Chargemaster

Code Price Type Description
0 $0.00 HCPCS / CPT® COURTESY – MEDICARE
1 $0.00 HCPCS / CPT® COURTESY – MEDICAID
2 $0.00 HCPCS / CPT® COURTESY – TRICARE
10101 $0.00 HCPCS / CPT® INTEREST
10021 $759.00 HCPCS / CPT® FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE
10060 $994.92 HCPCS / CPT® INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
10061 $1306.68 HCPCS / CPT® INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE
10080 $574.38 HCPCS / CPT® INCISION & DRAINAGE PILONIDAL CYST SIMPLE
10081 $772.98 HCPCS / CPT® INCISION & DRAINAGE PILONIDAL CYST COMPLICATED
10120 $263.27 HCPCS / CPT® INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL
10121 $765.32 HCPCS / CPT® INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP
10140 $750.00 HCPCS / CPT® I&D HEMATOMA SEROMA/FLUID COLLECTION
10160 $810.00 HCPCS / CPT® PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
11000 $1000.00 HCPCS / CPT® DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN UP TO 10 OF BODY SURFACE
11011 $344.40 HCPCS / CPT® DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC
11040 $269.40 HCPCS / CPT® DEBRIDEMENT SKIN PARTIAL THICKNESS
11042 $336.74 HCPCS / CPT® REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE
11200 $384.19 HCPCS / CPT® REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<
11400 $1134.36 HCPCS / CPT® Exc tr-ext b9+marg 0.5 cm<
11404 $1092.88 HCPCS / CPT® EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM
11730 $381.13 HCPCS / CPT® AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1
11740 $396.83 HCPCS / CPT® EVACUATION SUBUNGUAL HEMATOMA
11750 $700.92 HCPCS / CPT® EXCISION NAIL MATRIX PERMANENT REMOVAL
11760 $244.79 HCPCS / CPT® REPAIR NAIL BED
11762 $1150.00 HCPCS / CPT® Reconstruction of nail bed with graft
11765 $385.44 HCPCS / CPT® WEDGE EXCISION SKIN NAIL FOLD
11771 $335.28 HCPCS / CPT® EXCISION PILONIDAL CYST/SINUS EXTENSIVE
12001 $480.48 HCPCS / CPT® SIMPLE REPAIR SCALPNECKAXGENITTRUNK 2 5CM
12002 $487.08 HCPCS / CPT® SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
12004 $561.00 HCPCS / CPT® SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM
12005 $744.48 HCPCS / CPT® SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM
12011 $724.88 HCPCS / CPT® SIMPLE REPAIR FACE/EAR/EYE/NOSE/LIP/MOUTH 2.5CM OR LESS
12013 $757.90 HCPCS / CPT® SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM
12014 $887.12 HCPCS / CPT® SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM
12015 $471.63 HCPCS / CPT® Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
12020 $363.00 HCPCS / CPT® TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
12031 $570.24 HCPCS / CPT® REPAIR INTERMEDIATE SCALP/AXILLA/TRUNK/EXTREMITY 2.5 CM OR LESS
12032 $861.17 HCPCS / CPT® LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK/OR EXTREMITIES (EXCLUDING HANDS AND FEET);2.6CM TO 7.5 CM
12034 $799.92 HCPCS / CPT® REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM
12036 $2702.11 HCPCS / CPT® Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm
12041 $592.68 HCPCS / CPT® REPAIR INTERMEDIATE N/H/F/XTRNL GENT LESS THAN 2.5CM
12042 $861.17 HCPCS / CPT® REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM
12044 $861.96 HCPCS / CPT® REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM
12051 $671.88 HCPCS / CPT® REPAIR INTERMEDIATE FACE/EAR/EYE/NOSE/LIP/MOUTH&/MUC 2.5 CM OR LESS
12052 $801.24 HCPCS / CPT® REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM
12053 $1082.40 HCPCS / CPT® REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM
12054 $471.63 HCPCS / CPT® Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
13101 $1398.28 HCPCS / CPT® REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM
13120 $859.32 HCPCS / CPT® REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM
13121 $1398.28 HCPCS / CPT® REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM
13122 $601.00 HCPCS / CPT® REPAIR COMPLEX SCALP-ARM-LEG EA 5 CM
13131 $574.92 HCPCS / CPT® REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM
13132 $1652.64 HCPCS / CPT® REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM
13133 $2800.00 HCPCS / CPT® REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM
13151 $1193.28 HCPCS / CPT® REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM
13152 $2071.08 HCPCS / CPT® REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM
13153 $756.36 HCPCS / CPT® REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<
16000 $310.20 HCPCS / CPT® INITIAL TX 1ST DEGREE BURN LOCAL TX
16020 $304.92 HCPCS / CPT® DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL
16025 $850.00 HCPCS / CPT® DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM
17999 $196.88 HCPCS / CPT® UNLISTED PX SKIN MUC MEMBRANE &SUBQ TISSUE
19020 $11019.68 HCPCS / CPT® MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP
20520 $1386.00 HCPCS / CPT® REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
20552 $1406.52 HCPCS / CPT® INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES
20600 $826.55 HCPCS / CPT® ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA
20605 $269.40 HCPCS / CPT® ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA
20610 $950.00 HCPCS / CPT® ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA
20612 $175.00 HCPCS / CPT® ASPIRATE/INJ GANGLION CYST
21310 $653.59 HCPCS / CPT® CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION
21315 $3500.00 HCPCS / CPT® CLOSED TX NASAL FRACTURE W/O STABILIZATION
21480 $573.76 HCPCS / CPT® RESET DISLOCATED JAW
21501 $858.00 HCPCS / CPT® I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX
21705 $765.32 HCPCS / CPT® DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB
21800 $480.48 HCPCS / CPT® CLOSED TX RIB FRACTURE UNCOMPLICATED EACH
21812 $502.32 HCPCS / CPT® CLOSED TX RIB FRACTURE UNCOMPLICATED EACH
21820 $735.08 HCPCS / CPT® TREAT STERNUM FRACTURE
23500 $1066.87 HCPCS / CPT® CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION
23540 $900.00 HCPCS / CPT® Closed treatment of acromioclavicular dislocation; without manipulation
23625 $2253.73 HCPCS / CPT® CLTX GREATER HUMERAL TUBEROSITY FX W/ MNP
23650 $1224.52 HCPCS / CPT® CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES
23655 $1738.82 HCPCS / CPT® CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES
23665 $2500.00 HCPCS / CPT® CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY
23931 $1834.80 HCPCS / CPT® INCISION&DRAINAGE UPPER ARM/ELBOW BURSA
24201 $7859.21 HCPCS / CPT® REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP
24500 $427.68 HCPCS / CPT® CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION
24530 $1824.53 HCPCS / CPT® CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ
24600 $882.09 HCPCS / CPT® TREATMENT OF CLOSED ELBOW DISLOCATION WITHOUT ANESTHESIA
24605 $7146.58 HCPCS / CPT® TREATMENT ELBOW DISLOCATION
24640 $1200.00 HCPCS / CPT® CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ
24650 $1258.19 HCPCS / CPT® CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION
24655 $2500.00 HCPCS / CPT® CLOSED TX RADIAL HEAD/NECK FX W MANIPULATION
24670 $1500.00 HCPCS / CPT® CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ
25505 $2500.00 HCPCS / CPT® CLOSED TREATMENT OF RADIAL SHAFT FRACTURE WITH MANIPULATION
25565 $1740.35 HCPCS / CPT® CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ
25600 $1300.00 HCPCS / CPT® CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ
25605 $2612.82 HCPCS / CPT® CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ
25622 $2712.30 HCPCS / CPT® CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ
25635 $1421.98 HCPCS / CPT® CLTX CARPL B1 FX W/MNPJ EA B1
25675 $1836.78 HCPCS / CPT® CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIPULATION
26010 $390.32 HCPCS / CPT® DRAINAGE FINGER ABSCESS SIMPLE
26011 $3212.50 HCPCS / CPT® DRAINAGE OF FINGER ABCESS
26600 $1192.38 HCPCS / CPT® CLTX MTCRPL FX 1 W/O MNPJ EA B1
26605 $1380.64 HCPCS / CPT® CLTX MTCRPL FX 1 W/MNPJ EA B1
26607 $2190.36 HCPCS / CPT® CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1
26700 $805.03 HCPCS / CPT® CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; WITHOUT ANESTHESIA
26705 $845.34 HCPCS / CPT® TREAT KNUCKLE DISLOCATION
26720 $823.49 HCPCS / CPT® CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; WITHOUT MANIPULATION, EACH
26725 $1348.50 HCPCS / CPT® CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; WITH MANIPULATION, EACH
26750 $805.03 HCPCS / CPT® CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA
26755 $811.24 HCPCS / CPT® CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA
26770 $734.71 HCPCS / CPT® CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES
26775 $6572.12 HCPCS / CPT® CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIOPULATION; REQUIRING ANESTHESIA
27372 $459.20 HCPCS / CPT® REMOVAL FOREIGN BODY DEEP THIGH/KNEE
27520 $1579.63 HCPCS / CPT® CLOSED TX PATELLAR FRACTURE W/O MANIPULATION
27550 $1792.39 HCPCS / CPT® CLOSED TX KNEE DISLOCATION W/O ANESTHESIA
27560 $804.28 HCPCS / CPT® CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA
27750 $1424.77 HCPCS / CPT® CLTX TIBL SHFT FX W/O MNPJ
27752 $2580.68 HCPCS / CPT® CLTX TIBL SHFT FX W/MNPJ +-SKEL TRACJ
27760 $1510.75 HCPCS / CPT® CLTX MEDIAL MALLS FX W/O MNPJ
27780 $1750.00 HCPCS / CPT® CLOSED TREATMENT OF PROXIMAL FIBULA SHAFT FRACTURE WITHOUT MANIPULATION
27786 $1800.00 HCPCS / CPT® CLOSED TXT DISTAL FIBULAR FX LATERAL MALLEOLUS W/O MANIPULATION
27788 $2400.00 HCPCS / CPT® CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE LATERAL MALLEOLUS WITH MANIPULATION
27808 $1350.00 HCPCS / CPT® Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation
27810 $845.34 HCPCS / CPT® TREATMENT OF ANKLE FRACTURE
27818 $2500.00 HCPCS / CPT® Closed treatment of trimalleolar ankle fracture; with manipulation
27824 $845.34 HCPCS / CPT® CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MNPJ
27840 $499.28 HCPCS / CPT® CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA
28190 $976.56 HCPCS / CPT® REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
28192 $5182.47 HCPCS / CPT® REMOVAL OF FOOT FOREIGN BODY
28400 $1250.00 HCPCS / CPT® CLOSED TREATMENT OF CALCANEAL FRACTURE WITHOUT MANIPULATION
28430 $853.02 HCPCS / CPT® CLOSED TX TALUS FRACTURE W/O MANIPULATION
28450 $800.00 HCPCS / CPT® Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each
28470 $1102.07 HCPCS / CPT® CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION
28490 $495.93 HCPCS / CPT® CLTX FX GRT TOE PHLX/PHLG W/O MNPJ
28495 $750.00 HCPCS / CPT® CLOSED TXT FX OF GREAT TOE PHLX/PHLG W/MANIPULATION
28510 $685.73 HCPCS / CPT® CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ
28515 $815.83 HCPCS / CPT® CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ
28660 $805.03 HCPCS / CPT® CLTX IPHAL JT DISLC W/O ANES
29049 $1425.00 HCPCS / CPT® APPLICATION OF FIGURE EIGHT SLING AND SWATHE
29085 $229.60 HCPCS / CPT® CAST HAND&LOWER FOREARM GAUNTLET
29105 $840.00 HCPCS / CPT® LONG ARM SPLINT SHOULDER HAND
29125 $229.60 HCPCS / CPT® SHORT ARM SPLINT FOREARM-HAND STATIC
29126 $229.60 HCPCS / CPT® SHORT ARM SPLINT DYNAMIC
29130 $229.60 HCPCS / CPT® FINGER SPLINT STATIC
29240 $507.63 HCPCS / CPT® STRAPPING; SHOULDER
29260 $341.11 HCPCS / CPT® STRAPPING; ELBOW OR WRIST
29280 $313.79 HCPCS / CPT® STRAPPING HAND/FINGER
29505 $229.60 HCPCS / CPT® LONG LEG SPLINT THIGH ANKLE/TOES
29515 $229.60 HCPCS / CPT® SHORT LEG SPLINT CALF FOOT
29530 $431.43 HCPCS / CPT® STRAPPING; KNEE
29540 $287.76 HCPCS / CPT® STRAPPING ANKLE &/FOOT
29550 $287.76 HCPCS / CPT® STRAPPING TOES
29580 $287.76 HCPCS / CPT® STRAPPING UNNA BOOT
29700 $166.84 HCPCS / CPT® REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST
30300 $650.53 HCPCS / CPT® REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
30901 $375.00 HCPCS / CPT® CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
30903 $238.91 HCPCS / CPT® CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX
30905 $650.00 HCPCS / CPT® CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, ANY METHOD, INITIAL
31500 $1075.00 HCPCS / CPT® INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
31502 $1167.33 HCPCS / CPT® TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT
31505 $198.60 HCPCS / CPT® LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
31515 $9863.77 HCPCS / CPT® LARYNGOSCOPY +-TRACHEOSCOPY ASPIRATION
31525 $7689.00 HCPCS / CPT® LARYNGOSCOPY +-TRACHEOSCOPY DX EXCEPT NEWBORN
31530 $1995.14 HCPCS / CPT® LARYNGOSCOPY W/FOREIGN BODY REMOVAL
32421 $1518.00 HCPCS / CPT® THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION
32551 $2951.39 HCPCS / CPT® TUBE THORACOSTOMY INCLUDES WATER SEAL
32554 $1360.89 HCPCS / CPT® Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance
33415 $1285.75 HCPCS / CPT® RESCJ/INC SUBVALVULAR TISSUE
36000 $321.44 HCPCS / CPT® INTRO NDL/INTRACATH VEIN
36415 $350.00 HCPCS / CPT® VENIPUNCTURE
36416 $53.58 HCPCS / CPT® CAPILLARY COLLECTION BLOOD SPECIMEN (FINGERSTICK)
36556 $5850.00 HCPCS / CPT® INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER
36558 $2828.74 HCPCS / CPT® INSERT TUNNELED CV CATH – INSJ TUN CTR CVC W/O SUBQ PORT/PMP AGE 5 YR/>
36571 $2439.43 HCPCS / CPT® INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>
36591 $191.34 HCPCS / CPT® COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE
36880 $713.84 HCPCS / CPT® INTRAOSSEOUS LINE PLACEMENT
37195 $1500.00 HCPCS / CPT® Thrombolysis, cerebral, by intravenous infusion
38300 $396.83 HCPCS / CPT® DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL
40650 $3921.14 HCPCS / CPT® REPAIR LIP, FULL THICKNESS; VERMILLION ONLY
41250 $360.51 HCPCS / CPT® REPAIR TONGUE LACERATION
41251 $858.00 HCPCS / CPT® RPR LAC 2.5 CM/< PST ONE-3RD TONGUE
41800 $975.00 HCPCS / CPT® Drainage of abscess, cyst, hematoma from dentoalveolar structures
