|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Solution 1 Ml Vial
|
16
|
8
|
$48,367.38
|
—
|
$3,090.93
|
$47,400.03
|
$23,820.93
|
2024-07-01
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10ml Solution 10 Ml Vial
|
16
|
8
|
$33,150.00
|
—
|
$49.47
|
$32,487.00
|
$16,243.50
|
2024-07-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
1
|
1
|
—
|
—
|
$10,200.00
|
$10,200.00
|
$10,200.00
|
2024-07-01
|
|
J9119
|
HCPCS
|
Cemiplimab-rwlc 350 Mg/7ml Solution 7 Ml Vial
|
16
|
8
|
$19,219.32
|
—
|
$23.75
|
$18,834.93
|
$9,465.51
|
2024-07-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
2
|
2
|
—
|
—
|
$5,356.00
|
$10,200.00
|
$7,778.00
|
2024-07-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$5,356.00
|
$10,200.00
|
$7,778.00
|
2024-07-01
|
|
96377
|
HCPCS
|
Application Of On-body Injector For Under Skin Injection
|
20
|
20
|
$13,355.00
|
$10,817.55
|
$4,566.07
|
$13,355.00
|
$7,381.98
|
2026-08-04
|
|
96377
|
CPT
|
Appl On-body Injector For Timed Subq Injection
|
16
|
8
|
$13,093.00
|
—
|
$41.50
|
$12,831.14
|
$6,448.30
|
2024-07-01
|
|
J2506
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6ml Prefilled Syringe Kit 0.6 Ml Syringe
|
31
|
8
|
$13,092.70
|
—
|
$46.46
|
$12,830.85
|
$6,415.42
|
2024-07-01
|
|
Q4180
|
HCPCS
|
Revita Placental Membrane 2x3cm 6sqcm
|
95
|
27
|
$9,896.00
|
$8,015.76
|
$1,027.70
|
$19,396.16
|
$6,009.87
|
2026-08-04
|
|
868
|
OTHER
|
Anesth Kidney Transplant
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
834
|
OTHER
|
Anesth Hernia Repair < 1 Yr
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
870
|
OTHER
|
Anesth Bladder Stone Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
756
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
632
|
OTHER
|
Anesth Removal Of Nerves
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
770
|
OTHER
|
Anesth Blood Vessel Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
872
|
OTHER
|
Anesth Kidney Stone Destruct
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
560
|
OTHER
|
Anesth Heart Surg Without Pump
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
600
|
OTHER
|
Anesth Spine Cord Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
630
|
OTHER
|
Anesth Spine Cord Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
730
|
OTHER
|
Anesth Abdominal Wall Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
754
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
802
|
OTHER
|
Anesth Fat Layer Removal
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
832
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
846
|
OTHER
|
Anesth Hysterectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
866
|
OTHER
|
Anesth Removal Of Adrenal
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
541
|
OTHER
|
Anesth One Lung Ventilation
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
561
|
OTHER
|
Anesth Heart Surg < 1 Yr
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
529
|
OTHER
|
Anesth Chest Partition View
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
472
|
OTHER
|
Anesth Chest Wall Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
530
|
OTHER
|
Anesth Pacemaker Insertion
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
562
|
OTHER
|
Anesth Hrt Surg W/Pmp Age 1+
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
402
|
OTHER
|
Anesth Surgery Of Breast
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
322
|
OTHER
|
Anesth Biopsy Of Thyroid
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
404
|
OTHER
|
Anesth Surgery Of Breast
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
215
|
OTHER
|
Anesth Skull Repair/Fract
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1996
|
OTHER
|
Hosp Manage Cont Drug Admin
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
216
|
OTHER
|
Anesth Head Vessel Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
406
|
OTHER
|
Anesth Surgery Of Breast
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
563
|
OTHER
|
Anesth Heart Surg W/Arrest
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
873
|
OTHER
|
Anesth Kidney Stone Destruct
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1962
|
OTHER
|
Anesth Emer Hysterectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1951
|
OTHER
|
Anesth Burn Less 4 Percent
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1963
|
OTHER
|
Anesth Cs Hysterectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1925
|
OTHER
|
Anes Ther Interven Rad Car
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
190
|
OTHER
|
Anesth Face/Skull Bone Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1926
|
OTHER
|
Anes Tx Interv Rad Hrt/Cran
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1965
|
OTHER
|
Anesth Inc/Missed Ab Proc
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1820
|
OTHER
|
Anesth Lower Arm Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1780
|
OTHER
|
Anesth Upper Arm Vein Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1844
|
OTHER
|
Anesth Vascular Shunt Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1860
|
OTHER
|
Anesth Lower Arm Casting
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1920
|
OTHER
|
Anesth Catheterize Heart
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1924
|
OTHER
|
Anes Ther Interven Rad Art
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1932
|
OTHER
|
Anes Tx Interv Rad Th Vein
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1936
|
OTHER
|
Anesth Perc Img Tx Sp Proc
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1958
|
OTHER
|
Anesth Antepartum Manipul
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1961
|
OTHER
|
Anesth Cs Delivery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1969
|
OTHER
|
Anesth/Analg Cs Hyst Add-on
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1992
|
OTHER
|
Anesth N Block/Inj Prone
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
211
|
OTHER
|
Anesth Cran Surg Hemotoma
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
214
|
OTHER
|
Anesth Skull Drainage
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
