 Percent of charges 77% of charges 712 462.8 Percent of charges 65% of charges 712 555.36 Percent of charges 78% of charges 712 341.76 Percent of charges 48% of charges 712 712 COLPOSCOPY OF CERVIX - PRO 57452 CPT 57452P LOCAL 26 outpatient 178 178 178 129.94 Percent of total billed charges 73% of charges 178 108.58 Percent of total billed charges 61% of chages 178 103.24 Percent of charges 58% of charges 178 87.22 Percent of charges 49% of charges 178 151.3 Percent of charges 85% of charges 178 137.06 Percent of charges 77% of charges 178 115.7 Percent of charges 65% of charges 178 138.84 Percent of charges 78% of charges 178 85.44 Percent of charges 48% of charges 178 178 COLPOSCOPY OF CERVIX-FAC 57452 CPT 57452F LOCAL TC outpatient 318 318 318 232.14 Percent of total billed charges 73% of charges 318 193.98 Percent of total billed charges 61% of chages 318 184.44 Percent of charges 58% of charges 318 155.82 Percent of charges 49% of charges 318 270.3 Percent of charges 85% of charges 318 244.86 Percent of charges 77% of charges 318 206.7 Percent of charges 65% of charges 318 248.04 Percent of charges 78% of charges 318 152.64 Percent of charges 48% of charges 318 318 COLPOSCOPY OF CERVIX-TOT 57452 CPT 57452 LOCAL outpatient 496 496 496 362.08 Percent of total billed charges 73% of charges 496 302.56 Percent of total billed charges 61% of chages 496 287.68 Percent of charges 58% of charges 496 243.04 Percent of charges 49% of charges 496 421.6 Percent of charges 85% of charges 496 381.92 Percent of charges 77% of charges 496 322.4 Percent of charges 65% of charges 496 386.88 Percent of charges 78% of charges 496 238.08 Percent of charges 48% of charges 496 496 COLPOSCOPY-VULVA - PRO 56820 CPT 56820P LOCAL 26 outpatient 168 168 168 122.64 Percent of total billed charges 73% of charges 168 102.48 Percent of total billed charges 61% of chages 168 97.44 Percent of charges 58% of charges 168 82.32 Percent of charges 49% of charges 168 142.8 Percent of charges 85% of charges 168 129.36 Percent of charges 77% of charges 168 109.2 Percent of charges 65% of charges 168 131.04 Percent of charges 78% of charges 168 80.64 Percent of charges 48% of charges 168 168 COLPOSCOPY-VULVA-FAC 56820 CPT 56820F LOCAL TC outpatient 322 322 322 235.06 Percent of total billed charges 73% of charges 322 196.42 Percent of total billed charges 61% of chages 322 186.76 Percent of charges 58% of charges 322 157.78 Percent of charges 49% of charges 322 273.7 Percent of charges 85% of charges 322 247.94 Percent of charges 77% of charges 322 209.3 Percent of charges 65% of charges 322 251.16 Percent of charges 78% of charges 322 154.56 Percent of charges 48% of charges 322 322 COLPOSCOPY-VULVA-TOT 56820 CPT 56820 LOCAL outpatient 490 490 490 357.7 Percent of total billed charges 73% of charges 490 298.9 Percent of total billed charges 61% of chages 490 284.2 Percent of charges 58% of charges 490 240.1 Percent of charges 49% of charges 490 416.5 Percent of charges 85% of charges 490 377.3 Percent of charges 77% of charges 490 318.5 Percent of charges 65% of charges 490 382.2 Percent of charges 78% of charges 490 235.2 Percent of charges 48% of charges 490 490 COLPOTOMY; WITH EXPLOR-PRO 57000 CPT 57000P LOCAL 26 outpatient 382 382 382 278.86 Percent of total billed charges 73% of charges 382 233.02 Percent of total billed charges 61% of chages 382 221.56 Percent of charges 58% of charges 382 187.18 Percent of charges 49% of charges 382 324.7 Percent of charges 85% of charges 382 294.14 Percent of charges 77% of charges 382 248.3 Percent of charges 65% of charges 382 297.96 Percent of charges 78% of charges 382 183.36 Percent of charges 48% of charges 382 382 COMB ANT/POST COLPORRHAPHY-PRO 57260 