42700 $1758.80 HCPCS / CPT® I&D ABSC PRITONSILLAR
42809 $675.00 HCPCS / CPT® REMOVAL OF FB FROM PHARYNX
43753 $522.56 HCPCS / CPT® GASTRIC TUBE PLMT W/ASPIR & LAVAGE
46040 $1513.81 HCPCS / CPT® I&D ISCHIORCT&/PRIRCT ABSC SPX
46050 $2778.89 HCPCS / CPT® I&D PRIANAL ABSC SUPFC
46083 $1044.67 HCPCS / CPT® INC THROMBOSED HEMORRHOID XTRNL
46320 $802.06 HCPCS / CPT® ENCL/EXC XTRNL THROMBOTIC HEMORRHOID
51700 $126.74 HCPCS / CPT® BLDR IRRIGATION SMPL LVG&/INSTLJ
51701 $303.07 HCPCS / CPT® CATHETERIZATION, BLADDER
51702 $472.97 HCPCS / CPT® INSJ TEMP NDWELLG BLDR CATH SMPL
51703 $745.43 HCPCS / CPT® INSJ TEMP NDWELLG BLDR CATH COMP
54220 $840.13 HCPCS / CPT® Irrigation of corpora cavernosa for priapism
54450 $1533.31 HCPCS / CPT® FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING
56405 $786.15 HCPCS / CPT® I&D VULVA/PRNL ABSC
56420 $130.11 HCPCS / CPT® I&D OF BARTHOLIN’S GLAND ABSC
57180 $450.00 HCPCS / CPT® TREAT VAGINAL BLEEDING
58301 $652.08 HCPCS / CPT® Removal of intrauterine device (IUD)
59025 $750.00 HCPCS / CPT® FETAL NON-STRESS TEST
59409 $4478.89 HCPCS / CPT® VAG DLVR ONLY
62270 $3275.00 HCPCS / CPT® SPINAL TAP FLUID
64400 $1400.00 HCPCS / CPT® NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH
64402 $1350.00 HCPCS / CPT® NERVE BLOCK – ANESTHESIA FACIAL NERVE
64450 $750.00 HCPCS / CPT® NERVE BLOCK ANES OTHER PRPH NRV/BRANCH
64640 $1600.65 HCPCS / CPT® DSTRJ NULYT OTH PRPH NRV/BRANCH
65205 $321.44 HCPCS / CPT® RMVL FB XTRNL EYE
65210 $488.80 HCPCS / CPT® Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating
65220 $497.47 HCPCS / CPT® RMVL FB XTRNL EYE CRNL W/O SLIT LAMP
65222 $587.77 HCPCS / CPT® RMVL FB XTRNL EYE CRNL W/SLIT LAMP
65435 $726.00 HCPCS / CPT® RMVL CRNL EPITHE +-CHEMOCAUT
67700 $1014.82 HCPCS / CPT® BLEPHAROTOMY DRG ABSC EYELID
69000 $793.48 HCPCS / CPT® DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE
69200 $499.00 HCPCS / CPT® REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES
69205 $535.73 HCPCS / CPT® RMVL FB XTRNL AUD CANAL ANES
69209 $150.00 HCPCS / CPT® REMOVE IMPACTED EAR WAX UNILATERAL
69210 $257.15 HCPCS / CPT® REMOVAL IMPACTED CERUMEN REQ INSTRUMENTATION; UNILATERAL
69399 $500.00 HCPCS / CPT® Procedure performed on external ear
70030 $345.00 HCPCS / CPT® RADEX EYE DETCJ FB
70100 $460.34 HCPCS / CPT® XRAY MANDIBLE LESS THAN 4 VIEWS
70110 $460.34 HCPCS / CPT® XRAY MANDIBLE 4 OR MORE VIEWS
70150 $655.12 HCPCS / CPT® RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS
70160 $307.21 HCPCS / CPT® XRAY NASAL BONE MINIMUM OF 3 VIEWS
70200 $471.09 HCPCS / CPT® X-RAY EXAM OF EYE SOCKETS, MINIMUM OF 4 VIEWS
70210 $365.70 HCPCS / CPT® XRAY SINUSES PARANSL LESS THAN 3 VIEWS
70220 $645.93 HCPCS / CPT® XRAY SINUSES PARANASAL COMPLETE MINIMUM OF 3 VIEWS
70250 $496.66 HCPCS / CPT® XRAY SKULL LESS THAN 4 VIEWS
70260 $657.50 HCPCS / CPT® RADEX SKL COMPL MINIMUM 4 VIEWS
70328 $460.34 HCPCS / CPT® RADEX TMPRMAND JT OPN&CLSD MOUTH UNI
70330 $460.34 HCPCS / CPT® X-RAY EXAM OF JAW JOINT
70350 $336.74 HCPCS / CPT® CEPHALOGRAM ORTHODONTIC
70360 $895.13 HCPCS / CPT® RADEX OF NECK SOFT TISSUE
70380 $178.35 HCPCS / CPT® RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS
70450 $4986.50 HCPCS / CPT® CT HEAD-BRAIN WITHOUT CONTRAST
70460 $7356.03 HCPCS / CPT® CT HEAD-BRAIN WITH CONTRAST
70470 $11942.53 HCPCS / CPT® CT HEAD-BRAIN WITH & WITHOUT CONTRAST
70480 $1530.65 HCPCS / CPT® CT ORBIT SELLA/POST FOSSA/EAR C-MATRL
70481 $3116.56 HCPCS / CPT® CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL
70486 $2519.04 HCPCS / CPT® CT SCAN MAXLFCL AREA C-MATRL – SINUS AREA
70487 $2142.91 HCPCS / CPT® CT MAXLFCL AREA C+ MATRL
70488 $2546.24 HCPCS / CPT® CT MAXLFCL AREA C-/C+
70490 $1200.00 HCPCS / CPT® CT SOFT TISSUE NECK WITHOUT CONTRAST
70491 $2537.00 HCPCS / CPT® CT SOFT TISSUE NECK WITH CONTRAST
70492 $2600.00 HCPCS / CPT® CT SOFT TISSUE NECK WITH AND WITHOUT CONTRAST
70496 $6498.38 HCPCS / CPT® CTA HEAD WITH AND WITHOUT CONTRAST
70498 $2145.69 HCPCS / CPT® CTA NECK WITH AND WITHOUT CONTRAST
70544 $4132.75 HCPCS / CPT® MRA HEAD C-MATRL
70547 $3635.84 HCPCS / CPT® MRA NCK C-MATRL
70551 $3635.84 HCPCS / CPT® MRI BRN BRN STEM C-MATRL
70553 $4285.82 HCPCS / CPT® MRI BRN BRN STEM C-/C+
71010 $391.71 HCPCS / CPT® XRAY CHEST ONE VIEW
71020 $609.62 HCPCS / CPT® XRAY CHEST 2 VIEW FRONTAL AND LATERAL
71030 $687.26 HCPCS / CPT® RADEX CH COMPL MINIMUM 4 VIEWS
71045 $665.91 HCPCS / CPT® XRAY CHEST ONE VIEW
71046 $786.65 HCPCS / CPT® XRAY CHEST 2 VIEW FRONTAL AND LATERAL
71100 $345.77 HCPCS / CPT® RADEX RIBS UNI 2 VIEWS
71101 $1175.95 HCPCS / CPT® RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
71110 $668.90 HCPCS / CPT® RADEX RIBS BI 3 VIEWS
71111 $804.06 HCPCS / CPT® RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS
71120 $334.45 HCPCS / CPT® RADEX STERNUM MINIMUM 2 VIEWS
71250 $6893.53 HCPCS / CPT® CT THORAX C-MATRL
71260 $7794.08 HCPCS / CPT® CT THORAX C+ MATRL
71270 $7579.40 HCPCS / CPT® CT THORAX C-/C+
71275 $9006.53 HCPCS / CPT® CTA CHEST WITH AND WITHOUT CONTRAST
71550 $3635.30 HCPCS / CPT® MRI CH C-MATRL
72020 $412.25 HCPCS / CPT® XRAY SPINE 1 VIEW SPECIFY LEVEL
72040 $879.98 HCPCS / CPT® XRAY CERVICAL 2 OR 3 VIEWS
72050 $642.87 HCPCS / CPT® XRAY CERVICAL 4 VIEWS
72052 $1102.07 HCPCS / CPT® XRAY CERVICAL 6 OR MORE VIEWS
72069 $962.31 HCPCS / CPT® XRAY SPINE THORACOLUMBAR STANDING SCOLIOSIS
72070 $898.07 HCPCS / CPT® XRAY THORACIC 2 VIEWS
72072 $1308.71 HCPCS / CPT® XRAY THORACIC 3 VIEWS
72074 $701.71 HCPCS / CPT® XRAY THORACIC 4 VIEWS
72080 $290.64 HCPCS / CPT® X RAY EXAM TRUNK SPINE 2VWS
72100 $1107.64 HCPCS / CPT® XRAY LUMBAR 2 OR 3 VIEWS
72110 $1040.84 HCPCS / CPT® XRAY LUMBAR 4 VIEWS
72114 $612.26 HCPCS / CPT® XRAY LUMBAR 6 OR MORE VIEWS
72120 $727.06 HCPCS / CPT® XRAY SPINE LUMBOSACRAL BENDING MINIMUM 4 VIEWS
72125 $5568.78 HCPCS / CPT® CT CERVICAL SPINE WITHOUT CONTRAST
72126 $7735.34 HCPCS / CPT® CT CERVICAL SPINE WITH CONTRAST
72127 $13268.78 HCPCS / CPT® CT CERVICAL SPINE W & WITHOUT CONTRAST
72128 $5152.70 HCPCS / CPT® CT THORACIC SPINE WITHOUT CONTRAST
72129 $7306.70 HCPCS / CPT® CT THORACIC SPINE WITH CONTRAST
72131 $6820.25 HCPCS / CPT® CT LUMBAR SPINE WITHOUT CONTRAST
72132 $8716.24 HCPCS / CPT® CT LUMBAR SPINE WITH CONTRAST
72133 $15524.87 HCPCS / CPT® CT LUMBAR SPINE WITH AND WITHOUT CONTRAST
72141 $2449.04 HCPCS / CPT® MRI SPI CANAL&CNTS CRV C-MATRL
72146 $3635.84 HCPCS / CPT® MRI SPI CANAL&CNTS THRC C-MATRL
72148 $3635.84 HCPCS / CPT® MRI SPI CANAL&CNTS LMBR C-MATRL
72156 $4285.82 HCPCS / CPT® MRI SPI CANAL&CNTS C-/C+ CRV
72157 $3635.84 HCPCS / CPT® MRI SPI CANAL&CNTS C-/C+
72158 $3673.56 HCPCS / CPT® MRI SPI CANAL&CNTS C-/C+ LMBR
72170 $497.47 HCPCS / CPT® XRAY PELVIS 1 OR 2 VIEWS
72190 $569.55 HCPCS / CPT® XRAY PELVIS COMPLETE MINIMUM 3 VIEWS
72191 $1980.28 HCPCS / CPT® CTA PELVIS WITH & WITHOUT CONTRAST
72192 $3644.48 HCPCS / CPT® CT PELVIS WITHOUT CONTRAST
72193 $2404.50 HCPCS / CPT® CT PELVIS WITH CONTRAST
72194 $6622.05 HCPCS / CPT® CT PELVIS WITH & WITHOUT CONTRAST
72195 $3635.84 HCPCS / CPT® MRI PELVIS C-MATRL
72196 $4898.08 HCPCS / CPT® MRI PELVIS C+ MATRL
72220 $372.25 HCPCS / CPT® XRAY SACRUM & COCCYX MINIMUM 2 VIEWS
73000 $366.13 HCPCS / CPT® XRAY CLAVICLE COMPLETE
73010 $423.02 HCPCS / CPT® XRAY SCAPULA COMPLETE
73020 $303.29 HCPCS / CPT® XRAY SHOULDER 1 VIEW
73030 $911.18 HCPCS / CPT® XRAY SHOULDER 2 OR MORE VIEWS
73040 $2205.64 HCPCS / CPT® CONTRAST X RAY OF SHOULDER
73050 $486.75 HCPCS / CPT® RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ
73060 $845.35 HCPCS / CPT® XRAY HUMERUS MINIMUM 2 VIEWS
73070 $843.21 HCPCS / CPT® XRAY ELBOW 2 VIEWS
73080 $1327.08 HCPCS / CPT® XRAY ELBOW COMPLETE MINIMUM 3 VIEWS
73090 $749.87 HCPCS / CPT® XRAY FOREARM 2 VIEWS
73100 $495.63 HCPCS / CPT® RADEX WRST 2 VIEWS
73110 $945.53 HCPCS / CPT® XRAY WRIST MINIMUM 3 VIEWS
73120 $422.12 HCPCS / CPT® RADEX HAND 2 VIEWS
73130 $1030.54 HCPCS / CPT® XRAY HAND MINIMUM 3 VIEWS
73140 $466.85 HCPCS / CPT® XRAY FINGER MINIMUM 2 VIEWS
73200 $1917.90 HCPCS / CPT® CT UPPER EXTREMITY WITHOUT MATERIAL
73201 $1188.00 HCPCS / CPT® CT UPPER EXTREMITY WITH CONTRAST
73220 $4285.82 HCPCS / CPT® MRI UXTR OTH/THN JT C-/C+
73221 $3635.84 HCPCS / CPT® MRI ANY JT UXTR C-MATRL
73501 $250.00 HCPCS / CPT® Radiologic examination, hip, unilateral, with pelvis when performed; 1 view
73502 $764.56 HCPCS / CPT® XRAY HIP UNILATERAL 2-3 VIEWS
73510 $624.24 HCPCS / CPT® XRAY HIP UNILATERAL COMPLETE MINIMUM 2 VIEWS
73520 $813.12 HCPCS / CPT® XRAY HIP BILATERAL 2 VIEWS ANTEROPOSTERIOR PELVIS
73521 $316.80 HCPCS / CPT® XRAY HIPS BILATERAL 2 VIEWS ANTEROPOSTERIOR PELVIS
73522 $421.54 HCPCS / CPT® XRAY HIPS BILATERAL 3-4 VIEWS ANTEROPOSTERIOR PELVIS
73552 $827.90 HCPCS / CPT® XRAY FEMUR 2 VIEWS
73560 $864.77 HCPCS / CPT® XRAY KNEE 1-2 VIEWS
73562 $997.35 HCPCS / CPT® XRAY KNEE 3 VIEWS
73564 $515.76 HCPCS / CPT® XRAY KNEE COMPLETE 4 OR MORE VIEWS
73590 $983.26 HCPCS / CPT® RADEX TIBFIB 2 VIEWS
73592 $391.47 HCPCS / CPT® RADEX LXTR INFT MINIMUM 2 VIEWS
73600 $307.21 HCPCS / CPT® RADEX ANKLE 2 VIEWS
73610 $964.53 HCPCS / CPT® RADEX ANKLE COMPL MINIMUM 3 VIEWS
73620 $775.35 HCPCS / CPT® RADEX FOOT 2 VIEWS
73630 $901.87 HCPCS / CPT® RADEX FOOT COMPL MINIMUM 3 VIEWS
73650 $420.93 HCPCS / CPT® RADEX CALCANEUS MINIMUM 2 VIEWS
73652 $294.49 HCPCS / CPT® RADEX KNE 3 VIEWS
73660 $306.13 HCPCS / CPT® RADEX TOE MINIMUM 2 VIEWS
73700 $1110.00 HCPCS / CPT® CT LOWER EXTREMITY WITHOUT CONTRAST
73701 $1500.00 HCPCS / CPT® CT LOWER EXTREMITY WITH CONTRAST
73702 $1750.00 HCPCS / CPT® CT LOWER EXTREMITY WITH & WITHOUT CONTRAST
73721 $3635.84 HCPCS / CPT® MRI ANY JT LXTR C-MATRL
73722 $4034.04 HCPCS / CPT® MRI ANY JT LXTR C+ MATRL
73723 $6622.05 HCPCS / CPT® MRI ANY JT LXTR C-/C+
73725 $4898.08 HCPCS / CPT® MRA LXTR C+-MATRL
74000 $994.92 HCPCS / CPT® XRAY ABDOMEN – KUB 1 ANTEROPOSTERIOR VIEW
74010 $558.69 HCPCS / CPT® XRAY ABDOMEN AP, OBLIQUE & CONE VIEWS
74018 $450.00 HCPCS / CPT® XRAY ABDOMEN – 1 VIEW
74019 $725.00 HCPCS / CPT® XRAY ABDOMEN – 2 VIEWS
74020 $595.42 HCPCS / CPT® XRAY ABDOMEN COMPLETE WITH DECUBITUS & ERECT VIEWS
74021 $725.00 HCPCS / CPT® XRAY ABDOMEN – 3 VIEWS
74022 $747.59 HCPCS / CPT® XRAY ABDOMEN COMPLETE AAS WITH 1 VIEW CHEST
74150 $5711.02 HCPCS / CPT® CT ABD C-MATRL
74160 $3357.54 HCPCS / CPT® CT ABD C+ MATRL
74170 $3955.60 HCPCS / CPT® CT ABD C-/C+
74174 $3916.22 HCPCS / CPT® CTA ABDOMEN PELVIS WITH AND WITHOUT CONTRAST
74175 $4239.61 HCPCS / CPT® CTA ABDOMEN WITH AND WITHOUT CONTRAST
74176 $5554.73 HCPCS / CPT® CT ABDOMEN & PELVIS W/O CONTRAST
74177 $7653.97 HCPCS / CPT® CT ABDOMEN & PELVIS WITH CONTRAST
74178 $12445.08 HCPCS / CPT® CT ABDOMEN & PELVIS WITH AND WITHOUT CONTRAST
74181 $3635.84 HCPCS / CPT® MRI ABD C-MATRL
74183 $4285.82 HCPCS / CPT® MRI ABD C-/C+
74241 $1308.79 HCPCS / CPT® RADEX GI TRC UPR +-DLYD FLMS W/KUB
74247 $1323.71 HCPCS / CPT® RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB
76010 $342.86 HCPCS / CPT® RADEX FROM NOSE RECTUM FB 1 VIEW CHLD
76376 $841.86 HCPCS / CPT® 3D RNDR I&R CT MRI US/OTH X REQ POSTPCX
76510 $1120.47 HCPCS / CPT® Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter
76536 $1308.79 HCPCS / CPT® US SOFT TISSUE OF HEAD AND NECK
76641 $943.48 HCPCS / CPT® Ultrasound breast complete
76642 $3219.23 HCPCS / CPT® ULTRASOUND BREAST LIMITED
76645 $943.48 HCPCS / CPT® US BREAST R-T W/IMAGE DOCUMENTATION
76700 $1516.14 HCPCS / CPT® US ABDOMINAL COMPLETE
76705 $1347.51 HCPCS / CPT® US ABDOMINAL LIMITED
76706 $750.00 HCPCS / CPT® ULTRASOUND, ABDOMINAL AORTA, REAL TIME WITH IMAGE DOCUMENTATION, SCREENING STUDY FOR ABDOMINAL AORTIC ANEURYSM (AAA)
76770 $1093.06 HCPCS / CPT® US RETROPERITONEAL COMPLETE
76775 $983.77 HCPCS / CPT® US RETROPERITONEAL LIMITED
76801 $952.06 HCPCS / CPT® ULTRASOUND 14 WK TABDL 1/1ST GESTATION
76805 $1084.47 HCPCS / CPT® US PG UTER F&MAT AFTER 1ST TRI 1/1ST GESTATION
76813 $245.52 HCPCS / CPT® US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION
76815 $750.00 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED 1 OR MORE FETUSES
76816 $468.22 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION
76817 $789.51 HCPCS / CPT® US PG UTER R-T IMG TRVG
76818 $356.00 HCPCS / CPT® FTL BIOPHYSICAL PROFILE NON-STRS TSTG
76825 $1629.36 HCPCS / CPT® Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording;
76830 $947.61 HCPCS / CPT® US TRVG
76856 $1100.54 HCPCS / CPT® US PELVIC NONOB REAL-TIME IMG COMPLETE
76857 $574.00 HCPCS / CPT® US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97
76870 $1000.01 HCPCS / CPT® US SCROTUM&CNTS
76880 $1197.22 HCPCS / CPT® US EXTREMITY NON-VASC REAL-TIME IMG
76881 $636.17 HCPCS / CPT® US EXTREMITY NON-VASC REAL-TIME IMG COMPL
76882 $410.85 HCPCS / CPT® US EXTREMITY NON-VASC REAL-TIME IMG LMTD
76942 $375.00 HCPCS / CPT® Ultrasonic guidance for needle placement
77072 $409.64 HCPCS / CPT® X RAYS FOR BONE AGE
77074 $750.00 HCPCS / CPT® X-RAY BONE SURVEY limited
77079 $535.73 HCPCS / CPT® CT BONE MINERAL DENSITY STUDY 1+ SITS APPND
78075 $4745.02 HCPCS / CPT® ADRNL IMG CORTEX&/MEDULLA
78223 $3290.90 HCPCS / CPT® HIDA SCAN – HEPATBL DUX SYS IMG GLBLDR
78306 $1888.82 HCPCS / CPT® B1&/JT IMG WHBDY
78315 $1888.62 HCPCS / CPT® B1&/JT IMG 3 PHASE STD
78320 $1211.05 HCPCS / CPT® B1&/JT IMG TOMOG SPECT
78472 $2674.74 HCPCS / CPT® CARD BPI GTD =BRM PLNR 1 STD REST/STRS
80047 $334.45 HCPCS / CPT® BASIC METABOLIC PANEL CALCIUM IONIZED
80048 $353.58 HCPCS / CPT® BASIC METABOLIC PANEL CALCIUM TOTAL
80051 $364.75 HCPCS / CPT® ELECTROLYTE PANEL
80053 $1276.00 HCPCS / CPT® COMPRE METAB PANEL
80061 $363.54 HCPCS / CPT® LIPID PANEL
80074 $722.46 HCPCS / CPT® HEPATITIS PANEL
80076 $372.34 HCPCS / CPT® HEPATC FUNCJ PANEL
80100 $301.53 HCPCS / CPT® DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX
80104 $482.16 HCPCS / CPT® DRUG SCREEN, QUALITATIVE MULTIPLE DRUG CLASSES OTHER THAN CHROMATOGRAPHIC METHOD