220
|
OTHER
|
Anesth Intrcrn Nerve
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
320
|
OTHER
|
Anesth Neck Organ 1 & Over
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
326
|
OTHER
|
Anesth Larynx/Trach < 1 Yr
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
400
|
OTHER
|
Anesth Skin Ext/per/Atrunk
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
452
|
OTHER
|
Anesth Surgery Of Shoulder
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
470
|
OTHER
|
Anesth Removal Of Rib
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
520
|
OTHER
|
Anesth Chest Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
528
|
OTHER
|
Anesth Chest Partition View
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
534
|
OTHER
|
Anesth Cardioverter/Defib
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
540
|
OTHER
|
Anesth Chest Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
546
|
OTHER
|
Anesth Lung Chest Wall Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
550
|
OTHER
|
Anesth Sternal Debridement
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1829
|
OTHER
|
Anesth Dx Wrist Arthroscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
580
|
OTHER
|
Anesth Heart/Lung Transplnt
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
620
|
OTHER
|
Anesth Spine Cord Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
626
|
OTHER
|
Anes Spine Transthor W/Vent
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
640
|
OTHER
|
Anesth Spine Manipulation
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
702
|
OTHER
|
Anesth For Liver Biopsy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
740
|
OTHER
|
Anesth Upper Gi Visualize
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
752
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
794
|
OTHER
|
Anesth Pancreas Removal
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
800
|
OTHER
|
Anesth Abdominal Wall Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
812
|
OTHER
|
Anes Lower Intestinal Screening Colonoscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
830
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
836
|
OTHER
|
Anesth Hernia Repair Preemie
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
844
|
OTHER
|
Anesth Pelvis Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
860
|
OTHER
|
Anesth Surgery Of Abdomen
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
865
|
OTHER
|
Anesth Removal Of Prostate
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
176
|
OTHER
|
Anesth Pharyngeal Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1744
|
OTHER
|
Anesth Humerus Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1760
|
OTHER
|
Anesth Elbow Replacement
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1830
|
OTHER
|
Anesth Lower Arm Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1730
|
OTHER
|
Anesth Uppr Arm Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1714
|
OTHER
|
Anesth Uppr Arm Tendon Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1732
|
OTHER
|
Anesth Dx Elbow Arthroscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1682
|
OTHER
|
Anesth Airplane Cast
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1656
|
OTHER
|
Anesth Arm-leg Vessel Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
170
|
OTHER
|
Anesth Procedure On Mouth
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
174
|
OTHER
|
Anesth Pharyngeal Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1832
|
OTHER
|
Anesth Wrist Replacement
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1966
|
OTHER
|
Anesth Induced Ab Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1634
|
OTHER
|
Anesth Shoulder Joint Amput
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1620
|
OTHER
|
Anesth Shoulder Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1636
|
OTHER
|
Anesth Forequarter Amput
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
160
|
OTHER
|
Anesth Nose/Sinus Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1520
|
OTHER
|
Anesth Lower Leg Vein Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1610
|
OTHER
|
Anesth Surgery Of Shoulder
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1638
|
OTHER
|
Anesth Shoulder Replacement
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1482
|
OTHER
|
Anesth Radical Leg Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1480
|
OTHER
|
Anesth Lower Leg Bone Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1484
|
OTHER
|
Anesth Lower Leg Revision
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1472
|
OTHER
|
Anesth Achilles Tendon Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1500
|
OTHER
|
Anesth Leg Arteries Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1502
|
OTHER
|
Anesth Lwr Leg Embolectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1522
|
OTHER
|
Anesth Lower Leg Vein Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
147
|
OTHER
|
Anesth Iridectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1474
|
OTHER
|
Anesth Lower Leg Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
162
|
OTHER
|
Anesth Nose/Sinus Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1622
|
OTHER
|
Anes Dx Shoulder Arthroscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1630
|
OTHER
|
Anesth Surgery Of Shoulder
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1652
|
OTHER
|
Anesth Shoulder Vessel Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1654
|
OTHER
|
Anesth Shoulder Vessel Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1670
|
OTHER
|
Anesth Shoulder Vein Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1680
|
OTHER
|
Anesth Shoulder Casting
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1710
|
OTHER
|
Anesth Elbow Area Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1712
|
OTHER
|
Anesth Uppr Arm Tendon Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1716
|
OTHER
|
Anesth Biceps Tendon Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
172
|
OTHER
|
Anesth Cleft Palate Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1740