CPT 57260P LOCAL 26 outpatient 1513 1513 1513 1104.49 Percent of total billed charges 73% of charges 1513 922.93 Percent of total billed charges 61% of chages 1513 877.54 Percent of charges 58% of charges 1513 741.37 Percent of charges 49% of charges 1513 1286.05 Percent of charges 85% of charges 1513 1165.01 Percent of charges 77% of charges 1513 983.45 Percent of charges 65% of charges 1513 1180.14 Percent of charges 78% of charges 1513 726.24 Percent of charges 48% of charges 1513 1513 COMP METABOLIC PANEL 80053 CPT 4300053 LOCAL both 175 175 175 127.75 Percent of total billed charges 73% of charges 175 106.75 Percent of total billed charges 61% of chages 175 101.5 Percent of charges 58% of charges 175 85.75 Percent of charges 49% of charges 175 148.75 Percent of charges 85% of charges 175 134.75 Percent of charges 77% of charges 175 113.75 Percent of charges 65% of charges 175 136.5 Percent of charges 78% of charges 175 84 Percent of charges 48% of charges 175 175 COMP URINE DRUG SCR-DOT 5500015 LOCAL both 33 33 33 24.09 Percent of total billed charges 73% of charges 33 20.13 Percent of total billed charges 61% of chages 33 19.14 Percent of charges 58% of charges 33 16.17 Percent of charges 49% of charges 33 28.05 Percent of charges 85% of charges 33 25.41 Percent of charges 77% of charges 33 21.45 Percent of charges 65% of charges 33 25.74 Percent of charges 78% of charges 33 15.84 Percent of charges 48% of charges 33 33 COMPLEMENT C1Q 86161 CPT 4300991 LOCAL both 161 161 161 117.53 Percent of total billed charges 73% of charges 161 98.21 Percent of total billed charges 61% of chages 161 93.38 Percent of charges 58% of charges 161 78.89 Percent of charges 49% of charges 161 136.85 Percent of charges 85% of charges 161 123.97 Percent of charges 77% of charges 161 104.65 Percent of charges 65% of charges 161 125.58 Percent of charges 78% of charges 161 77.28 Percent of charges 48% of charges 161 161 COMPLEMENT CH50 86162 CPT 4306162 LOCAL both 108 108 108 78.84 Percent of total billed charges 73% of charges 108 65.88 Percent of total billed charges 61% of chages 108 62.64 Percent of charges 58% of charges 108 52.92 Percent of charges 49% of charges 108 91.8 Percent of charges 85% of charges 108 83.16 Percent of charges 77% of charges 108 70.2 Percent of charges 65% of charges 108 84.24 Percent of charges 78% of charges 108 51.84 Percent of charges 48% of charges 108 108 CONCENTRATE INFECT AG EA 87015 CPT 4307015 LOCAL both 47 47 47 34.31 Percent of total billed charges 73% of charges 47 28.67 Percent of total billed charges 61% of chages 47 27.26 Percent of charges 58% of charges 47 23.03 Percent of charges 49% of charges 47 39.95 Percent of charges 85% of charges 47 36.19 Percent of charges 77% of charges 47 30.55 Percent of charges 65% of charges 47 36.66 Percent of charges 78% of charges 47 22.56 Percent of charges 48% of charges 47 47 CONNECTOR Y UROGATE 3804805 LOCAL both 27 27 27 19.71 Percent of total billed charges 73% of charges 27 16.47 Percent of total billed charges 61% of chages 27 15.66 Percent of charges 58% of charges 27 13.23 Percent of charges 49% of charges 27 22.95 Percent of charges 85% of charges 27 20.79 Percent of charges 77% of charges 27 17.55 Percent of charges 65% of charges 27 21.06 Percent of charges 78% of charges 27 12.96 Percent of charges 48% of charges 27 27 "CONS SED,<5Y,1ST 15 MIN" 99151 CPT 99151F LOCAL outpatient 232 232 232 169.36 Percent of total billed charges 73% of charges 232 141.52 Percent of total billed charges 61% of chages 232 134.56 Percent of charges 58% of charges 232 113.68 Percent of charges 49% of charges 232 197.2 Percent of charges 85% of charges 232 178.64 Percent of charges 77% of charges 232 150.8 