80158 $243.52 HCPCS / CPT® Cyclosporine A Trough, Blood
80164 $202.84 HCPCS / CPT® DIPROPYLACETIC ACID
80178 $77.45 HCPCS / CPT® LITHIUM
80185 $115.44 HCPCS / CPT® PHENYTOIN TOT
80197 $459.20 HCPCS / CPT® TACROLIMUS
80202 $300.01 HCPCS / CPT® VANCOMYCIN
80305 $260.00 HCPCS / CPT® Drug test(s), presumptive, any number of drug classes, any number of devices or procedures (eg, immunoassay); capable of being read by direct optical observation only
80306 $275.00 HCPCS / CPT® UDS – DRUG SCREEN, PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; READ BY INSTRUMENT ASSISTED DIRECT OPTICAL OBSERVATION (i.e. DIPSTICKS)
80307 $366.13 HCPCS / CPT® UDS – URINE DRUG SCREEN QUAL 1 DRUG CLASS METH EA DRUG CLASS
80320 $264.80 HCPCS / CPT® ALCOHOL, ETHYL SERUM OR PLASMA
80329 $289.29 HCPCS / CPT® ANALGESICS NON-OPIOID 1 OR 2
80435 $585.00 HCPCS / CPT® Insulin tolerance panel; for growth hormone deficiency
81000 $168.37 HCPCS / CPT® URNLS DIP STICK/TABLET RGNT NON-AUTO MIC
81001 $111.73 HCPCS / CPT® URINALYSIS – URNLS DIP STICK/TABLET RGNT AUTO MIC
81002 $168.37 HCPCS / CPT® URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC
81003 $301.00 HCPCS / CPT® URINALYSIS DIP STICK/TABLET REAGENT AUTO W/O MIC
81005 $12.08 HCPCS / CPT® URNLS QUAL/SEMIQUAN XCPT IAS
81020 $20.55 HCPCS / CPT® URNLS 2/3 GLASS TST
81025 $124.12 HCPCS / CPT® URINE PREGNANCY TST VIS COLOR CMPRSN METHS
81240 $315.00 HCPCS / CPT® F2 (PROTHROMBIN, COAGULATION FACTOR II) GENE ANALYSIS, 20210G A VARIANT
81241 $380.00 HCPCS / CPT® F5 (COAGULATION FACTOR V) GENE ANALYSIS, LEIDEN VARIANT
81291 $250.00 HCPCS / CPT® MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)
82009 $34.16 HCPCS / CPT® Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative
82010 $162.89 HCPCS / CPT® ACETONE/OTH KETONE BODIES SERUM QUAN
82040 $42.88 HCPCS / CPT® ASSAY OF SERUM ALBUMIN
82075 $132.09 HCPCS / CPT® ALCOHOL BRTH
82103 $250.00 HCPCS / CPT® Alpha-1-antitrypsin; total
82105 $131.67 HCPCS / CPT® ALPHA-FETOPROTEIN SERUM
82140 $275.00 HCPCS / CPT® AMMONIA ASSAY
82150 $275.52 HCPCS / CPT® AMYLASE
82164 $79.20 HCPCS / CPT® ANGIOTENSIN I-CONVERTING ENZYME
82247 $102.17 HCPCS / CPT® BILIRUBIN TOTAL
82270 $265.32 HCPCS / CPT® BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER
82271 $25.76 HCPCS / CPT® BLOOD, OCCULT, BY PEROXIDASE ACTIVITY EG, GUAIAC, QUALITATIVE OTHER SOURCES
82272 $153.06 HCPCS / CPT® BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC
82274 $102.80 HCPCS / CPT® BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3
82306 $36.63 HCPCS / CPT® Vitamin D 25 Hydroxy
82310 $116.13 HCPCS / CPT® ASSAY OF CALCIUM
82330 $125.00 HCPCS / CPT® IONIZED CALCIUM
82374 $550.84 HCPCS / CPT® ASSAY BLOOD CARBON DIOXIDE
82376 $33.40 HCPCS / CPT® CARBOXYHEMOGLOBIN QUALITATIVE
82435 $127.95 HCPCS / CPT® ASSAY OF BLOOD CHLORIDE
82465 $139.05 HCPCS / CPT® CHOLESTEROL SERUM/WHL BLD TOT
82491 $65.14 HCPCS / CPT® CHROM QUAN COLUMN 1 ANAL NES
82533 $150.00 HCPCS / CPT® CORTISOL; TOTAL
82540 $89.55 HCPCS / CPT® CREATINE
82541 $158.33 HCPCS / CPT® COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE
82550 $410.98 HCPCS / CPT® CREATINE KINASE TOT
82553 $603.75 HCPCS / CPT® CKMB – CREATINE KINASE MB FXJ ONLY
82554 $267.72 HCPCS / CPT® CREATINE KINASE ISOFORMS
82565 $191.34 HCPCS / CPT® CREATININE BLD
82608 $250.47 HCPCS / CPT® CYANOCOBALAMIN UNSAT BNDNG CAP
82652 $285.00 HCPCS / CPT® VIT D 1 25-DIHYDROXY
82705 $48.11 HCPCS / CPT® FAT/LIPIDS FECES QUAL
82784 $112.20 HCPCS / CPT® GAMMAGLOBULIN IGA IGD IGG IGM EACH
82787 $91.87 HCPCS / CPT® GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES
82800 $170.67 HCPCS / CPT® GASES BLD PH ONLY
82803 $501.68 HCPCS / CPT® GASES BLD PH CALCULATED O2 SATURATION
82805 $257.47 HCPCS / CPT® GASES BLD PH DIR MEAS XCPT PLS OXIMTRY
82810 $47.52 HCPCS / CPT® GASES BLD O2 SATURATION ONLY DIR MEAS
82945 $105.00 HCPCS / CPT® Glucose, body fluid, other than blood
82947 $144.23 HCPCS / CPT® GLUC QUAN BLD
82948 $101.27 HCPCS / CPT® GLUCOSE BLOOD REAGENT STRIP
82962 $90.31 HCPCS / CPT® GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE
82969 $165.83 HCPCS / CPT® Etiocholanolone
82977 $101.27 HCPCS / CPT® GGT – GLUTAMYLTRASE GAMMA
82985 $85.00 HCPCS / CPT® Glycated protein
83036 $84.38 HCPCS / CPT® HEMOGLOBIN GLYCOSYLATED (A1C)
83090 $125.00 HCPCS / CPT® HOMOCYSTEINE
83516 $65.00 HCPCS / CPT® Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method
83520 $188.12 HCPCS / CPT® IMMUNOASSAY ANALYTE QUANTITATIVE NOS
83540 $165.00 HCPCS / CPT® ASSAY OF IRON
83550 $165.00 HCPCS / CPT® IRON BINDING TEST
83605 $116.13 HCPCS / CPT® LACTATE
83615 $53.95 HCPCS / CPT® LACTATE DEHYDROGENASE LD ISOENZYME PANEL
83690 $191.34 HCPCS / CPT® LIPASE
83721 $150.00 HCPCS / CPT® Lipoprotein, direct measurement; LDL cholesterol
83735 $206.64 HCPCS / CPT® MAGNESIUM
83872 $225.01 HCPCS / CPT® ASSAY SYNOVIAL FLUID MUCIN
83874 $414.00 HCPCS / CPT® MYOGLOBIN
83880 $420.93 HCPCS / CPT® BNP – B TYPE NATRIURETIC PEPTIDE
84075 $44.60 HCPCS / CPT® ASSAY ALKALINE PHOSPHATASE
84132 $170.74 HCPCS / CPT® POTASSIUM SERUM PLASMA/WHOLE BLOOD
84144 $199.32 HCPCS / CPT® PROGST
84152 $102.52 HCPCS / CPT® PRST8 SPEC AG CPLXED DIR MEAS
84153 $140.00 HCPCS / CPT® ASSAY OF PSA TOTAL
84155 $38.25 HCPCS / CPT® ASSAY OF PROTEIN SERUM
84157 $34.06 HCPCS / CPT® PROTEIN TOT XCPT REFRACTOMETRY OTH SRC
84166 $80.00 HCPCS / CPT® PROTEIN E-PHORESIS-URINE-CSF
84295 $133.80 HCPCS / CPT® ASSAY OF SERUM SODIUM
84402 $190.00 HCPCS / CPT® TESTOSTERONE FREE
84403 $195.00 HCPCS / CPT® TESTOSTERONE; TOTAL
84410 $395.00 HCPCS / CPT® TESTOSTERONE BIOAVAILABLE
84436 $220.00 HCPCS / CPT® THYROXINE TOT
84439 $210.00 HCPCS / CPT® THYROXINE FR
84442 $153.78 HCPCS / CPT® THYROXINE BINDING GLOBULIN TBG
84443 $345.00 HCPCS / CPT® TSH – THYR STIMULATING HORM
84445 $225.00 HCPCS / CPT® THYROID STIMULATING IMMUNE GLOBULINS TSI
84450 $195.82 HCPCS / CPT® TRANSFERASE (AST) (SGOT)
84460 $195.82 HCPCS / CPT® ALANINE AMINO (ALT) (SGPT)
84479 $285.64 HCPCS / CPT® THYR HORM UPTK/THYR HORM BNDNG RATIO
84481 $267.87 HCPCS / CPT® Triiodothyronine T3
84482 $175.00 HCPCS / CPT® TRIIODOTHYRONINE T3 REVERSE
84484 $593.40 HCPCS / CPT® TROPONIN QUAN
84512 $202.43 HCPCS / CPT® TROPONIN QUAL
84520 $166.86 HCPCS / CPT® UREA N QUAN
84550 $197.45 HCPCS / CPT® URIC ACID BLD
84560 $179.54 HCPCS / CPT® URIC ACID OTH SRC
84702 $273.76 HCPCS / CPT® GONAD CHORNC QUAN
84703 $278.58 HCPCS / CPT® SERUM HCG – QUALITATIVE
84704 $130.35 HCPCS / CPT® GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN
85014 $133.62 HCPCS / CPT® BLD# HEMATOCRIT
85018 $133.62 HCPCS / CPT® BLD# HGB
85025 $503.25 HCPCS / CPT® CBC BLOOD COMPLETE AUTO WITH AUTO DIFFERENTIAL
85027 $194.40 HCPCS / CPT® BLD# COMPL AUTO HHRWP
85032 $199.84 HCPCS / CPT® BLD# MNL C-CNT RBC WBC/PLTLT EA
85044 $131.18 HCPCS / CPT® BLD# RETICULOCYTE MNL
85046 $42.19 HCPCS / CPT® Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF]
85060 $91.08 HCPCS / CPT® BLD SMR PRPH INTERPJ PHYS WRTTN REPRT
85347 $46.31 HCPCS / CPT® COAGJ TM ACTIVATED
85378 $197.16 HCPCS / CPT® D-DIMER – FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN
85379 $413.72 HCPCS / CPT® FIBRIN DGRADJ PRODUXS D-DIMER QUAN
85380 $427.52 HCPCS / CPT® FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS
85415 $91.08 HCPCS / CPT® FIBRINOLYTIC FACTORS AND INHIBITORS PLASMINOGEN ACTIVATOR
85610 $225.01 HCPCS / CPT® PT – PROTHROMBIN TIME
85651 $191.34 HCPCS / CPT® SEDIMENTATION RATE RBC NON-AUTO
85652 $122.39 HCPCS / CPT® SEDIMENTATION RATE RBC AUTO
85730 $212.29 HCPCS / CPT® THROMBOPLASTIN TM PRTL PLSM/WHL BLD
86003 $285.20 HCPCS / CPT® ALLERGEN SPECIFIC IGE
86038 $125.00 HCPCS / CPT® ANTINUCLEAR ANTIBODIES
86039 $75.15 HCPCS / CPT® ANA TITER
86140 $28.98 HCPCS / CPT® C-REACTIVE PROTEIN
86148 $135.00 HCPCS / CPT® ANTI-PHOSPHOLIPID ANTIBODY
86304 $212.96 HCPCS / CPT® IMMUNOASSAY TUMOR CA 125
86308 $139.06 HCPCS / CPT® MONO – HTROPHL ANTIBODIES SCR
86325 $244.90 HCPCS / CPT® IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION
86376 $250.00 HCPCS / CPT® Microsomal antibodies (eg, thyroid or liver-kidney), each
86403 $174.85 HCPCS / CPT® PART AGGLUJ SCR EA ANTB
86430 $96.82 HCPCS / CPT® RHEUMATOID FACTOR QUAL
86431 $175.00 HCPCS / CPT® LUPUS PANEL
86480 $208.17 HCPCS / CPT® TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER
86486 $19.80 HCPCS / CPT® SKIN TEST UNLISTED ANTIGEN EACH
86580 $22.97 HCPCS / CPT® SKN TST TUBERCULOSIS ID
86592 $50.00 HCPCS / CPT® RPR SYPHILIS TEST QUAL
86593 $90.00 HCPCS / CPT® SYPHILLIS TEST,NON-TREPONEMAL ANTIBODY, QUANTITATIVE
86611 $43.56 HCPCS / CPT® ANTB BARTONELLA
86617 $98.20 HCPCS / CPT® Lyme Disease Ab with Reflex to Blot
86625 $225.00 HCPCS / CPT® CAMPYLOBACTER ANTIBODY
86631 $170.75 HCPCS / CPT® ANTB CHLAMYDIA
86641 $225.00 HCPCS / CPT® Cryptococcus AG
86663 $322.12 HCPCS / CPT® ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA
86666 $125.00 HCPCS / CPT® EHRLICHIA ANTIBODY
86677 $126.19 HCPCS / CPT® Antibody; Helicobacter pylori
86689 $281.64 HCPCS / CPT® ANTB HTLV/HIV ANTB CONFIRMATORY TST
86694 $82.80 HCPCS / CPT® ANTB HERPES SMPLX NON-SPEC TYP TST
86695 $150.00 HCPCS / CPT® ANTIBODY; HERPES SIMPLEX, TYPE 1
86696 $150.00 HCPCS / CPT® ANTIBODY; HERPES SIMPLEX, TYPE 2
86701 $189.80 HCPCS / CPT® ANTB HIV-1
86702 $231.00 HCPCS / CPT® ANTB HIV-2
86703 $75.24 HCPCS / CPT® ANTB HIV-1&HIV-2 1 ASSAY
86710 $187.51 HCPCS / CPT® ANTB INF VIRUS
86747 $175.00 HCPCS / CPT® PARVOVIRUS B19
86756 $187.51 HCPCS / CPT® RSV ANTB
86757 $125.00 HCPCS / CPT® Antibody; Rickettsia
86759 $264.92 HCPCS / CPT® ANTB ROTAVIRUS
86780 $180.00 HCPCS / CPT® ANTIBODY; TREPONEMA PALLIDUM
86787 $172.90 HCPCS / CPT® ANTB VARICELLA-ZOSTER
86789 $134.57 HCPCS / CPT® ANTIBODY WEST NILE VIRUS
86794 $225.00 HCPCS / CPT® ZIKA VIRUS ANTIBODY (IGM)
86800 $225.00 HCPCS / CPT® THYROGLOBULIN ANTIBODY
86803 $140.69 HCPCS / CPT® Hepatitis C antibody
86812 $165.00 HCPCS / CPT® HLA B27 TYPING A B OR C
86850 $248.73 HCPCS / CPT® ANTB SCR RBC EA SERUM TQ
86900 $186.14 HCPCS / CPT® BLD TYPING ABO
86901 $112.96 HCPCS / CPT® BLD TYPING RH D
86906 $112.96 HCPCS / CPT® BLD TYPING RH PHEXYPING COMPL
87040 $345.00 HCPCS / CPT® BLOOD CULTURE – CUL BACT BLD AERC ISOL
87045 $336.74 HCPCS / CPT® CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA
87046 $184.14 HCPCS / CPT® CUL BACT STL AERC ADDL PATHOGENS&ID EA
87070 $250.00 HCPCS / CPT® WOUND CULTURE – CULTURE BACTERIAL EXCPT URINE, BLOOD, STOOL AEROBIC ISOLATED
87075 $375.02 HCPCS / CPT® CUL BACT BLD ANAERC ISOL
87077 $73.33 HCPCS / CPT® CULTURE AEROBIC IDENTIFY
87081 $265.25 HCPCS / CPT® STREP CULTURE PRESUMPTIVE PATHOGENIC ORGANISMS SCREENING
87086 $265.00 HCPCS / CPT® CUL BACT QUAN COLONY CNT URINE
87088 $52.35 HCPCS / CPT® CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE
87106 $207.97 HCPCS / CPT® CUL FNGI DEFINITIVE ID EA ORGANISM YEAST
87110 $350.00 HCPCS / CPT® CUL CHLAMYDIA ANY SRC
87177 $120.00 HCPCS / CPT® OVA PARASITES DIRECT SMEARS CONCENTRATION&ID
87205 $191.40 HCPCS / CPT® SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL
87207 $191.43 HCPCS / CPT® SMR PRIM SRC SPEC STAIN BODIES/PARASITS
87209 $150.00 HCPCS / CPT® Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites
87210 $120.62 HCPCS / CPT® SMR PRIM SRC WET MOUNT NFCT AGT
87230 $175.00 HCPCS / CPT® TOXIN OR ANTITOXIN ASSAY, TISSUE CULTURE EG, CLOSTRIDIUM DIFFICILE TOXIN
87252 $86.57 HCPCS / CPT® Herpes simplex/Varicella
87273 $99.56 HCPCS / CPT® HERPES SIMPLEX 2 AG
87274 $99.56 HCPCS / CPT® Infectious agent antigen detection by
87324 $310.50 HCPCS / CPT® IAAD EIA CLOSTRIDIUM DIFFICILE TOXIN
87329 $180.00 HCPCS / CPT® IAA DETECTION BY IMMUNOASSAY,QUAL OR SEMIQUAL, GIARDIA
87332 $192.06 HCPCS / CPT® IAAD EIA CMV
87389 $270.00 HCPCS / CPT® Infectious agent antigen detection by enzyme immunoassay technique, HIV 1-2, multiple-step method;
87390 $163.88 HCPCS / CPT® IAAD EIA HIV-1
87400 $228.07 HCPCS / CPT® INFLUENZA A OR B – IAAD EIA INF/B EA
87420 $129.18 HCPCS / CPT® IAAD EIA RSV
87425 $264.92 HCPCS / CPT® IAAD EIA ROTAVIRUS
87430 $307.21 HCPCS / CPT® IAAD EIA STREPTOCOCCUS GROUP A
87491 $240.00 HCPCS / CPT® INFECTIOUS AGENT DETECTION BY NUCLEIC ACID DNA OR RNA CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE
87493 $258.68 HCPCS / CPT® INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE
87507 $3500.00 HCPCS / CPT® IA DETECT BY NUCLEIC ACID GI PATHOGEN – DNA/RNA PROBE TQ 12-25
87528 $315.09 HCPCS / CPT® IADNA HERPES SMPLX VIRUS DIR PRB
87530 $322.22 HCPCS / CPT® IADNA HERPES SOMPLX VIRUS QUANTIFICATION
87591 $240.00 HCPCS / CPT® INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE. AMPLIFIED PROBE TECHNIQUE
87635 $389.00 HCPCS / CPT® Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique
87798 $534.96 HCPCS / CPT® Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified, Norovirus
87804 $225.00 HCPCS / CPT® INFLUENZA TEST; EACH A AND B
87807 $55.11 HCPCS / CPT® IAADIADOO RSV
87808 $47.52 HCPCS / CPT® Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis
87850 $175.00 HCPCS / CPT® IAADIADOO NEISSERIA GONORRHOEAE
87880 $190.00 HCPCS / CPT® STREP TEST; RAPID
89050 $50.00 HCPCS / CPT® BODY FLUID CELL COUNT
89051 $51.15 HCPCS / CPT® C-CNT MISC BDY FLUS XCPT BLD DIFFIAL CNT
89055 $40.00 HCPCS / CPT® WBC ASSMT FECAL QUAL/SEMIQUAN
89060 $75.32 HCPCS / CPT® CRYSTAL ID LIGHT MIC ALYS TISSUE/ANY FLU
89220 $127.81 HCPCS / CPT® SPTM OBTG SPEC AERSL INDUCED SPX
90470 $79.20 HCPCS / CPT® H1N1 IMMUNIZATION ADMINISTRATION (INTRAMUSCULAR, INTRANASAL), INCLUDING COUNSELING WHEN PERFORMED
90471 $110.00 HCPCS / CPT® Immunization administration; 1 vaccine
90472 $5.75 HCPCS / CPT® IMADM PRQ ID SUBQ/IM NJXS EA VACC
90658 $177.10 HCPCS / CPT® INFLUENZA VIRUS VACCINE SPLIT VIRUS 3 YEARS + IM
90660 $91.84 HCPCS / CPT® INFLUENZA VIRUS VACCINE LIVE INTRANASAL