|
OTHER
|
Anesth Upper Arm Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1742
|
OTHER
|
Anesth Humerus Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1756
|
OTHER
|
Anesth Radical Humerus Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1758
|
OTHER
|
Anesth Humeral Lesion Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1770
|
OTHER
|
Anesth Uppr Arm Artery Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1772
|
OTHER
|
Anesth Uppr Arm Embolectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1782
|
OTHER
|
Anesth Uppr Arm Vein Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1810
|
OTHER
|
Anesth Lower Arm Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1840
|
OTHER
|
Anesth Lwr Arm Artery Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1842
|
OTHER
|
Anesth Lwr Arm Embolectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1850
|
OTHER
|
Anesth Lower Arm Vein Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1852
|
OTHER
|
Anesth Lwr Arm Vein Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1916
|
OTHER
|
Anesth Dx Arteriography
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
192
|
OTHER
|
Anesth Facial Bone Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1486
|
OTHER
|
Anesth Ankle Replacement
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1922
|
OTHER
|
Anesth Cat Or MRI Scan
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1930
|
OTHER
|
Anes Ther Interven Rad Vei
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1931
|
OTHER
|
Anes Ther Interven Rad Tip
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1933
|
OTHER
|
Anes Tx Interv Rad Cran V
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1935
|
OTHER
|
Anesth Perc Img Dx Sp Proc
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1952
|
OTHER
|
Anesth Burn 4-9 Percent
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1953
|
OTHER
|
Anesth Burn Each 9 Percent
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1442
|
OTHER
|
Anesth Knee Artery Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1960
|
OTHER
|
Anesth Vaginal Delivery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1968
|
OTHER
|
Anes/Analg Cs Deliver Add-on
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1432
|
OTHER
|
Anesth Knee Vessel Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1990
|
OTHER
|
Support For Organ Donor
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1991
|
OTHER
|
Anesth Nerve Block/Inj
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1999
|
OTHER
|
Unlisted Anesth Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
210
|
OTHER
|
Anesth Cranial Surg Nos
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
212
|
OTHER
|
Anesth Skull Drainage
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1444
|
OTHER
|
Anesth Knee Artery Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1404
|
OTHER
|
Anesth Amputation At Knee
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
218
|
OTHER
|
Anesth Special Head Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
222
|
OTHER
|
Anesth Head Nerve Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
300
|
OTHER
|
Anesth Head/Neck/Ptrunk
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
140
|
OTHER
|
Anesth Procedures On Eye
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
142
|
OTHER
|
Anesth Lens Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
350
|
OTHER
|
Anesth Neck Vessel Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
352
|
OTHER
|
Anesth Neck Vessel Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
410
|
OTHER
|
Anesth Correct Heart Rhythm
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
450
|
OTHER
|
Anesth Surgery Of Shoulder
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
145
|
OTHER
|
Anesth Vitreoretinal Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
454
|
OTHER
|
Anesth Collar Bone Biopsy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
474
|
OTHER
|
Anesth Surgery Of Rib(S)
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
500
|
OTHER
|
Anesth Esophageal Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
522
|
OTHER
|
Anesth Chest Lining Biopsy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
524
|
OTHER
|
Anesth Chest Drainage
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1490
|
OTHER
|
Anesth Lower Leg Casting
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
532
|
OTHER
|
Anesth Vascular Access
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
537
|
OTHER
|
Anesth Cardiac Electrophys
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
539
|
OTHER
|
Anesth Trach-bronch Reconst
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
542
|
OTHER
|
Anesth Release Of Lung
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
164
|
OTHER
|
Anesth Biopsy Of Nose
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1340
|
OTHER
|
Anesth Knee Area Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
548
|
OTHER
|
Anesth Trachea Bronchi Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1274
|
OTHER
|
Anesth Femoral Embolectomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1360
|
OTHER
|
Anesth Knee Area Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
566
|
OTHER
|
Anesth Cabg Without Pump
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
567
|
OTHER
|
Anesth Cabg W/Pump
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
126
|
OTHER
|
Anesth Tympanotomy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
604
|
OTHER
|
Anesth Sitting Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
622
|
OTHER
|
Anesth Removal Of Nerves
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
625
|
OTHER
|
Anes Spine Tranthor Without Vent
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
634
|
OTHER
|
Anesth For Chemonucleolysis
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
635
|
OTHER
|
Anesth Lumbar Puncture
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
670
|
OTHER
|
Anesth Spine Cord Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
700
|
OTHER
|