Percent of charges 65% of charges 232 180.96 Percent of charges 78% of charges 232 111.36 Percent of charges 48% of charges 232 232 "CONS SED,5Y+,1ST 15 MIN-FAC" 99152 CPT 99152F LOCAL TC outpatient 249 249 249 181.77 Percent of total billed charges 73% of charges 249 151.89 Percent of total billed charges 61% of chages 249 144.42 Percent of charges 58% of charges 249 122.01 Percent of charges 49% of charges 249 211.65 Percent of charges 85% of charges 249 191.73 Percent of charges 77% of charges 249 161.85 Percent of charges 65% of charges 249 194.22 Percent of charges 78% of charges 249 119.52 Percent of charges 48% of charges 249 249 "CONS SED,5Y+,1ST 15 MIN-PRO" 99152 CPT 99152P LOCAL 26 outpatient 24 24 24 17.52 Percent of total billed charges 73% of charges 24 14.64 Percent of total billed charges 61% of chages 24 13.92 Percent of charges 58% of charges 24 11.76 Percent of charges 49% of charges 24 20.4 Percent of charges 85% of charges 24 18.48 Percent of charges 77% of charges 24 15.6 Percent of charges 65% of charges 24 18.72 Percent of charges 78% of charges 24 11.52 Percent of charges 48% of charges 24 24 "CONS SED,5Y+,1ST 15 MIN-TOT" 99152 CPT 99152T LOCAL outpatient 273 273 273 199.29 Percent of total billed charges 73% of charges 273 166.53 Percent of total billed charges 61% of chages 273 158.34 Percent of charges 58% of charges 273 133.77 Percent of charges 49% of charges 273 232.05 Percent of charges 85% of charges 273 210.21 Percent of charges 77% of charges 273 177.45 Percent of charges 65% of charges 273 212.94 Percent of charges 78% of charges 273 131.04 Percent of charges 48% of charges 273 273 "CONS SED,EA ADDL 15 MIN-FAC" 99153 CPT 99153F LOCAL TC outpatient 103 103 103 75.19 Percent of total billed charges 73% of charges 103 62.83 Percent of total billed charges 61% of chages 103 59.74 Percent of charges 58% of charges 103 50.47 Percent of charges 49% of charges 103 87.55 Percent of charges 85% of charges 103 79.31 Percent of charges 77% of charges 103 66.95 Percent of charges 65% of charges 103 80.34 Percent of charges 78% of charges 103 49.44 Percent of charges 48% of charges 103 103 "CONS SED,EA ADDL 15 MIN-PRO" 99153 CPT 99153P LOCAL 26 outpatient 20 20 20 14.6 Percent of total billed charges 73% of charges 20 12.2 Percent of total billed charges 61% of chages 20 11.6 Percent of charges 58% of charges 20 9.8 Percent of charges 49% of charges 20 17 Percent of charges 85% of charges 20 15.4 Percent of charges 77% of charges 20 13 Percent of charges 65% of charges 20 15.6 Percent of charges 78% of charges 20 9.6 Percent of charges 48% of charges 20 20 "CONS SED,EA ADDL 15 MIN-TOT" 99153 CPT 99153T LOCAL outpatient 123 123 123 89.79 Percent of total billed charges 73% of charges 123 75.03 Percent of total billed charges 61% of chages 123 71.34 Percent of charges 58% of charges 123 60.27 Percent of charges 49% of charges 123 104.55 Percent of charges 85% of charges 123 94.71 Percent of charges 77% of charges 123 79.95 Percent of charges 65% of charges 123 95.94 Percent of charges 78% of charges 123 59.04 Percent of charges 48% of charges 123 123 CONT AEROSOL EA SUBSQ HR 94645 CPT 5004645 LOCAL outpatient 220 220 220 160.6 Percent of total billed charges 73% of charges 220 134.2 Percent of total billed charges 61% of chages 220 127.6 Percent of charges 58% of charges 220 107.8 Percent of charges 49% of charges 220 187 Percent of charges 85% of charges 220 169.4 Percent of charges 77% of charges 220 143 Percent of charges 65% of charges 220 171.6 Percent of charges 78% of charges 220 105.6 Percent of charges 48% of charges 220 220 CONT AEROSOL INIT HR 94644 CPT 5004644 LOCAL outpatient 250 250 250 182.5 Percent of total billed charges 73% of