90662 $79.20 HCPCS / CPT® INFLUENZA VACCINE SPLT PRSRV FREE INC ANTIGEN IM
90665 $158.40 HCPCS / CPT® LYME DISEASE VACCINE ADULT IM
90675 $254.30 HCPCS / CPT® RABIES VACCINE INTRAMUSCULAR
90703 $198.93 HCPCS / CPT® TETANUS TOXOID ADSORBED INTRAMUSCULAR
90707 $249.11 HCPCS / CPT® MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ
90714 $188.48 HCPCS / CPT® TD VACCINE NO PRSV 7 IM
90715 $193.33 HCPCS / CPT® TDAP VACCINE 7 YR + IM
90716 $85.80 HCPCS / CPT® VARICELLA VIRUS VACCINE LIVE SUBQ
90718 $198.93 HCPCS / CPT® TD – TETANUS & DIPHTHERIA TOXOIDS ADSORBED 7 YR + IM
90746 $104.06 HCPCS / CPT® HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR
90885 $580.00 HCPCS / CPT® Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes
90997 $535.73 HCPCS / CPT® HEMOPERFUSION
92950 $1280.09 HCPCS / CPT® CARDIOPULM RESUSCITATION
92960 $1427.56 HCPCS / CPT® CARDIOVERSION ELECTIVE ARRHYT XTRNL
93000 $324.50 HCPCS / CPT® ECG ROUTINE ECG W/LEAST 12 LDS W/I&R
93005 $343.56 HCPCS / CPT® Electrocardiogram, routine ECG with at least 12 leads
93010 $197.16 HCPCS / CPT® ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY EKG
93041 $191.34 HCPCS / CPT® Rhythm ECG, 1-3 leads
93042 $164.40 HCPCS / CPT® RHYTHM ECG, 1-3 LEADS; INTERPRETATION AND REPORT ONLY
93224 $194.55 HCPCS / CPT® WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I
93303 $2076.26 HCPCS / CPT® COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY
93306 $2969.08 HCPCS / CPT® ECHO TTHRC R-T 2D SPEC&COLOR DOP
93307 $1400.52 HCPCS / CPT® Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography
93308 $1401.31 HCPCS / CPT® TTHRC R-T IMG 2D +-M-MODE REC F-UP/LMTD
93312 $1334.32 HCPCS / CPT® TEE R-T IMG 2D W/PRB IMG ACQUISJ I&R
93313 $3442.89 HCPCS / CPT® TEE R-T IMG 2D W/PROBE PLMT ONLY
93320 $449.33 HCPCS / CPT® DOPPLER ECHO COMPLETE
93351 $2046.33 HCPCS / CPT® ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG
93875 $1102.07 HCPCS / CPT® N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD
93880 $1275.00 HCPCS / CPT® ULTRASOUND CAROTID DUPLEX SCAN COMPLETE BILATERAL STUDY
93882 $1184.72 HCPCS / CPT® DUP-SCAN XTRC ART UNI/LMTD STD
93926 $1151.05 HCPCS / CPT® DOPPLER – DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD
93931 $612.26 HCPCS / CPT® DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD
93965 $2369.45 HCPCS / CPT® N-INVAS PHYSIOLOGIC STD XTR VEINS COMPL BI STD
93970 $1639.32 HCPCS / CPT® DUP-SCAN XTR VEINS COMPL BI STD
93971 $844.92 HCPCS / CPT® ULTRASOUND VENOUS DOPPLER UNILATERAL LIMITED STUDY DUPLEX SCAN
93976 $1100.00 HCPCS / CPT® ULTRASOUND PELVIC SCROTALCONTENTS AND OR RETROPERITONEAL; LIMITED STUDY
93980 $1021.28 HCPCS / CPT® PENILE VASCULAR STUDY
94010 $1387.50 HCPCS / CPT® SPIROMETRY, INCLUDING GRAPHIC RECORD, TOTAL AND TIMED VITAL CAPACITY, EXPIRATORY
94150 $158.40 HCPCS / CPT® VC TOT SPX
94621 $1349.73 HCPCS / CPT® PULM STRS TSTG CPLX
94640 $765.60 HCPCS / CPT® NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT – PRESS/N-PRESS INHLJ TX F/AAO/SPTM INDCTJ
94644 $207.15 HCPCS / CPT® INHALATION TREATMENT – CONTINUOUS 1ST HR
94645 $125.00 HCPCS / CPT® Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour
94660 $1125.00 HCPCS / CPT® CONTINUOUS POSITIVE AIRWAY PRESSURE VENTILATION CPAP, INITIATION AND MANAGEMENT
94760 $150.00 HCPCS / CPT® PULSE OXIMETRY – O2 SATURATION LEVELS – SINGLE
94761 $315.00 HCPCS / CPT® PULSE OXIMETRY – O2 SATURATION LEVELS – MULTIPLE
96360 $1050.00 HCPCS / CPT® IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR
96361 $306.13 HCPCS / CPT® IV INFUSION HYDRATION EACH ADDITIONAL HOUR
96365 $1050.00 HCPCS / CPT® IV INFUSION THERAPY 1ST HOUR
96366 $304.60 HCPCS / CPT® IV INFUSION THERAPY, EACH ADDL HOUR
96367 $344.40 HCPCS / CPT® IV INFUSION THERAPY, ADDL SEQUENTIAL INFUSION OF NEW MED 1ST HR
96368 $329.10 HCPCS / CPT® IV INFUSION THERAPY, CONCURRENT IV INFUSION OF DIFFERENT MED
96372 $217.29 HCPCS / CPT® INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS
96373 $298.83 HCPCS / CPT® INJECTION, INTRA-ARTERIAL
96374 $1050.00 HCPCS / CPT® IV PUSH 1ST DRUG, THERAPEUTIC, DIAGNOSITIC MEDICATION
96375 $266.33 HCPCS / CPT® IV PUSH EACH ADD’L DRUG, THERAPEUTIC, DIAGNOSITIC, PROPHYLACTIC
96376 $289.29 HCPCS / CPT® IV PUSH EACH OF SAME DRUG, THERAPEUTIC, DIAGNOSITIC, PROPHYLACTIC
96379 $279.04 HCPCS / CPT® INJECTION – UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS
97116 $186.42 HCPCS / CPT® THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; GAIT TRAINING (INCLUDES STAIR CLIMBING)
97597 $150.00 HCPCS / CPT® REMOVAL DEVITALIZED TISSUE 20 CM OR LESS
97760 $250.00 HCPCS / CPT® ORTHOTIC TRAINING
99000 $25.74 HCPCS / CPT® HANDLING OR CONVEYANCE OF SPECIMEN FOR TRNSFR FROM OFFICE TO LAB
99001 $60.00 HCPCS / CPT® HANDLING OR CONVEYANCE OF SPECIMEN FOR TRNSFR FROM PT TO LAB
99024 $100.00 HCPCS / CPT® FOLLOW-UP VISIT
99053 $200.00 HCPCS / CPT® SERVICES PROVIDED BETWEEN 10 PM AND 8 AM AT A 24 HR FACILITY
99070 $69.18 HCPCS / CPT® SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE
99143 $575.53 HCPCS / CPT® M-SEDATJ BY SM PHYS PERFRMG SVC < 5 YR
99144 $569.40 HCPCS / CPT® ANESTHESIA – M-SEDAJ BY SM PHYS PERFRMG SVC 5+ YR
99145 $221.95 HCPCS / CPT® M-SEDAJ BY SM PHYS PERFRMG SVC EA 15 MIN
99148 $191.27 HCPCS / CPT® M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG < 5
99149 $476.03 HCPCS / CPT® M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+
99150 $413.94 HCPCS / CPT® MOD SED DIFF PHYS/QHP ADD ON
99152 $475.80 HCPCS / CPT® MOD SED SAME PHYS/QHP OVER 5 YRS OF AGE
99153 $563.49 HCPCS / CPT® MOD SED SAME PHYS/QHP EA
99173 $382.66 HCPCS / CPT® VISUAL ACUITY SCREENING
99235 $2226.40 HCPCS / CPT® EMERGENCY ROOM GENERAL CLASSIFICATION
99244 $401.28 HCPCS / CPT® OFFICE CONSLTJ 60 MIN
99281 $422.88 HCPCS / CPT® EVALUATION AND MANAGEMENT – LEVEL 1
99282 $825.00 HCPCS / CPT® EVALUATION AND MANAGEMENT – LEVEL 2
99283 $1336.04 HCPCS / CPT® EVALUATION AND MANAGEMENT – LEVEL 3
99284 $2000.00 HCPCS / CPT® EVALUATION AND MANAGEMENT – LEVEL 4
99285 $3500.00 HCPCS / CPT® EVALUATION AND MANAGEMENT – LEVEL 5
99291 $4278.65 HCPCS / CPT® CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN
99292 $1023.04 HCPCS / CPT® CC E/M CRITICALLY ILL/INJURED EA 30 MIN
99354 $500.00 HCPCS / CPT® Prolonged E/M (beyond the typical service time of the primary procedure) in an outpatient setting requiring direct patient contact beyond the usual service; first hour
99406 $106.43 HCPCS / CPT® TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES
999999 $61.23 HCPCS / CPT® RETURN CHECK FEE
A0021 $0.00 HCPCS / CPT® OUTSIDE STATE AMBULANCE SERV
A0080 $0.00 HCPCS / CPT® NONINTEREST ESCORT IN NON ER
A0090 $0.00 HCPCS / CPT® INTEREST ESCORT IN NON ER
A0100 $0.00 HCPCS / CPT® NONEMERGENCY TRANSPORT TAXI
A0110 $0.00 HCPCS / CPT® NONEMERGENCY TRANSPORT BUS
A0120 $0.00 HCPCS / CPT® NONER TRANSPORT MINI-BUS
A0130 $0.00 HCPCS / CPT® NONER TRANSPORT WHEELCH VAN
A0140 $0.00 HCPCS / CPT® NONEMERGENCY TRANSPORT AIR
A0160 $0.00 HCPCS / CPT® NONER TRANSPORT CASE WORKER
A0170 $0.00 HCPCS / CPT® TRANSPORT PARKING FEES/TOLLS
A0180 $0.00 HCPCS / CPT® NONER TRANSPORT LODGNG RECIP
A0190 $0.00 HCPCS / CPT® NONER TRANSPORT MEALS RECIP
A0200 $0.00 HCPCS / CPT® NONER TRANSPORT LODGNG ESCRT
A0210 $0.00 HCPCS / CPT® NONER TRANSPORT MEALS ESCORT
A0225 $0.00 HCPCS / CPT® NEONATAL EMERGENCY TRANSPORT
A0380 $0.00 HCPCS / CPT® BASIC LIFE SUPPORT MILEAGE
A0382 $0.00 HCPCS / CPT® BASIC SUPPORT ROUTINE SUPPLS
A0384 $0.00 HCPCS / CPT® BLS DEFIBRILLATION SUPPLIES
A0390 $0.00 HCPCS / CPT® ADVANCED LIFE SUPPORT MILEAG
A0392 $0.00 HCPCS / CPT® ALS DEFIBRILLATION SUPPLIES
A0394 $3.45 HCPCS / CPT® ALS IV DRUG THERAPY SUPPLIES
A0396 $38.27 HCPCS / CPT® ALS ESOPHAGEAL INTUB SUPPLS
A0398 $0.00 HCPCS / CPT® ALS ROUTINE DISPOSBLE SUPPLS
A0420 $0.00 HCPCS / CPT® AMBULANCE WAITING 1/2 HR
A0422 $0.00 HCPCS / CPT® AMBULANCE 02 LIFE SUSTAINING
A0424 $0.00 HCPCS / CPT® EXTRA AMBULANCE ATTENDANT
A0425 $0.00 HCPCS / CPT® GROUND MILEAGE
A0426 $0.00 HCPCS / CPT® ALS 1
A0427 $0.00 HCPCS / CPT® ALS1-EMERGENCY
A0428 $0.00 HCPCS / CPT® BLS
A0429 $0.00 HCPCS / CPT® BLS-EMERGENCY
A0430 $0.00 HCPCS / CPT® FIXED WING AIR TRANSPORT
A0431 $0.00 HCPCS / CPT® ROTARY WING AIR TRANSPORT
A0432 $0.00 HCPCS / CPT® PI VOLUNTEER AMBULANCE CO
A0433 $0.00 HCPCS / CPT® ALS 2
A0434 $0.00 HCPCS / CPT® SPECIALTY CARE TRANSPORT
A0435 $0.00 HCPCS / CPT® FIXED WING AIR MILEAGE
A0436 $0.00 HCPCS / CPT® ROTARY WING AIR MILEAGE
A0888 $0.00 HCPCS / CPT® NONCOVERED AMBULANCE MILEAGE
A0998 $0.00 HCPCS / CPT® AMBULANCE RESPONSE/TREATMENT
A0999 $0.00 HCPCS / CPT® UNLISTED AMBULANCE SERVICE
A4206 $24.31 HCPCS / CPT® Syringe with needle, sterile, 1 cc or less, each
A4207 $0.00 HCPCS / CPT® 2 CC STERILE SYRINGE&NEEDLE
A4208 $41.18 HCPCS / CPT® 3 CC STERILE SYRINGE&NEEDLE
A4209 $45.92 HCPCS / CPT® 5+ CC STERILE SYRINGE&NEEDLE
A4210 $0.00 HCPCS / CPT® NONNEEDLE INJECTION DEVICE
A4211 $0.00 HCPCS / CPT® SUPP FOR SELF-ADM INJECTIONS
A4212 $0.00 HCPCS / CPT® NON CORING NEEDLE OR STYLET
A4213 $9.15 HCPCS / CPT® 20+ CC SYRINGE ONLY
A4215 $16.46 HCPCS / CPT® NEEDLE STERILE, ANY SIZE, EACH
A4216 $4.59 HCPCS / CPT® STERILE WATER/SALINE, FLUSH 10 ML
A4217 $34.90 HCPCS / CPT® STERILE WATER/SALINE, 500 ML
A4218 $0.00 HCPCS / CPT® STERILE SALINE OR WATER
A4220 $0.00 HCPCS / CPT® INFUSION PUMP REFILL KIT
A4221 $185.08 HCPCS / CPT® MAINT DRUG INFUS CATH PER WK
A4222 $367.39 HCPCS / CPT® INFUSION SUPPLIES WITH PUMP
A4223 $0.00 HCPCS / CPT® INFUSION SUPPLIES W/O PUMP
A4224 $0.00 HCPCS / CPT® SUPPLY INSULIN INF CATH/WK
A4225 $0.00 HCPCS / CPT® SUP/EXT INSULIN INF PUMP SYR
A4230 $0.00 HCPCS / CPT® INFUS INSULIN PUMP NON NEEDL
A4231 $0.00 HCPCS / CPT® INFUSION INSULIN PUMP NEEDLE
A4232 $0.00 HCPCS / CPT® SYRINGE W/NEEDLE INSULIN 3CC
A4233 $0.00 HCPCS / CPT® ALKALIN BATT FOR GLUCOSE MON
A4234 $0.00 HCPCS / CPT® J-CELL BATT FOR GLUCOSE MON
A4235 $0.00 HCPCS / CPT® LITHIUM BATT FOR GLUCOSE MON
A4236 $0.00 HCPCS / CPT® SILVR OXIDE BATT GLUCOSE MON
A4244 $6.12 HCPCS / CPT® ALCOHOL OR PEROXIDE PER PINT
A4245 $19.99 HCPCS / CPT® ALCOHOL WIPE
A4246 $33.03 HCPCS / CPT® BETADINE/PHISOHEX SOLUTION
A4247 $33.03 HCPCS / CPT® BETADINE/IODINE SWABS/WIPES
A4248 $156.18 HCPCS / CPT® CHLORHEXIDINE ANTISEPT
A4250 $10.00 HCPCS / CPT® URINE REAGENT STRIPS/TABLETS
A4252 $10.00 HCPCS / CPT® GLUCOSE TEST STRIP – BLOOD KETONE TEST OR STRIP
A4253 $0.00 HCPCS / CPT® BLOOD GLUCOSE/REAGENT STRIPS
A4255 $0.00 HCPCS / CPT® GLUCOSE MONITOR PLATFORMS
A4256 $0.00 HCPCS / CPT® CALIBRATOR SOLUTION/CHIPS
A4257 $0.00 HCPCS / CPT® REPLACE LENSSHIELD CARTRIDGE
A4258 $0.00 HCPCS / CPT® LANCET DEVICE EACH
A4259 $0.00 HCPCS / CPT® LANCETS PER BOX
A4260 $0.00 HCPCS / CPT® LEVONORGESTREL IMPLANT
A4261 $0.00 HCPCS / CPT® CERVICAL CAP CONTRACEPTIVE
A4262 $0.00 HCPCS / CPT® TEMPORARY TEAR DUCT PLUG
A4263 $0.00 HCPCS / CPT® PERMANENT TEAR DUCT PLUG
A4264 $0.00 HCPCS / CPT® INTRATUBAL OCCLUSION DEVICE
A4265 $0.00 HCPCS / CPT® PARAFFIN
A4266 $0.00 HCPCS / CPT® DIAPHRAGM
A4267 $0.00 HCPCS / CPT® MALE CONDOM
A4268 $0.00 HCPCS / CPT® FEMALE CONDOM
A4269 $0.00 HCPCS / CPT® SPERMICIDE
A4270 $0.00 HCPCS / CPT® DISPOSABLE ENDOSCOPE SHEATH
A4280 $0.00 HCPCS / CPT® BRST PRSTHS ADHSV ATTCHMNT
A4281 $0.00 HCPCS / CPT® REPLACEMENT BREASTPUMP TUBE
A4282 $0.00 HCPCS / CPT® REPLACEMENT BREASTPUMP ADPT
A4283 $0.00 HCPCS / CPT® REPLACEMENT BREASTPUMP CAP
A4284 $0.00 HCPCS / CPT® REPLCMNT BREAST PUMP SHIELD
A4285 $0.00 HCPCS / CPT® REPLCMNT BREAST PUMP BOTTLE
A4286 $0.00 HCPCS / CPT® REPLCMNT BREASTPUMP LOK RING
A4290 $0.00 HCPCS / CPT® SACRAL NERVE STIM TEST LEAD
A4300 $55.83 HCPCS / CPT® IMPLANTABLE ACCESS CATHETER
A4301 $0.00 HCPCS / CPT® IMPLANTABLE ACCESS SYST PERC
A4305 $0.00 HCPCS / CPT® DRUG DELIVERY SYSTEM >=50 ML
A4306 $0.00 HCPCS / CPT® DRUG DELIVERY SYSTEM <=50 ML
A4310 $0.00 HCPCS / CPT® INSERT TRAY W/O BAG/CATH
A4311 $45.92 HCPCS / CPT® CATHETER W/O BAG 2-WAY LATEX
A4312 $0.00 HCPCS / CPT® CATH W/O BAG 2-WAY SILICONE
A4313 $36.73 HCPCS / CPT® CATHETER W/BAG 3-WAY
A4314 $16.84 HCPCS / CPT® CATH W/DRAINAGE 2-WAY LATEX
A4315 $0.00 HCPCS / CPT® CATH W/DRAINAGE 2-WAY SILCNE
A4316 $0.00 HCPCS / CPT® CATH W/DRAINAGE 3-WAY
A4320 $20.29 HCPCS / CPT® IRRIGATION TRAY
A4321 $0.00 HCPCS / CPT® CATH THERAPEUTIC IRRIG AGENT
A4322 $20.29 HCPCS / CPT® IRRIGATION SYRINGE
A4326 $11.49 HCPCS / CPT® MALE EXTERNAL CATHETER WITH INTEGRAL COLLECTION CHAMBER, ANY TYPE, EACH
A4327 $4.59 HCPCS / CPT® URINE CUP FEMALE COLLECT DEV CUP
A4328 $4.99 HCPCS / CPT® FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH
A4330 $10.00 HCPCS / CPT® STOOL COLLECTION POUCH
A4331 $0.00 HCPCS / CPT® EXTENSION DRAINAGE TUBING
A4332 $9.19 HCPCS / CPT® LUBE STERILE PACKET
A4333 $0.00 HCPCS / CPT® URINARY CATH ANCHOR DEVICE
A4334 $0.00 HCPCS / CPT® URINARY CATH LEG STRAP
A4335 $4.59 HCPCS / CPT® INCONTINENCE SUPPLY MISCELLANEOUS
A4336 $0.00 HCPCS / CPT® URETHRAL INSERT
A4337 $0.00 HCPCS / CPT® INCONTINENT RECTAL INSERT
A4338 $15.31 HCPCS / CPT® INDWELLING CATHETER LATEX
A4340 $0.00 HCPCS / CPT® INDWELLING CATHETER SPECIAL
A4344 $16.84 HCPCS / CPT® CATHETER – FOLEY 2 WAY SILICN
A4346 $0.00 HCPCS / CPT® CATH INDW FOLEY 3 WAY
A4349 $0.00 HCPCS / CPT® DISPOSABLE MALE EXTERNAL CAT
A4351 $14.92 HCPCS / CPT® STRAIGHT TIP URINE CATHETER
A4352 $30.81 HCPCS / CPT® COUDE TIP URINARY CATHETER
A4353 $30.61 HCPCS / CPT® INTERMITTENT URINARY CATH
A4354 $81.71 HCPCS / CPT® CATH INSERTION TRAY W/BAG
A4355 $0.00 HCPCS / CPT® BLADDER IRRIGATION TUBING
A4356 $357.43 HCPCS / CPT® EXT URETH CLMP OR COMPR DVC
A4357 $0.00 HCPCS / CPT® BEDSIDE DRAINAGE BAG
A4358 $19.14 HCPCS / CPT® BAG – URINARY LEG OR ABDOMEN BAG
A4360 $0.00 HCPCS / CPT® DISPOSABLE EXT URETHRAL DEV
A4361 $0.00 HCPCS / CPT® OSTOMY FACE PLATE
A4362 $0.00 HCPCS / CPT® SOLID SKIN BARRIER
A4363 $0.00 HCPCS / CPT® OSTOMY CLAMP, REPLACEMENT
A4364 $43.73 HCPCS / CPT® DERMABOND – ADHESIVE, LIQUID OR EQUAL PER OZ.