Anesth Abdominal Wall Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
731
|
OTHER
|
Anes Upper Gi Endoscopic Px Nos
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
732
|
OTHER
|
Anes Upper Gi Endoscopic Px Ercp
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
750
|
OTHER
|
Anesth Repair Of Hernia
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1234
|
OTHER
|
Anesth Radical Femur Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
790
|
OTHER
|
Anesth Surg Upper Abdomen
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
792
|
OTHER
|
Anesth Hemorr/Excise Liver
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
796
|
OTHER
|
Anesth For Liver Transplant
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
797
|
OTHER
|
Anesth Surgery For Obesity
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
810
|
OTHER
|
Anesth Low Intestine Scope
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
811
|
OTHER
|
Anes Lower Intestinal Endoscopic Px Nos
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
813
|
OTHER
|
Anes Upper/Lower Gi Endoscopic Px
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
820
|
OTHER
|
Anesth Abdominal Wall Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1260
|
OTHER
|
Anesth Upper Leg Veins Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1380
|
OTHER
|
Anesth Knee Joint Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
840
|
OTHER
|
Anesth Surg Lower Abdomen
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
842
|
OTHER
|
Anesth Amniocentesis
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
848
|
OTHER
|
Anesth Pelvic Organ Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
851
|
OTHER
|
Anesth Tubal Ligation
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
862
|
OTHER
|
Anesth Kidney/Ureter Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
864
|
OTHER
|
Anesth Removal Of Bladder
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1214
|
OTHER
|
Anesth Hip Arthroplasty
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1210
|
OTHER
|
Anesth Hip Joint Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1215
|
OTHER
|
Anesth Revise Hip Repair
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1190
|
OTHER
|
Anesth Pelvis Nerve Removal
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1180
|
OTHER
|
Anesth Pelvis Nerve Removal
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
120
|
OTHER
|
Anesth Ear Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1220
|
OTHER
|
Anesth Procedure On Femur
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1382
|
OTHER
|
Anesth Dx Knee Arthroscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1120
|
OTHER
|
Anesth Pelvis Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1140
|
OTHER
|
Anesth Amputation At Pelvis
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
104
|
OTHER
|
Anesth Electroshock
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1112
|
OTHER
|
Anesth Bone Aspirate/Bx
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1150
|
OTHER
|
Anesth Pelvic Tumor Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
100
|
OTHER
|
Anesth Salivary Gland
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
102
|
OTHER
|
Anesth Repair Of Cleft Lip
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1130
|
OTHER
|
Anesth Body Cast Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
103
|
OTHER
|
Anesth Blepharoplasty
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1173
|
OTHER
|
Anesth Fx Repair Pelvis
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1160
|
OTHER
|
Anesth Pelvis Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1170
|
OTHER
|
Anesth Pelvis Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1200
|
OTHER
|
Anesth Hip Joint Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1202
|
OTHER
|
Anesth Arthroscopy Of Hip
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1390
|
OTHER
|
Anesth Knee Area Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1212
|
OTHER
|
Anesth Hip Disarticulation
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1230
|
OTHER
|
Anesth Surgery Of Femur
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1232
|
OTHER
|
Anesth Amputation Of Femur
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
124
|
OTHER
|
Anesth Ear Exam
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1250
|
OTHER
|
Anesth Upper Leg Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1270
|
OTHER
|
Anesth Thigh Arteries Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1272
|
OTHER
|
Anesth Femoral Artery Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1650
|
OTHER
|
Anesth Shoulder Artery Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1320
|
OTHER
|
Anesth Knee Area Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1392
|
OTHER
|
Anesth Knee Area Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1967
|
OTHER
|
Anesth/Analg Vag Delivery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1400
|
OTHER
|
Anesth Knee Joint Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1402
|
OTHER
|
Anesth Knee Arthroplasty
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1420
|
OTHER
|
Anesth Knee Joint Casting
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1430
|
OTHER
|
Anesth Knee Veins Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
144
|
OTHER
|
Anesth Corneal Transplant
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1440
|
OTHER
|
Anesth Knee Arteries Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1462
|
OTHER
|
Anesth Lower Leg Procedure
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1464
|
OTHER
|
Anesth Ankle/Ft Arthroscopy
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
1470
|
OTHER
|
Anesth Lower Leg Surgery
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
880
|
OTHER
|
Anesth Abdomen Vessel Surg
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
148
|
OTHER
|
Anesth Eye Exam
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|
|
882
|
OTHER
|
Anesth Major Vein Ligation
|
9
|
6
|
$36.00
|
—
|
$32.04
|
$5,740.93
|
$5,740.93
|
2024-07-01
|