charges 250 152.5 Percent of total billed charges 61% of chages 250 145 Percent of charges 58% of charges 250 122.5 Percent of charges 49% of charges 250 212.5 Percent of charges 85% of charges 250 192.5 Percent of charges 77% of charges 250 162.5 Percent of charges 65% of charges 250 195 Percent of charges 78% of charges 250 120 Percent of charges 48% of charges 250 250 CONT VENT SUBSEQUENT DAYS 94003 CPT 5000266 LOCAL outpatient 1262 1262 1262 921.26 Percent of total billed charges 73% of charges 1262 769.82 Percent of total billed charges 61% of chages 1262 731.96 Percent of charges 58% of charges 1262 618.38 Percent of charges 49% of charges 1262 1072.7 Percent of charges 85% of charges 1262 971.74 Percent of charges 77% of charges 1262 820.3 Percent of charges 65% of charges 1262 984.36 Percent of charges 78% of charges 1262 605.76 Percent of charges 48% of charges 1262 1262 CONTAINER TRANS SPEC 3801495 LOCAL both 113 113 113 82.49 Percent of total billed charges 73% of charges 113 68.93 Percent of total billed charges 61% of chages 113 65.54 Percent of charges 58% of charges 113 55.37 Percent of charges 49% of charges 113 96.05 Percent of charges 85% of charges 113 87.01 Percent of charges 77% of charges 113 73.45 Percent of charges 65% of charges 113 88.14 Percent of charges 78% of charges 113 54.24 Percent of charges 48% of charges 113 113 CONTINUOUS VENT 1ST DAY 94002 CPT 5000221 LOCAL outpatient 1495 1495 1495 1091.35 Percent of total billed charges 73% of charges 1495 911.95 Percent of total billed charges 61% of chages 1495 867.1 Percent of charges 58% of charges 1495 732.55 Percent of charges 49% of charges 1495 1270.75 Percent of charges 85% of charges 1495 1151.15 Percent of charges 77% of charges 1495 971.75 Percent of charges 65% of charges 1495 1166.1 Percent of charges 78% of charges 1495 717.6 Percent of charges 48% of charges 1495 1495 "CONTR INJ EXIST G,D,J,G-J, TB" 49465 CPT 4609465 LOCAL outpatient 455 455 455 332.15 Percent of total billed charges 73% of charges 455 277.55 Percent of total billed charges 61% of chages 455 263.9 Percent of charges 58% of charges 455 222.95 Percent of charges 49% of charges 455 386.75 Percent of charges 85% of charges 455 350.35 Percent of charges 77% of charges 455 295.75 Percent of charges 65% of charges 455 354.9 Percent of charges 78% of charges 455 218.4 Percent of charges 48% of charges 455 455 CONTRAST EXAM ABD AORTA-FAC 75625 CPT 75625F LOCAL TC outpatient 5313 5313 5313 3878.49 Percent of total billed charges 73% of charges 5313 3240.93 Percent of total billed charges 61% of chages 5313 3081.54 Percent of charges 58% of charges 5313 2603.37 Percent of charges 49% of charges 5313 4516.05 Percent of charges 85% of charges 5313 4091.01 Percent of charges 77% of charges 5313 3453.45 Percent of charges 65% of charges 5313 4144.14 Percent of charges 78% of charges 5313 2550.24 Percent of charges 48% of charges 5313 5313 CONTRAST EXAM ABD AORTA-PRO 75625 CPT 75625P LOCAL 26 outpatient 129 129 129 94.17 Percent of total billed charges 73% of charges 129 78.69 Percent of total billed charges 61% of chages 129 74.82 Percent of charges 58% of charges 129 63.21 Percent of charges 49% of charges 129 109.65 Percent of charges 85% of charges 129 99.33 Percent of charges 77% of charges 129 83.85 Percent of charges 65% of charges 129 100.62 Percent of charges 78% of charges 129 61.92 Percent of charges 48% of charges 129 129 CONV PREVIOUS HIP SURGERY-PRO 27132 CPT 27132P LOCAL 26 inpatient 3258 3258 3258 2378.34 Percent of total billed charges 73% of charges 3258 1987.38 Percent of total billed charges 61% of chages 3258 1889.64 Percent of charges 58% of charges 3258 1596.42 Percent of charges 49% of charges 3258 2