A4366 $0.00 HCPCS / CPT® OSTOMY VENT
A4367 $0.00 HCPCS / CPT® OSTOMY BELT
A4368 $0.00 HCPCS / CPT® OSTOMY FILTER
A4369 $0.00 HCPCS / CPT® SKIN BARRIER LIQUID PER OZ
A4371 $0.00 HCPCS / CPT® SKIN BARRIER POWDER PER OZ
A4372 $0.00 HCPCS / CPT® SKIN BARRIER SOLID 4X4 EQUIV
A4373 $0.00 HCPCS / CPT® SKIN BARRIER WITH FLANGE
A4375 $0.00 HCPCS / CPT® DRAINABLE PLASTIC PCH W FCPL
A4376 $0.00 HCPCS / CPT® DRAINABLE RUBBER PCH W FCPLT
A4377 $0.00 HCPCS / CPT® DRAINABLE PLSTIC PCH W/O FP
A4378 $0.00 HCPCS / CPT® DRAINABLE RUBBER PCH W/O FP
A4379 $0.00 HCPCS / CPT® URINARY PLASTIC POUCH W FCPL
A4380 $0.00 HCPCS / CPT® URINARY RUBBER POUCH W FCPLT
A4381 $0.00 HCPCS / CPT® URINARY PLASTIC POUCH W/O FP
A4382 $0.00 HCPCS / CPT® URINARY HVY PLSTC PCH W/O FP
A4383 $0.00 HCPCS / CPT® URINARY RUBBER POUCH W/O FP
A4384 $0.00 HCPCS / CPT® OSTOMY FACEPLT/SILICONE RING
A4385 $0.00 HCPCS / CPT® OST SKN BARRIER SLD EXT WEAR
A4387 $0.00 HCPCS / CPT® OST CLSD POUCH W ATT ST BARR
A4388 $0.00 HCPCS / CPT® DRAINABLE PCH W EX WEAR BARR
A4389 $0.00 HCPCS / CPT® DRAINABLE PCH W ST WEAR BARR
A4390 $0.00 HCPCS / CPT® DRAINABLE PCH EX WEAR CONVEX
A4391 $0.00 HCPCS / CPT® URINARY POUCH W EX WEAR BARR
A4392 $0.00 HCPCS / CPT® URINARY POUCH W ST WEAR BARR
A4393 $0.00 HCPCS / CPT® URINE PCH W EX WEAR BAR CONV
A4394 $0.00 HCPCS / CPT® OSTOMY POUCH LIQ DEODORANT
A4395 $0.00 HCPCS / CPT® OSTOMY POUCH SOLID DEODORANT
A4396 $0.00 HCPCS / CPT® PERISTOMAL HERNIA SUPPRT BLT
A4397 $0.00 HCPCS / CPT® IRRIGATION SUPPLY SLEEVE
A4398 $0.00 HCPCS / CPT® OSTOMY IRRIGATION BAG
A4399 $0.00 HCPCS / CPT® OSTOMY IRRIG CONE/CATH W BRS
A4400 $0.00 HCPCS / CPT® OSTOMY IRRIGATION SET
A4402 $12.50 HCPCS / CPT® LUBRICANT PER OUNCE
A4404 $0.00 HCPCS / CPT® OSTOMY RING EACH
A4405 $0.00 HCPCS / CPT® NONPECTIN BASED OSTOMY PASTE
A4406 $0.00 HCPCS / CPT® PECTIN BASED OSTOMY PASTE
A4407 $0.00 HCPCS / CPT® EXT WEAR OST SKN BARR <=4SQ
A4408 $0.00 HCPCS / CPT® EXT WEAR OST SKN BARR >4SQ
A4409 $0.00 HCPCS / CPT® OST SKN BARR CONVEX <=4 SQ I
A4410 $0.00 HCPCS / CPT® OST SKN BARR EXTND >4 SQ
A4411 $0.00 HCPCS / CPT® OST SKN BARR EXTND =4SQ
A4412 $0.00 HCPCS / CPT® OST POUCH DRAIN HIGH OUTPUT
A4413 $0.00 HCPCS / CPT® 2 PC DRAINABLE OST POUCH
A4414 $0.00 HCPCS / CPT® OST SKNBAR W/O CONV<=4 SQ IN
A4415 $0.00 HCPCS / CPT® OST SKN BARR W/O CONV >4 SQI
A4416 $0.00 HCPCS / CPT® OST PCH CLSD W BARRIER/FILTR
A4417 $0.00 HCPCS / CPT® OST PCH W BAR/BLTINCONV/FLTR
A4418 $0.00 HCPCS / CPT® OST PCH CLSD W/O BAR W FILTR
A4419 $0.00 HCPCS / CPT® OST PCH FOR BAR W FLANGE/FLT
A4420 $0.00 HCPCS / CPT® OST PCH CLSD FOR BAR W LK FL
A4421 $0.00 HCPCS / CPT® OSTOMY SUPPLY MISC
A4422 $0.00 HCPCS / CPT® OST POUCH ABSORBENT MATERIAL
A4423 $0.00 HCPCS / CPT® OST PCH FOR BAR W LK FL/FLTR
A4424 $0.00 HCPCS / CPT® OST PCH DRAIN W BAR & FILTER
A4425 $0.00 HCPCS / CPT® OST PCH DRAIN FOR BARRIER FL
A4426 $0.00 HCPCS / CPT® OST PCH DRAIN 2 PIECE SYSTEM
A4427 $0.00 HCPCS / CPT® OST PCH DRAIN/BARR LK FLNG/F
A4428 $0.00 HCPCS / CPT® URINE OST POUCH W FAUCET/TAP
A4429 $0.00 HCPCS / CPT® URINE OST POUCH W BLTINCONV
A4430 $0.00 HCPCS / CPT® OST URINE PCH W B/BLTIN CONV
A4431 $0.00 HCPCS / CPT® OST PCH URINE W BARRIER/TAPV
A4432 $0.00 HCPCS / CPT® OS PCH URINE W BAR/FANGE/TAP
A4433 $0.00 HCPCS / CPT® URINE OST PCH BAR W LOCK FLN
A4434 $0.00 HCPCS / CPT® OST PCH URINE W LOCK FLNG/FT
A4435 $0.00 HCPCS / CPT® 1PC OST PCH DRAIN HGH OUTPUT
A4450 $13.73 HCPCS / CPT® TAPE NON-WATERPROOF
A4452 $13.73 HCPCS / CPT® TAPE WATERPROOF
A4455 $0.00 HCPCS / CPT® ADHESIVE REMOVER PER OUNCE
A4456 $0.00 HCPCS / CPT® ADHESIVE REMOVER, WIPES
A4458 $0.00 HCPCS / CPT® REUSABLE ENEMA BAG
A4459 $0.00 HCPCS / CPT® MANUAL PUMP ENEMA, REUSABLE
A4461 $150.00 HCPCS / CPT® SURGICL DRESS HOLD NON-REUSE
A4463 $0.00 HCPCS / CPT® SURGICAL DRESS HOLDER REUSE
A4465 $0.00 HCPCS / CPT® NON-ELASTIC EXTREMITY BINDER
A4467 $0.00 HCPCS / CPT® BELT STRAP SLEEV GRMNT COVER
A4470 $0.00 HCPCS / CPT® GRAVLEE JET WASHER
A4480 $0.00 HCPCS / CPT® VABRA ASPIRATOR
A4481 $0.00 HCPCS / CPT® TRACHEOSTOMA FILTER
A4483 $0.00 HCPCS / CPT® MOISTURE EXCHANGER
A4490 $0.00 HCPCS / CPT® ABOVE KNEE SURGICAL STOCKING
A4495 $0.00 HCPCS / CPT® THIGH LENGTH SURG STOCKING
A4500 $0.00 HCPCS / CPT® BELOW KNEE SURGICAL STOCKING
A4510 $0.00 HCPCS / CPT® FULL LENGTH SURG STOCKING
A4520 $0.00 HCPCS / CPT® INCONTINENCE GARMENT ANYTYPE
A4550 $535.73 HCPCS / CPT® PROCEDURE SUPPLY TRAY
A4550DRESS $125.00 HCPCS / CPT® DRESSING TRAY
A4550SRKIT $125.00 HCPCS / CPT® SUTURE REMOVAL KIT
A4553 $0.00 HCPCS / CPT® NONDISP UNDERPADS, ALL SIZES
A4554 $38.20 HCPCS / CPT® DISPOSABLE UNDERPADS – CHUCKS PAD – CHUX
A4555 $0.00 HCPCS / CPT® CA TX E-STIM ELECTR/TRANSDUC
A4556 $97.51 HCPCS / CPT® ELECTRODES PAIR
A4557 $0.00 HCPCS / CPT® LEAD WIRES, PAIR
A4558 $0.00 HCPCS / CPT® CONDUCTIVE GEL OR PASTE
A4559 $0.00 HCPCS / CPT® COUPLING GEL OR PASTE
A4561 $0.00 HCPCS / CPT® PESSARY RUBBER, ANY TYPE
A4562 $0.00 HCPCS / CPT® PESSARY, NON RUBBER,ANY TYPE
A4565 $191.34 HCPCS / CPT® SLINGS
A4566 $201.77 HCPCS / CPT® SHOULD SLING/VEST/ABRESTRAIN
A4570 $164.55 HCPCS / CPT® SPLINT
A4575 $0.00 HCPCS / CPT® HYPERBARIC O2 CHAMBER DISPS
A4580 $109.31 HCPCS / CPT® CAST SUPPLIES (PLASTER)
A4590 $164.55 HCPCS / CPT® ORTHO GLASS 4″ SPECIAL CASTING MATERIAL
A4590 3 $110.22 HCPCS / CPT® ORTHO GLASS 3″ SPECIAL CASTING MATERIAL
A4595 $0.00 HCPCS / CPT® TENS SUPPL 2 LEAD PER MONTH
A4600 $0.00 HCPCS / CPT® SLEEVE, INTER LIMB COMP DEV
A4601 $0.00 HCPCS / CPT® LITH ION NON PROSTH RECHARGE
A4602 $0.00 HCPCS / CPT® REPLACE LITHIUM BATTERY 1.5V
A4604 $0.00 HCPCS / CPT® TUBING WITH HEATING ELEMENT
A4605 $0.00 HCPCS / CPT® TRACH SUCTION CATH CLOSE SYS
A4606 $166.84 HCPCS / CPT® OXYGEN PROBE USED W OXIMETER
A4608 $0.00 HCPCS / CPT® TRANSTRACHEAL OXYGEN CATH
A4611 $0.00 HCPCS / CPT® HEAVY DUTY BATTERY
A4612 $0.00 HCPCS / CPT® BATTERY CABLES
A4613 $0.00 HCPCS / CPT® BATTERY CHARGER
A4614 $0.00 HCPCS / CPT® HAND-HELD PEFR METER
A4615 $7.66 HCPCS / CPT® CANNULA NASAL O2
A4616 $3.45 HCPCS / CPT® TUBING (OXYGEN) PER FOOT
A4617 $0.00 HCPCS / CPT® MOUTH PIECE
A4618 $0.00 HCPCS / CPT® BREATHING CIRCUITS
A4619 $0.00 HCPCS / CPT® FACE TENT
A4620 $72.19 HCPCS / CPT® MASK – VARIABLE CONCENTRATION MASK – NON-REBREATHER MASK
A4623 $0.00 HCPCS / CPT® TRACHEOSTOMY INNER CANNULA
A4624 $0.00 HCPCS / CPT® TRACHEAL SUCTION TUBE
A4625 $0.00 HCPCS / CPT® TRACH CARE KIT FOR NEW TRACH
A4626 $0.00 HCPCS / CPT® TRACHEOSTOMY CLEANING BRUSH
A4627 $0.00 HCPCS / CPT® SPACER BAG/RESERVOIR
A4628 $0.00 HCPCS / CPT® OROPHARYNGEAL SUCTION CATH
A4629 $0.00 HCPCS / CPT® TRACHEOSTOMY CARE KIT
A4630 $0.00 HCPCS / CPT® REPL BAT T.E.N.S. OWN BY PT
A4633 $0.00 HCPCS / CPT® UVL REPLACEMENT BULB
A4634 $0.00 HCPCS / CPT® REPLACEMENT BULB TH LIGHTBOX
A4635 $0.00 HCPCS / CPT® UNDERARM CRUTCH PAD
A4636 $0.00 HCPCS / CPT® HANDGRIP FOR CANE ETC
A4637 $0.00 HCPCS / CPT® REPL TIP CANE/CRUTCH/WALKER
A4638 $0.00 HCPCS / CPT® REPL BATT PULSE GEN SYS
A4639 $0.00 HCPCS / CPT® INFRARED HT SYS REPLCMNT PAD
A4640 $0.00 HCPCS / CPT® ALTERNATING PRESSURE PAD
A4641 $0.00 HCPCS / CPT® RADIOPHARM DX AGENT NOC
A4642 $0.00 HCPCS / CPT® IN111 SATUMOMAB
A4648 $0.00 HCPCS / CPT® IMPLANTABLE TISSUE MARKER
A4649 $10.10 HCPCS / CPT® SURGICAL MISC
A4649 BAG $28.84 HCPCS / CPT® BAG – NORMAL SALINE 100ML BAG
A4649 BAND $1.27 HCPCS / CPT® BANDAID
A4649 BLAD $6.32 HCPCS / CPT® SCAPLEL BLADE 11
A4649 BOTT $15.84 HCPCS / CPT® HYDROGEN PEROXIDE BOTTLE
A4649 BUDD $11.34 HCPCS / CPT® BUDDY TAPE
A4649 CAT $206.64 HCPCS / CPT® IV CATH ANY SIZE
A4649 CAU $43.64 HCPCS / CPT® ELECTROCAUTERY MISC
A4649 CUP $3.79 HCPCS / CPT® URINE SPEC CUP
A4649 DEC $20.24 HCPCS / CPT® CO2 DETECTOR
A4649 ENEM $41.78 HCPCS / CPT® FLEETS ENEMA
A4649 ICE $6.32 HCPCS / CPT® ICE PACK
A4649 IRR $16.77 HCPCS / CPT® IRRIGATION BOTTLE
A4649 IV $16.08 HCPCS / CPT® IV START KIT
A4649 KATZ $40.00 HCPCS / CPT® KATZ EXTRACTOR
A4649 LAMP $225.01 HCPCS / CPT® WOODS LAMP
A4649 LITE $46.31 HCPCS / CPT® LIGHT SOURCE
A4649 MASK $12.65 HCPCS / CPT® ABUTER MASK
A4649 MON $378.84 HCPCS / CPT® CARDIAC MONITOR
A4649 NACL $13.20 HCPCS / CPT® SODIUM CHLORIDE BOTTLE 1000 ML
A4649 NIT $52.82 HCPCS / CPT® SILVER NITRATE STICKS EACH
A4649 OXY $28.16 HCPCS / CPT® OXYGEN MASK
A4649 SPEC $231.60 HCPCS / CPT® SPECULUM
A4649 STAP $76.53 HCPCS / CPT® STAPLE REPAIR KIT
A4649 TAM $67.66 HCPCS / CPT® RAPID RHINO NASAL PACKING OR NASAL TAMPON
A4649 TON $3.45 HCPCS / CPT® TONGUE DEPRESSOR
A4649 TOUR $38.27 HCPCS / CPT® TOURNIQUETS
A4649 TU $58.62 HCPCS / CPT® IV TUBING
A4649 VAG $231.60 HCPCS / CPT® VAGINAL SPECULUM
A4649BASIN $10.00 HCPCS / CPT® BASIN – EMESIS BASIN STERILE
A4649CAT $206.64 HCPCS / CPT® IV CATH ANY SIZE
A4649FLUID $10.00 HCPCS / CPT® PO FLUIDS MISCELLANEOUS
A4649FORCE $25.00 HCPCS / CPT® FORCEPS
A4649STAPL $236.89 HCPCS / CPT® SKIN STAPLER
A4649STR $18.52 HCPCS / CPT® FLUOR-I-STRIP
A4649STRAI $10.00 HCPCS / CPT® URINE STRAINER
A4649SURGI $50.00 HCPCS / CPT® SURGICEL GEL FOAM
A4649SUTUR $25.00 HCPCS / CPT® SUTURES
A4649SWAB $5.00 HCPCS / CPT® SPECIMEN SWAB
A4649VBAG $8.43 HCPCS / CPT® VOMIT BAG
A4649WICK $40.00 HCPCS / CPT® EAR WICK
A4650 $0.00 HCPCS / CPT® IMPLANT RADIATION DOSIMETER
A4651 $0.00 HCPCS / CPT® CALIBRATED MICROCAP TUBE
A4652 $0.00 HCPCS / CPT® MICROCAPILLARY TUBE SEALANT
A4653 $0.00 HCPCS / CPT® PD CATHETER ANCHOR BELT
A4657 $9.15 HCPCS / CPT® SYRINGE WITH OR WITHOUT NEEDLE
A4660 $40.39 HCPCS / CPT® SPHYG/BP APP W CUFF AND STET
A4663 $0.00 HCPCS / CPT® DIALYSIS BLOOD PRESSURE CUFF
A4670 $46.84 HCPCS / CPT® AUTOMATIC BP MONITOR, DIAL
A4671 $0.00 HCPCS / CPT® DISPOSABLE CYCLER SET
A4672 $0.00 HCPCS / CPT® DRAINAGE EXT LINE, DIALYSIS
A4673 $18.37 HCPCS / CPT® SALINE LOCK
A4674 $0.00 HCPCS / CPT® CHEM/ANTISEPT SOLUTION, 8OZ
A4680 $0.00 HCPCS / CPT® ACTIVATED CARBON FILTER, EA
A4690 $0.00 HCPCS / CPT® DIALYZER, EACH
A4706 $0.00 HCPCS / CPT® BICARBONATE CONC SOL PER GAL
A4707 $0.00 HCPCS / CPT® BICARBONATE CONC POW PER PAC
A4708 $0.00 HCPCS / CPT® ACETATE CONC SOL PER GALLON
A4709 $0.00 HCPCS / CPT® ACID CONC SOL PER GALLON
A4714 $0.00 HCPCS / CPT® TREATED WATER PER GALLON
A4719 $0.00 HCPCS / CPT® Y SET TUBING
A4720 $0.00 HCPCS / CPT® DIALYSAT SOL FLD VOL > 249CC
A4721 $0.00 HCPCS / CPT® DIALYSAT SOL FLD VOL > 999CC
A4722 $0.00 HCPCS / CPT® DIALYS SOL FLD VOL > 1999CC
A4723 $0.00 HCPCS / CPT® DIALYS SOL FLD VOL > 2999CC
A4724 $0.00 HCPCS / CPT® DIALYS SOL FLD VOL > 3999CC
A4725 $0.00 HCPCS / CPT® DIALYS SOL FLD VOL > 4999CC
A4726 $0.00 HCPCS / CPT® DIALYS SOL FLD VOL > 5999CC
A4728 $0.00 HCPCS / CPT® DIALYSATE SOLUTION, NON-DEX
A4730 $0.00 HCPCS / CPT® FISTULA CANNULATION SET, EA
A4736 $0.00 HCPCS / CPT® TOPICAL ANESTHETIC, PER GRAM
A4737 $0.00 HCPCS / CPT® INJ ANESTHETIC PER 10 ML
A4740 $0.00 HCPCS / CPT® SHUNT ACCESSORY
A4750 $0.00 HCPCS / CPT® ART OR VENOUS BLOOD TUBING
A4755 $0.00 HCPCS / CPT® COMB ART/VENOUS BLOOD TUBING
A4760 $0.00 HCPCS / CPT® DIALYSATE SOL TEST KIT, EACH
A4765 $0.00 HCPCS / CPT® DIALYSATE CONC POW PER PACK
A4766 $0.00 HCPCS / CPT® DIALYSATE CONC SOL ADD 10 ML
A4770 $7.83 HCPCS / CPT® BLOOD COLLECTION TUBE/VACUUM
A4771 $0.00 HCPCS / CPT® SERUM CLOTTING TIME TUBE
A4772 $0.00 HCPCS / CPT® BLOOD GLUCOSE TEST STRIPS
A4773 $0.00 HCPCS / CPT® OCCULT BLOOD TEST STRIPS
A4774 $0.00 HCPCS / CPT® AMMONIA TEST STRIPS
A4802 $0.00 HCPCS / CPT® PROTAMINE SULFATE PER 50 MG
A4860 $0.00 HCPCS / CPT® DISPOSABLE CATHETER TIPS
A4870 $0.00 HCPCS / CPT® PLUMB/ELEC WK HM HEMO EQUIP
A4890 $0.00 HCPCS / CPT® REPAIR/MAINT CONT HEMO EQUIP
A4911 $0.00 HCPCS / CPT® DRAIN BAG/BOTTLE
A4913 $0.00 HCPCS / CPT® MISC DIALYSIS SUPPLIES NOC
A4918 $0.00 HCPCS / CPT® VENOUS PRESSURE CLAMP
A4927 $3.45 HCPCS / CPT® GLOVES NON-STERILE
A4928 $0.00 HCPCS / CPT® SURGICAL MASK
A4929 $9.81 HCPCS / CPT® TOURNIQUET FOR DIALYSIS, EA
A4930 $4.59 HCPCS / CPT® GLOVES STERILE, PER PAIR
A4931 $0.00 HCPCS / CPT® REUSABLE ORAL THERMOMETER
A4932 $0.00 HCPCS / CPT® REUSABLE RECTAL THERMOMETER
A5051 $0.00 HCPCS / CPT® POUCH CLSD W BARR ATTACHED
A5052 $0.00 HCPCS / CPT® CLSD OSTOMY POUCH W/O BARR
A5053 $0.00 HCPCS / CPT® CLSD OSTOMY POUCH FACEPLATE
A5054 $0.00 HCPCS / CPT® CLSD OSTOMY POUCH W/FLANGE
A5055 $0.00 HCPCS / CPT® STOMA CAP
A5056 $0.00 HCPCS / CPT® 1 PC OST POUCH W FILTER
A5057 $0.00 HCPCS / CPT® 1 PC OST POU W BUILT-IN CONV
A5061 $0.00 HCPCS / CPT® POUCH DRAINABLE W BARRIER AT
A5062 $0.00 HCPCS / CPT® DRNBLE OSTOMY POUCH W/O BARR
A5063 $0.00 HCPCS / CPT® DRAIN OSTOMY POUCH W/FLANGE
A5071 $0.00 HCPCS / CPT® URINARY POUCH W/BARRIER
A5072 $0.00 HCPCS / CPT® URINARY POUCH W/O BARRIER
A5073 $0.00 HCPCS / CPT® URINARY POUCH ON BARR W/FLNG
A5081 $0.00 HCPCS / CPT® STOMA PLUG OR SEAL, ANY TYPE
A5082 $0.00 HCPCS / CPT® CONTINENT STOMA CATHETER
A5083 $0.00 HCPCS / CPT® STOMA ABSORPTIVE COVER
A5093 $0.00 HCPCS / CPT® OSTOMY ACCESSORY CONVEX INSE
A5102 $0.00 HCPCS / CPT® BEDSIDE DRAIN BTL W/WO TUBE
A5105 $0.00 HCPCS / CPT® URINARY SUSPENSORY
A5112 $0.00 HCPCS / CPT® URINARY LEG BAG
A5113 $0.00 HCPCS / CPT® LATEX LEG STRAP
A5114 $0.00 HCPCS / CPT® FOAM/FABRIC LEG STRAP
A5120 $7.66 HCPCS / CPT® SWAB OR WIPE SKIN BARRIER
A5121 $0.00 HCPCS / CPT® SOLID SKIN BARRIER 6X6
A5122 $0.00 HCPCS / CPT® SOLID SKIN BARRIER 8X8
A5126 $0.00 HCPCS / CPT® DISK/FOAM PAD +OR- ADHESIVE
A5131 $0.00 HCPCS / CPT® APPLIANCE CLEANER
A5200 $153.06 HCPCS / CPT® PERCUTANEOUS CATHETER ANCHOR
A5500 $0.00 HCPCS / CPT® DIAB SHOE FOR DENSITY INSERT
A5501 $0.00 HCPCS / CPT® DIABETIC CUSTOM MOLDED SHOE
A5503 $0.00 HCPCS / CPT® DIABETIC SHOE W/ROLLER/ROCKR
A5504 $0.00 HCPCS / CPT® DIABETIC SHOE WITH WEDGE
A5505 $0.00 HCPCS / CPT® DIAB SHOE W/METATARSAL BAR
A5506 $0.00 HCPCS / CPT® DIABETIC SHOE W/OFF SET HEEL
A5507 $0.00 HCPCS / CPT® MODIFICATION DIABETIC SHOE
A5508 $0.00 HCPCS / CPT® DIABETIC DELUXE SHOE
A5510 $0.00 HCPCS / CPT® COMPRESSION FORM SHOE INSERT
A5512 $0.00 HCPCS / CPT® MULTI DEN INSERT DIRECT FORM
A5513 $0.00 HCPCS / CPT® MULTI DEN INSERT CUSTOM MOLD
A6000 $23.12 HCPCS / CPT® NON-CONTACT WOUND WARMING WOUND COVER FOR USE WITH THE NON-CONTACT WOUND WARMING DEVICE AND WARMING CARD
A6010 $0.00 HCPCS / CPT® COLLAGEN BASED WOUND FILLER
A6011 $0.00 HCPCS / CPT® COLLAGEN GEL/PASTE WOUND FIL
A6021 $22.90 HCPCS / CPT® COLLAGEN DRESSING <=16 SQ IN
A6022 $0.00 HCPCS / CPT® COLLAGEN DRSG>16<=48 SQ IN
A6023 $0.00 HCPCS / CPT® COLLAGEN DRESSING >48 SQ IN
A6024 $0.00 HCPCS / CPT® COLLAGEN DSG WOUND FILLER
A6025 $0.00 HCPCS / CPT® SILICONE GEL SHEET, EACH
A6154 $0.00 HCPCS / CPT® WOUND POUCH EACH
A6196 $0.00 HCPCS / CPT® ALGINATE DRESSING <=16 SQ IN
A6197 $0.00 HCPCS / CPT® ALGINATE DRSG >16 <=48 SQ IN
A6198 $18.52 HCPCS / CPT® ALGINATE DRESSING >48 SQ IN
A6199 $0.00 HCPCS / CPT® ALGINATE DRSG WOUND FILLER
A6203 $11.45 HCPCS / CPT® COMPOSITE DRSG 16 SQ IN
A6204 $0.00 HCPCS / CPT® COMPOSITE DRSG >16<=48 SQ IN
A6205 $27.55 HCPCS / CPT® COMPOSITE DRSG 48 SQ IN
A6206 $0.00 HCPCS / CPT® CONTACT LAYER <= 16 SQ IN
A6207 $0.00 HCPCS / CPT® CONTACT LAYER >16<= 48 SQ IN
A6208 $0.00 HCPCS / CPT® CONTACT LAYER > 48 SQ IN
A6209 $0.00 HCPCS / CPT® FOAM DRSG <=16 SQ IN W/O BDR
A6210 $0.00 HCPCS / CPT® FOAM DRG >16<=48 SQ IN W/O B
A6211 $40.49 HCPCS / CPT® FOAM DRG > 48 SQ IN W/O BRDR
A6212 $0.00 HCPCS / CPT® FOAM DRG <=16 SQ IN W/BORDER
A6213 $15.01 HCPCS / CPT® FOAM DRG >16<=48 SQ IN W/BDR
A6214 $0.00 HCPCS / CPT® FOAM DRG > 48 SQ IN W/BORDER
A6215 $0.00 HCPCS / CPT® FOAM DRESSING WOUND FILLER
A6216 $18.52 HCPCS / CPT® GAUZE – NON-STERILE GAUZE – LESS THAN 16 SQ IN
A6217 $18.52 HCPCS / CPT® GAUZE – NON-STERILE GAUZE>16 BUT <=48 SQ
A6218 $18.52 HCPCS / CPT® GAUZE – NON-STERILE GAUZE > 48 SQ IN
A6219 $18.52 HCPCS / CPT® GAUZE – STERILE GAUZE <= 16 SQ IN W/BORDER
A6220 $0.00 HCPCS / CPT® GAUZE >16 <=48 SQ IN W/BORDR
A6221 $0.00 HCPCS / CPT® GAUZE > 48 SQ IN W/BORDER
A6222 $30.00 HCPCS / CPT® IODOFORM GAUZE 16 IN NO W/SAL W/O B
A6223 $0.00 HCPCS / CPT® GAUZE >16<=48 NO W/SAL W/O B
A6224 $24.74 HCPCS / CPT® GAUZE 48 IN NO WSAL WO B
A6228 $0.00 HCPCS / CPT® GAUZE <= 16 SQ IN WATER/SAL
A6229 $0.00 HCPCS / CPT® GAUZE >16<=48 SQ IN WATR/SAL
A6230 $0.00 HCPCS / CPT® GAUZE > 48 SQ IN WATER/SALNE
A6231 $92.45 HCPCS / CPT® GAUZE – KERLIX DRESSING LESS THAN 16 SQ IN
A6232 $0.00 HCPCS / CPT® HYDROGEL DSG>16<=48 SQ IN
A6233 $0.00 HCPCS / CPT® HYDROGEL DRESSING >48 SQ IN
A6234 $0.00 HCPCS / CPT® HYDROCOLLD DRG <=16 W/O BDR
A6235 $0.00 HCPCS / CPT® HYDROCOLLD DRG >16<=48 W/O B
A6236 $0.00 HCPCS / CPT® HYDROCOLLD DRG > 48 IN W/O B
A6237 $0.00 HCPCS / CPT® HYDROCOLLD DRG <=16 IN W/BDR
A6238 $0.00 HCPCS / CPT® HYDROCOLLD DRG >16<=48 W/BDR
A6239 $0.00 HCPCS / CPT® HYDROCOLLD DRG > 48 IN W/BDR
A6240 $0.00 HCPCS / CPT® HYDROCOLLD DRG FILLER PASTE
A6241 $0.00 HCPCS / CPT® HYDROCOLLOID DRG FILLER DRY
A6242 $0.00 HCPCS / CPT® HYDROGEL DRG <=16 IN W/O BDR
A6243 $0.00 HCPCS / CPT® HYDROGEL DRG >16<=48 W/O BDR
A6244 $0.00 HCPCS / CPT® HYDROGEL DRG >48 IN W/O BDR
A6245 $0.00 HCPCS / CPT® HYDROGEL DRG <= 16 IN W/BDR
A6246 $0.00 HCPCS / CPT® HYDROGEL DRG >16<=48 IN W/B
A6247 $0.00 HCPCS / CPT® HYDROGEL DRG > 48 SQ IN W/B
A6248 $0.00 HCPCS / CPT® HYDROGEL DRSG GEL FILLER
A6250 $44.93 HCPCS / CPT® SKIN SEAL PROTECT MOISTURIZER OINTMENT
A6251 $10.00 HCPCS / CPT® ABSORPT DRG <=16 SQ IN W/O B
A6252 $0.00 HCPCS / CPT® ABSORPT DRG >16 <=48 W/O BDR
A6253 $0.00 HCPCS / CPT® ABSORPT DRG > 48 SQ IN W/O B
A6254 $0.00 HCPCS / CPT® ABSORPT DRG <=16 SQ IN W/BDR
A6255 $0.00 HCPCS / CPT® ABSORPT DRG >16<=48 IN W/BDR
A6256 $0.00 HCPCS / CPT® ABSORPT DRG > 48 SQ IN W/BDR
A6257 $11.49 HCPCS / CPT® TRANSPARENT FILM
A6258 $31.13 HCPCS / CPT® TRANSPARENT FILM >16<=48 IN
A6259 $0.00 HCPCS / CPT® TRANSPARENT FILM > 48 SQ IN
A6260 $130.11 HCPCS / CPT® WOUND CLEANSER
A6261 $0.00 HCPCS / CPT® WOUND FILLER GEL/PASTE /OZ
A6262 $0.00 HCPCS / CPT® WOUND FILLER DRY FORM / GRAM
A6266 $51.75 HCPCS / CPT® IMPREG GAUZE NO H20/SAL/YARD
A6402 $5.45 HCPCS / CPT® STERILE GAUZE 16 SQ IN
A6403 $0.00 HCPCS / CPT® STERILE GAUZE>16 <= 48 SQ IN
A6404 $0.00 HCPCS / CPT® STERILE GAUZE > 48 SQ IN
A6407 $40.00 HCPCS / CPT® STERI-STRIPS-IODOFORM-PACKING GAUZE
A6410 $7.66 HCPCS / CPT® STERILE EYE PAD OR STRIP
A6411 $0.00 HCPCS / CPT® NON-STERILE EYE PAD
A6412 $0.00 HCPCS / CPT® OCCLUSIVE EYE PATCH
A6413 $6.90 HCPCS / CPT® ADHESIVE BANDAGE, FIRST-AID
A6442 $0.00 HCPCS / CPT® CONFORM BAND N/S W <3/YD
A6443 $0.00 HCPCS / CPT® CONFORM BAND N/S W>=3 <5/YD
A6444 $10.00 HCPCS / CPT® CONFORM BAND N/S W>=5/YD
A6445 $5.31 HCPCS / CPT® CONFORM BAND S W <3″/YD
A6446 $12.00 HCPCS / CPT® Conforming bandage
A6447 $0.00 HCPCS / CPT® CONFORM BAND S W >=5/YD
A6448 $15.01 HCPCS / CPT® LT COMPRES BAND <3Ö/YD
A6449 $15.31 HCPCS / CPT® ACE WRAP (LT COMPRES BAND
A6450 $22.97 HCPCS / CPT® ACE WRAP – LT COMPRES BAND >=5″/YD
A6451 $0.00 HCPCS / CPT® MOD COMPRES BAND W>=3 <5/YD
A6452 $0.00 HCPCS / CPT® HIGH COMPRES BAND W>=3 <5YD
A6453 $5.45 HCPCS / CPT® BANDAGE – SELF-ADHER BAND W <3Ö/YD
A6454 $15.00 HCPCS / CPT® SELF-ADHER BAND 3-5 YD
A6455 $0.00 HCPCS / CPT® SELF-ADHER BAND >=5/YD
A6456 $0.00 HCPCS / CPT® ZINC PASTE BAND W >=3 <5/YD
A6457 $53.73 HCPCS / CPT® TUBULAR DRESSING
A6501 $0.00 HCPCS / CPT® COMPRES BURNGARMENT BODYSUIT
A6502 $0.00 HCPCS / CPT® COMPRES BURNGARMENT CHINSTRP
A6503 $0.00 HCPCS / CPT® COMPRES BURNGARMENT FACEHOOD
A6504 $0.00 HCPCS / CPT® CMPRSBURNGARMENT GLOVE-WRIST
A6505 $0.00 HCPCS / CPT® CMPRSBURNGARMENT GLOVE-ELBOW
A6506 $0.00 HCPCS / CPT® CMPRSBURNGRMNT GLOVE-AXILLA
A6507 $0.00 HCPCS / CPT® CMPRS BURNGARMENT FOOT-KNEE
A6508 $0.00 HCPCS / CPT® CMPRS BURNGARMENT FOOT-THIGH
A6509 $0.00 HCPCS / CPT® COMPRES BURN GARMENT JACKET
A6510 $0.00 HCPCS / CPT® COMPRES BURN GARMENT LEOTARD
A6511 $0.00 HCPCS / CPT® COMPRES BURN GARMENT PANTY
A6512 $0.00 HCPCS / CPT® COMPRES BURN GARMENT, NOC
A6513 $0.00 HCPCS / CPT® COMPRESS BURN MASK FACE/NECK
A6530 $0.00 HCPCS / CPT® COMPRESSION STOCKING BK18-30
A6531 $0.00 HCPCS / CPT® COMPRESSION STOCKING BK30-40
A6532 $0.00 HCPCS / CPT® COMPRESSION STOCKING BK40-50
A6533 $0.00 HCPCS / CPT® GC STOCKING THIGHLNGTH 18-30
A6534 $0.00 HCPCS / CPT® GC STOCKING THIGHLNGTH 30-40
A6535 $0.00 HCPCS / CPT® GC STOCKING THIGHLNGTH 40-50
A6536 $0.00 HCPCS / CPT® GC STOCKING FULL LNGTH 18-30
A6537 $0.00 HCPCS / CPT® GC STOCKING FULL LNGTH 30-40
A6538 $0.00 HCPCS / CPT® GC STOCKING FULL LNGTH 40-50
A6539 $0.00 HCPCS / CPT® GC STOCKING WAISTLNGTH 18-30
A6540 $0.00 HCPCS / CPT® GC STOCKING WAISTLNGTH 30-40
A6541 $0.00 HCPCS / CPT® GC STOCKING WAISTLNGTH 40-50
A6544 $0.00 HCPCS / CPT® GC STOCKING GARTER BELT
A6545 $0.00 HCPCS / CPT® GRAD COMP NON-ELASTIC BK
A6549 $0.00 HCPCS / CPT® G COMPRESSION STOCKING
A6550 $0.00 HCPCS / CPT® NEG PRES WOUND THER DRSG SET
A7000 $0.00 HCPCS / CPT® DISPOSABLE CANISTER FOR PUMP
A7001 $13.02 HCPCS / CPT® CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH
A7002 $122.75 HCPCS / CPT® SUCTION TUBING USED W PUMP
A7003 $73.92 HCPCS / CPT® NEBULIZER ADMINISTRATION SET
A7004 $0.00 HCPCS / CPT® DISPOSABLE NEBULIZER SML VOL
A7005 $0.00 HCPCS / CPT® NONDISPOSABLE NEBULIZER SET
A7006 $0.00 HCPCS / CPT® FILTERED NEBULIZER ADMIN SET
A7007 $0.00 HCPCS / CPT® LG VOL NEBULIZER DISPOSABLE
A7008 $0.00 HCPCS / CPT® DISPOSABLE NEBULIZER PREFILL
A7009 $0.00 HCPCS / CPT® NEBULIZER RESERVOIR BOTTLE
A7010 $40.00 HCPCS / CPT® DISPOSABLE CORRUGATED TUBING
A7012 $0.00 HCPCS / CPT® NEBULIZER WATER COLLEC DEVIC
A7013 $0.00 HCPCS / CPT® DISPOSABLE COMPRESSOR FILTER
A7014 $0.00 HCPCS / CPT® COMPRESSOR NONDISPOS FILTER
A7015 $73.92 HCPCS / CPT® NEBULIZER MASK USED W NEBULIZER
A7016 $30.61 HCPCS / CPT® NEBULIZER DOME & MOUTHPIECE
A7017 $73.92 HCPCS / CPT® NEBULIZER MASK NOT USED W OXYGEN
A7018 $0.00 HCPCS / CPT® WATER DISTILLED W/NEBULIZER
A7020 $0.00 HCPCS / CPT® INTERFACE, COUGH STIM DEVICE
A7025 $0.00 HCPCS / CPT® REPLACE CHEST COMPRESS VEST
A7026 $0.00 HCPCS / CPT® REPLACE CHST CMPRSS SYS HOSE
A7027 $0.00 HCPCS / CPT® COMBINATION ORAL/NASAL MASK
A7028 $0.00 HCPCS / CPT® REPL ORAL CUSHION COMBO MASK
A7029 $0.00 HCPCS / CPT® REPL NASAL PILLOW COMB MASK
A7030 $1161.86 HCPCS / CPT® CPAP FULL FACE MASK
A7031 $0.00 HCPCS / CPT® REPLACEMENT FACEMASK INTERFA
A7032 $0.00 HCPCS / CPT® REPLACEMENT NASAL CUSHION
A7033 $0.00 HCPCS / CPT® REPLACEMENT NASAL PILLOWS
A7034 $0.00 HCPCS / CPT® NASAL APPLICATION DEVICE
A7035 $10.00 HCPCS / CPT® POS AIRWAY PRESS HEADGEAR
A7036 $10.00 HCPCS / CPT® POS AIRWAY PRESS CHINSTRAP
A7037 $10.00 HCPCS / CPT® POS AIRWAY PRESSURE TUBING
A7038 $0.00 HCPCS / CPT® POS AIRWAY PRESSURE FILTER
A7039 $0.00 HCPCS / CPT® FILTER, NON DISPOSABLE W PAP
A7040 $0.00 HCPCS / CPT® ONE WAY CHEST DRAIN VALVE
A7041 $0.00 HCPCS / CPT® WATER SEAL DRAIN CONTAINER
A7044 $0.00 HCPCS / CPT® PAP ORAL INTERFACE
A7045 $0.00 HCPCS / CPT® REPL EXHALATION PORT FOR PAP
A7046 $0.00 HCPCS / CPT® REPL WATER CHAMBER, PAP DEV
A7047 $0.00 HCPCS / CPT® RESP SUCTION ORAL INTERFACE
A7048 $0.00 HCPCS / CPT® VACUUM DRAIN BOTTLE/TUBE KIT
A7501 $0.00 HCPCS / CPT® TRACHEOSTOMA VALVE W DIAPHRA
A7502 $0.00 HCPCS / CPT® REPLACEMENT DIAPHRAGM/FPLATE
A7503 $0.00 HCPCS / CPT® HMES FILTER HOLDER OR CAP
A7504 $0.00 HCPCS / CPT® TRACHEOSTOMA HMES FILTER
A7505 $0.00 HCPCS / CPT® HMES OR TRACH VALVE HOUSING
A7506 $0.00 HCPCS / CPT® HMES/TRACHVALVE ADHESIVEDISK
A7507 $0.00 HCPCS / CPT® INTEGRATED FILTER & HOLDER
A7508 $0.00 HCPCS / CPT® HOUSING & INTEGRATED ADHESIV
A7509 $0.00 HCPCS / CPT® HEAT & MOISTURE EXCHANGE SYS
A7520 $48.60 HCPCS / CPT® TRACH/LARYN TUBE NON-CUFFED
A7521 $0.00 HCPCS / CPT® TRACH/LARYN TUBE CUFFED
A7522 $0.00 HCPCS / CPT® TRACH/LARYN TUBE STAINLESS
A7523 $0.00 HCPCS / CPT® TRACHEOSTOMY SHOWER PROTECT
A7524 $0.00 HCPCS / CPT® TRACHEOSTOMA STENT/STUD/BTTN
A7525 $0.00 HCPCS / CPT® TRACHEOSTOMY MASK
A7526 $0.00 HCPCS / CPT® TRACHEOSTOMY TUBE COLLAR
A7527 $0.00 HCPCS / CPT® TRACH/LARYN TUBE PLUG/STOP
A8000 $0.00 HCPCS / CPT® SOFT PROTECT HELMET PREFAB
A8001 $0.00 HCPCS / CPT® HARD PROTECT HELMET PREFAB
A8002 $0.00 HCPCS / CPT® SOFT PROTECT HELMET CUSTOM
A8003 $0.00 HCPCS / CPT® HARD PROTECT HELMET CUSTOM
A8004 $0.00 HCPCS / CPT® REPL SOFT INTERFACE, HELMET
A9150 $8.84 HCPCS / CPT® MISC/EXPER NON-PRESCRIPT DRU
A9150ACET3 $15.00 HCPCS / CPT® ACETAMINOPHEN – TYLENOL; 325MG TAB PO
A9150ACET5 $15.00 HCPCS / CPT® ACETAMINOPHEN – TYLENOL; 500MG TAB PO
A9150ACETP $10.00 HCPCS / CPT® ACETAMINOPHEN-TYLENOL; 120 MG SUPPOSITORY
A9150ACETS $10.00 HCPCS / CPT® ACETAMINOPHEN – TYLENOL; 160MG/5ML SUSP PO
A9150ASP3 $10.00 HCPCS / CPT® ASPIRIN; 325MG TAB PO
A9150ASP81 $10.00 HCPCS / CPT® ASPIRIN – ASA; 81MG PO
A9150BEN25 $25.00 HCPCS / CPT® BENADRYL – DIPHENHYDRAMINE HCI; 25MG PO
A9150BENS $40.00 HCPCS / CPT® Benadryl – Diphenhydramine; 12.5mg/5ml Susp PO
A9150CLARI $10.00 HCPCS / CPT® CLARITIN-LORATADINE; 5MG TAB PO
A9150EXCED $20.00 HCPCS / CPT® EXCEDRIN MIGRAINE-ACETAMINOPHEN, ASPIRIN, CAFFEINE; 250MG-250MG-65MG TAB PO
A9150IM $25.00 HCPCS / CPT® IMMODIUM/LOPERAMIDE; PO
A9150IMOD $15.00 HCPCS / CPT® IMODIUM; 4MG TAB PO
A9150MAG $15.00 HCPCS / CPT® MAGNESIUM CITRATE; 150ML PO
A9150MOT2 $10.00 HCPCS / CPT® Motrin/Ibuprofen, Tab 200mg
A9150MOT4 $10.00 HCPCS / CPT® MOTRIN/IBUPROFEN; 400MG TAB PO
A9150MOTS $15.00 HCPCS / CPT® IBUPROFEN – MOTRIN; 100MG/5ML SUSP PO
A9150NEOSY $15.00 HCPCS / CPT® NEO-SYNEPHRINE – PHENYLEPHRINE HCl; NASAL SPRAY
A9150PEP $25.00 HCPCS / CPT® PEPCID/FAMOTIDINE; 20MG PO
A9150PRILO $25.00 HCPCS / CPT® PRILOSEC-OMEPRAZOLE; 20MG TAB PO
A9150SUDA $10.00 HCPCS / CPT® SUDAFED
A9152 $0.00 HCPCS / CPT® SINGLE VITAMIN NOS
A9153 $0.00 HCPCS / CPT® MULTI-VITAMIN NOS
A9155 $0.00 HCPCS / CPT® ARTIFICIAL SALIVA
A9180 $0.00 HCPCS / CPT® LICE TREATMENT, TOPICAL
A9270 $0.00 HCPCS / CPT® NON-COVERED ITEM OR SERVICE
A9272 $0.00 HCPCS / CPT® DISP WOUND SUCT, DRSG/ACCESS
A9273 $16.84 HCPCS / CPT® HOT/COLD H2OBOT/CAP/COL/WRAP
A9274 $0.00 HCPCS / CPT® EXT AMB INSULIN DELIVERY SYS
A9275 $0.00 HCPCS / CPT® DISP HOME GLUCOSE MONITOR
A9276 $0.00 HCPCS / CPT® DISPOSABLE SENSOR, CGM SYS
A9277 $0.00 HCPCS / CPT® EXTERNAL TRANSMITTER, CGM
A9278 $0.00 HCPCS / CPT® EXTERNAL RECEIVER, CGM SYS
A9279 $0.00 HCPCS / CPT® MONITORING FEATURE/DEVICENOC
A9280 $0.00 HCPCS / CPT® ALERT DEVICE, NOC
A9281 $0.00 HCPCS / CPT® REACHING/GRABBING DEVICE
A9282 $0.00 HCPCS / CPT® WIG ANY TYPE
A9283 $0.00 HCPCS / CPT® FOOT PRESS OFF LOAD SUPP DEV
A9284 $0.00 HCPCS / CPT® NON-ELECTRONIC SPIROMETER
A9285 $0.00 HCPCS / CPT® INVERSION EVERSION COR DEVIC
A9286 $0.00 HCPCS / CPT® ANY HYGIENIC ITEM, DEVICE
A9300 $0.00 HCPCS / CPT® EXERCISE EQUIPMENT
A9500 $0.00 HCPCS / CPT® TC99M SESTAMIBI
A9501 $0.00 HCPCS / CPT® TECHNETIUM TC-99M TEBOROXIME
A9502 $0.00 HCPCS / CPT® TC99M TETROFOSMIN
A9503 $0.00 HCPCS / CPT® TC99M MEDRONATE
A9504 $0.00 HCPCS / CPT® TC99M APCITIDE
A9505 $0.00 HCPCS / CPT® TL201 THALLIUM
A9507 $0.00 HCPCS / CPT® IN111 CAPROMAB
A9508 $0.00 HCPCS / CPT® I131 IODOBENGUATE, DX
A9509 $0.00 HCPCS / CPT® IODINE I-123 SOD IODIDE MIL
A9510 $0.00 HCPCS / CPT® TC99M DISOFENIN
A9512 $0.00 HCPCS / CPT® TC99M PERTECHNETATE
A9515 $0.00 HCPCS / CPT® CHOLINE C-11
A9516 $0.00 HCPCS / CPT® IODINE I-123 SOD IODIDE MIC
A9517 $0.00 HCPCS / CPT® I131 IODIDE CAP, RX
A9520 $0.00 HCPCS / CPT® TC99 TILMANOCEPT DIAG 0.5MCI
A9521 $0.00 HCPCS / CPT® TC99M EXAMETAZIME
A9524 $0.00 HCPCS / CPT® I131 SERUM ALBUMIN, DX
A9526 $0.00 HCPCS / CPT® NITROGEN N-13 AMMONIA
A9527 $0.00 HCPCS / CPT® IODINE I-125 SODIUM IODIDE
A9528 $0.00 HCPCS / CPT® IODINE I-131 IODIDE CAP, DX
A9529 $0.00 HCPCS / CPT® I131 IODIDE SOL, DX
A9530 $0.00 HCPCS / CPT® I131 IODIDE SOL, RX
A9531 $0.00 HCPCS / CPT® I131 MAX 100UCI
A9532 $0.00 HCPCS / CPT® I125 SERUM ALBUMIN, DX
A9536 $0.00 HCPCS / CPT® TC99M DEPREOTIDE
A9537 $0.00 HCPCS / CPT® TC99M MEBROFENIN
A9538 $0.00 HCPCS / CPT® TC99M PYROPHOSPHATE
A9539 $0.00 HCPCS / CPT® TC99M PENTETATE
A9540 $0.00 HCPCS / CPT® TC99M MAA
A9541 $0.00 HCPCS / CPT® TC99M SULFUR COLLOID
A9542 $0.00 HCPCS / CPT® IN111 IBRITUMOMAB, DX
A9543 $0.00 HCPCS / CPT® Y90 IBRITUMOMAB, RX
A9546 $0.00 HCPCS / CPT® CO57/58
A9547 $0.00 HCPCS / CPT® IN111 OXYQUINOLINE
A9548 $0.00 HCPCS / CPT® IN111 PENTETATE
A9550 $0.00 HCPCS / CPT® TC99M GLUCEPTATE
A9551 $0.00 HCPCS / CPT® TC99M SUCCIMER
A9552 $0.00 HCPCS / CPT® F18 FDG
A9553 $0.00 HCPCS / CPT® CR51 CHROMATE
A9554 $0.00 HCPCS / CPT® I125 IOTHALAMATE, DX
A9555 $0.00 HCPCS / CPT® RB82 RUBIDIUM
A9556 $0.00 HCPCS / CPT® GA67 GALLIUM
A9557 $0.00 HCPCS / CPT® TC99M BICISATE
A9558 $0.00 HCPCS / CPT® XE133 XENON 10MCI
A9559 $0.00 HCPCS / CPT® CO57 CYANO
A9560 $0.00 HCPCS / CPT® TC99M LABELED RBC
A9561 $0.00 HCPCS / CPT® TC99M OXIDRONATE
A9562 $0.00 HCPCS / CPT® TC99M MERTIATIDE
A9563 $0.00 HCPCS / CPT® P32 NA PHOSPHATE
A9564 $0.00 HCPCS / CPT® P32 CHROMIC PHOSPHATE
A9566 $0.00 HCPCS / CPT® TC99M FANOLESOMAB
A9567 $0.00 HCPCS / CPT® TECHNETIUM TC-99M AEROSOL
A9568 $0.00 HCPCS / CPT® TECHNETIUM TC99M ARCITUMOMAB
A9569 $0.00 HCPCS / CPT® TECHNETIUM TC-99M AUTO WBC
A9570 $0.00 HCPCS / CPT® INDIUM IN-111 AUTO WBC
A9571 $0.00 HCPCS / CPT® INDIUM IN-111 AUTO PLATELET
A9572 $0.00 HCPCS / CPT® INDIUM IN-111 PENTETREOTIDE
A9575 $0.00 HCPCS / CPT® INJ GADOTERATE MEGLUMI 0.1ML
A9576 $0.00 HCPCS / CPT® INJ PROHANCE MULTIPACK
A9577 $0.00 HCPCS / CPT® INJ MULTIHANCE
A9578 $0.00 HCPCS / CPT® INJ MULTIHANCE MULTIPACK
A9579 $20.63 HCPCS / CPT® GAD-BASE MR CONTRAST NOS,1ML
A9580 $0.00 HCPCS / CPT® SODIUM FLUORIDE F-18
A9581 $0.00 HCPCS / CPT® GADOXETATE DISODIUM INJ
A9582 $0.00 HCPCS / CPT® IODINE I-123 IOBENGUANE
A9583 $0.00 HCPCS / CPT® GADOFOSVESET TRISODIUM INJ
A9584 $0.00 HCPCS / CPT® IODINE I-123 IOFLUPANE
A9585 $0.00 HCPCS / CPT® GADOBUTROL INJECTION
A9586 $0.00 HCPCS / CPT® FLORBETAPIR F18
A9587 $0.00 HCPCS / CPT® GALLIUM GA-68
A9588 $0.00 HCPCS / CPT® FLUCICLOVINE F-18
A9597 $0.00 HCPCS / CPT® PET, DX, FOR TUMOR ID, NOC
A9598 $0.00 HCPCS / CPT® PET DX FOR NON-TUMOR ID, NOC
A9599 $0.00 HCPCS / CPT® RADIOPH DX B AMYLOID PET NOS
A9600 $0.00 HCPCS / CPT® SR89 STRONTIUM
A9604 $0.00 HCPCS / CPT® SM 153 LEXIDRONAM
A9606 $0.00 HCPCS / CPT® RADIUM RA223 DICHLORIDE THER
A9698 $0.00 HCPCS / CPT® NON-RAD CONTRAST MATERIALNOC
A9699 $0.00 HCPCS / CPT® RADIOPHARM RX AGENT NOC
A9700 $0.00 HCPCS / CPT® ECHOCARDIOGRAPHY CONTRAST
A9900 $0.00 HCPCS / CPT® SUPPLY/ACCESSORY/SERVICE
A9901 $0.00 HCPCS / CPT® DELIVERY/SET UP/DISPENSING
A9999 $0.00 HCPCS / CPT® DME SUPPLY OR ACCESSORY, NOS
AMA $0.00 HCPCS / CPT® PT LEFT AGAINST MEDICAL ADVICE
B4034 $0.00 HCPCS / CPT® ENTER FEED SUPKIT SYR BY DAY
B4035 $0.00 HCPCS / CPT® ENTERAL FEED SUPP PUMP PER D
B4036 $0.00 HCPCS / CPT® ENTERAL FEED SUP KIT GRAV BY
B4081 $0.00 HCPCS / CPT® ENTERAL NG TUBING W/ STYLET
B4082 $25.00 HCPCS / CPT® ENTERAL NG TUBING W/O STYLET
B4083 $0.00 HCPCS / CPT® ENTERAL STOMACH TUBE LEVINE
B4087 $0.00 HCPCS / CPT® GASTRO/JEJUNO TUBE, STD
B4088 $0.00 HCPCS / CPT® GASTRO/JEJUNO TUBE, LOW-PRO
B4100 $0.00 HCPCS / CPT® FOOD THICKENER ORAL
B4102 $0.00 HCPCS / CPT® EF ADULT FLUIDS AND ELECTRO
B4103 $0.00 HCPCS / CPT® EF PED FLUID AND ELECTROLYTE
B4104 $0.00 HCPCS / CPT® ADDITIVE FOR ENTERAL FORMULA
B4149 $0.00 HCPCS / CPT® EF BLENDERIZED FOODS
B4150 $0.00 HCPCS / CPT® EF COMPLET W/INTACT NUTRIENT
B4152 $0.00 HCPCS / CPT® EF CALORIE DENSE>/=1.5KCAL
B4153 $0.00 HCPCS / CPT® EF HYDROLYZED/AMINO ACIDS
B4154 $0.00 HCPCS / CPT® EF SPEC METABOLIC NONINHERIT
B4155 $0.00 HCPCS / CPT® EF INCOMPLETE/MODULAR
B4157 $0.00 HCPCS / CPT® EF SPECIAL METABOLIC INHERIT
B4158 $0.00 HCPCS / CPT® EF PED COMPLETE INTACT NUT
B4159 $0.00 HCPCS / CPT® EF PED COMPLETE SOY BASED
B4160 $0.00 HCPCS / CPT® EF PED CALORIC DENSE>/=0.7KC
B4161 $0.00 HCPCS / CPT® EF PED HYDROLYZED/AMINO ACID
B4162 $0.00 HCPCS / CPT® EF PED SPECMETABOLIC INHERIT
B4164 $0.00 HCPCS / CPT® PARENTERAL 50% DEXTROSE SOLU
B4168 $0.00 HCPCS / CPT® PARENTERAL SOL AMINO ACID 3.
B4172 $0.00 HCPCS / CPT® PARENTERAL SOL AMINO ACID 5.
B4176 $0.00 HCPCS / CPT® PARENTERAL SOL AMINO ACID 7-
B4178 $0.00 HCPCS / CPT® PARENTERAL SOL AMINO ACID >
B4180 $0.00 HCPCS / CPT® PARENTERAL SOL CARB > 50%
B4185 $0.00 HCPCS / CPT® PARENTERAL SOL 10 GM LIPIDS
B4189 $0.00 HCPCS / CPT® PARENTERAL SOL AMINO ACID &
B4193 $0.00 HCPCS / CPT® PARENTERAL SOL 52-73 GM PROT
B4197 $0.00 HCPCS / CPT® PARENTERAL SOL 74-100 GM PRO
B4199 $0.00 HCPCS / CPT® PARENTERAL SOL > 100GM PROTE
B4216 $0.00 HCPCS / CPT® PARENTERAL NUTRITION ADDITIV
B4220 $0.00 HCPCS / CPT® PARENTERAL SUPPLY KIT PREMIX
B4222 $0.00 HCPCS / CPT® PARENTERAL SUPPLY KIT HOMEMI
B4224 $0.00 HCPCS / CPT® PARENTERAL ADMINISTRATION KI
B5000 $0.00 HCPCS / CPT® PARENTERAL SOL RENAL-AMIROSY
B5100 $0.00 HCPCS / CPT® PARENTERAL SOLUTION HEPATIC
B5200 $0.00 HCPCS / CPT® PARENTERAL SOL HEPATIC FREAM
B9002 $0.00 HCPCS / CPT® ENTER NUTR INF PUMP ANY TYPE
B9004 $0.00 HCPCS / CPT® PARENTERAL INFUS PUMP PORTAB
B9006 $0.00 HCPCS / CPT® PARENTERAL INFUS PUMP STATIO
B9998 $0.00 HCPCS / CPT® ENTERAL SUPP NOT OTHERWISE C
B9999 $0.00 HCPCS / CPT® PARENTERAL SUPP NOT OTHRWS C
C1713 $0.00 HCPCS / CPT® ANCHOR/SCREW BN/BN,TIS/BN
C1714 $0.00 HCPCS / CPT® CATH, TRANS ATHERECTOMY, DIR
C1715 $0.00 HCPCS / CPT® BRACHYTHERAPY NEEDLE
C1716 $0.00 HCPCS / CPT® BRACHYTX, NON-STR, GOLD-198
C1717 $0.00 HCPCS / CPT® BRACHYTX, NON-STR,HDR IR-192
C1719 $0.00 HCPCS / CPT® BRACHYTX, NS, NON-HDRIR-192
C1721 $0.00 HCPCS / CPT® AICD, DUAL CHAMBER
C1722 $0.00 HCPCS / CPT® AICD, SINGLE CHAMBER
C1724 $0.00 HCPCS / CPT® CATH, TRANS ATHEREC,ROTATION
C1725 $0.00 HCPCS / CPT® CATH, TRANSLUMIN NON-LASER
C1726 $0.00 HCPCS / CPT® CATH, BAL DIL, NON-VASCULAR
C1727 $0.00 HCPCS / CPT® CATH, BAL TIS DIS, NON-VAS
C1728 $0.00 HCPCS / CPT® CATH, BRACHYTX SEED ADM
C1729 $0.00 HCPCS / CPT® CATH, DRAINAGE
C1730 $0.00 HCPCS / CPT® CATH, EP, 19 OR FEW ELECT
C1731 $0.00 HCPCS / CPT® CATH, EP, 20 OR MORE ELEC
C1732 $0.00 HCPCS / CPT® CATH, EP, DIAG/ABL, 3D/VECT
C1733 $0.00 HCPCS / CPT® CATH, EP, OTHR THAN COOL-TIP
C1749 $0.00 HCPCS / CPT® ENDO, COLON, RETRO IMAGING
C1750 $0.00 HCPCS / CPT® CATH, HEMODIALYSIS,LONG-TERM
C1751 $0.00 HCPCS / CPT® CATH, INF, PER/CENT/MIDLINE
C1752 $0.00 HCPCS / CPT® CATH,HEMODIALYSIS,SHORT-TERM
C1753 $0.00 HCPCS / CPT® CATH, INTRAVAS ULTRASOUND
C1754 $0.00 HCPCS / CPT® CATHETER, INTRADISCAL
C1755 $0.00 HCPCS / CPT® CATHETER, INTRASPINAL
C1756 $0.00 HCPCS / CPT® CATH, PACING, TRANSESOPH
C1757 $0.00 HCPCS / CPT® CATH, THROMBECTOMY/EMBOLECT
C1758 $0.00 HCPCS / CPT® CATHETER, URETERAL
C1759 $0.00 HCPCS / CPT® CATH, INTRA ECHOCARDIOGRAPHY
C1760 $0.00 HCPCS / CPT® CLOSURE DEV, VASC
C1762 $0.00 HCPCS / CPT® CONN TISS, HUMAN(INC FASCIA)
C1763 $0.00 HCPCS / CPT® CONN TISS, NON-HUMAN
C1764 $0.00 HCPCS / CPT® EVENT RECORDER, CARDIAC
C1765 $0.00 HCPCS / CPT® ADHESION BARRIER
C1766 $0.00 HCPCS / CPT® INTRO/SHEATH,STRBLE,NON-PEEL
C1767 $0.00 HCPCS / CPT® GENERATOR, NEURO NON-RECHARG
C1768 $0.00 HCPCS / CPT® GRAFT, VASCULAR
C1769 $0.00 HCPCS / CPT® GUIDE WIRE
C1770 $0.00 HCPCS / CPT® IMAGING COIL, MR, INSERTABLE
C1771 $0.00 HCPCS / CPT® REP DEV, URINARY, W/SLING
C1772 $0.00 HCPCS / CPT® INFUSION PUMP, PROGRAMMABLE
C1773 $0.00 HCPCS / CPT® RET DEV, INSERTABLE
C1776 $0.00 HCPCS / CPT® JOINT DEVICE (IMPLANTABLE)
C1777 $0.00 HCPCS / CPT® LEAD, AICD, ENDO SINGLE COIL
C1778 $0.00 HCPCS / CPT® LEAD, NEUROSTIMULATOR
C1779 $0.00 HCPCS / CPT® LEAD, PMKR, TRANSVENOUS VDD
C1780 $0.00 HCPCS / CPT® LENS, INTRAOCULAR (NEW TECH)
C1781 $0.00 HCPCS / CPT® MESH (IMPLANTABLE)
C1782 $0.00 HCPCS / CPT® MORCELLATOR
C1783 $0.00 HCPCS / CPT® OCULAR IMP, AQUEOUS DRAIN DE
C1784 $0.00 HCPCS / CPT® OCULAR DEV, INTRAOP, DET RET
C1785 $0.00 HCPCS / CPT® PMKR, DUAL, RATE-RESP
C1786 $0.00 HCPCS / CPT® PMKR, SINGLE, RATE-RESP
C1787 $0.00 HCPCS / CPT® PATIENT PROGR, NEUROSTIM
C1788 $0.00 HCPCS / CPT® PORT, INDWELLING, IMP
C1789 $0.00 HCPCS / CPT® PROSTHESIS, BREAST, IMP
C1813 $0.00 HCPCS / CPT® PROSTHESIS, PENILE, INFLATAB
C1814 $0.00 HCPCS / CPT® RETINAL TAMP, SILICONE OIL
C1815 $0.00 HCPCS / CPT® PROS, URINARY SPH, IMP
C1816 $0.00 HCPCS / CPT® RECEIVER/TRANSMITTER, NEURO
C1817 $0.00 HCPCS / CPT® SEPTAL DEFECT IMP SYS
C1818 $0.00 HCPCS / CPT® INTEGRATED KERATOPROSTHESIS
C1819 $0.00 HCPCS / CPT® TISSUE LOCALIZATION-EXCISION
C1820 $0.00 HCPCS / CPT® GENERATOR NEURO RECHG BAT SY
C1821 $0.00 HCPCS / CPT® INTERSPINOUS IMPLANT
C1822 $0.00 HCPCS / CPT® GEN, NEURO, HF, RECHG BAT
C1830 $0.00 HCPCS / CPT® POWER BONE MARROW BX NEEDLE
C1840 $0.00 HCPCS / CPT® TELESCOPIC INTRAOCULAR LENS
C1841 $0.00 HCPCS / CPT® RETINAL PROSTH INT/EXT COMP
C1874 $0.00 HCPCS / CPT® STENT, COATED/COV W/DEL SYS
C1875 $0.00 HCPCS / CPT® STENT, COATED/COV W/O DEL SY
C1876 $0.00 HCPCS / CPT® STENT, NON-COA/NON-COV W/DEL
C1877 $0.00 HCPCS / CPT® STENT, NON-COAT/COV W/O DEL
C1878 $0.00 HCPCS / CPT® MATRL FOR VOCAL CORD
C1880 $0.00 HCPCS / CPT® VENA CAVA FILTER
C1881 $0.00 HCPCS / CPT® DIALYSIS ACCESS SYSTEM
C1882 $0.00 HCPCS / CPT® AICD, OTHER THAN SING/DUAL
C1883 $0.00 HCPCS / CPT® ADAPT/EXT, PACING/NEURO LEAD
C1884 $0.00 HCPCS / CPT® EMBOLIZATION PROTECT SYST
C1885 $0.00 HCPCS / CPT® CATH, TRANSLUMIN ANGIO LASER
C1886 $0.00 HCPCS / CPT® CATHETER, ABLATION
C1887 $0.00 HCPCS / CPT® CATHETER, GUIDING
C1888 $0.00 HCPCS / CPT® ENDOVAS NON-CARDIAC ABL CATH
C1889 $0.00 HCPCS / CPT® IMPLANT/INSERT DEVICE, NOC
C1891 $0.00 HCPCS / CPT® INFUSION PUMP,NON-PROG, PERM
C1892 $0.00 HCPCS / CPT® INTRO/SHEATH,FIXED,PEEL-AWAY
C1893 $0.00 HCPCS / CPT® INTRO/SHEATH, FIXED,NON-PEEL
C1894 $0.00 HCPCS / CPT® INTRO/SHEATH, NON-LASER
C1895 $0.00 HCPCS / CPT® LEAD, AICD, ENDO DUAL COIL
C1896 $0.00 HCPCS / CPT® LEAD, AICD, NON SING/DUAL
C1897 $0.00 HCPCS / CPT® LEAD, NEUROSTIM TEST KIT
C1898 $0.00 HCPCS / CPT® LEAD, PMKR, OTHER THAN TRANS
C1899 $0.00 HCPCS / CPT® LEAD, PMKR/AICD COMBINATION
C1900 $0.00 HCPCS / CPT® LEAD, CORONARY VENOUS
C2613 $0.00 HCPCS / CPT® LUNG BX PLUG W/DEL SYS
C2614 $0.00 HCPCS / CPT® PROBE, PERC LUMB DISC
C2615 $0.00 HCPCS / CPT® SEALANT, PULMONARY, LIQUID
C2616 $0.00 HCPCS / CPT® BRACHYTX, NON-STR,YTTRIUM-90
C2617 $0.00 HCPCS / CPT® STENT, NON-COR, TEM W/O DEL
C2618 $0.00 HCPCS / CPT® PROBE/NEEDLE, CRYO
C2619 $0.00 HCPCS / CPT® PMKR, DUAL, NON RATE-RESP
C2620 $0.00 HCPCS / CPT® PMKR, SINGLE, NON RATE-RESP
C2621 $0.00 HCPCS / CPT® PMKR, OTHER THAN SING/DUAL
C2622 $0.00 HCPCS / CPT® PROSTHESIS, PENILE, NON-INF
C2623 $0.00 HCPCS / CPT® CATH, TRANSLUMIN, DRUG-COAT
C2624 $0.00 HCPCS / CPT® WIRELESS PRESSURE SENSOR
C2625 $0.00 HCPCS / CPT® STENT, NON-COR, TEM W/DEL SY
C2626 $0.00 HCPCS / CPT® INFUSION PUMP, NON-PROG,TEMP
C2627 $0.00 HCPCS / CPT® CATH, SUPRAPUBIC/CYSTOSCOPIC
C2628 $0.00 HCPCS / CPT® CATHETER, OCCLUSION
C2629 $0.00 HCPCS / CPT® INTRO/SHEATH, LASER
C2630 $0.00 HCPCS / CPT® CATH, EP, COOL-TIP
C2631 $0.00 HCPCS / CPT® REP DEV, URINARY, W/O SLING
C2634 $0.00 HCPCS / CPT® BRACHYTX, NON-STR, HA, I-125
C2635 $0.00 HCPCS / CPT® BRACHYTX, NON-STR, HA, P-103
C2636 $0.00 HCPCS / CPT® BRACHY LINEAR, NON-STR,P-103
C2637 $0.00 HCPCS / CPT® BRACHY,NON-STR,YTTERBIUM-169
C2638 $0.00 HCPCS / CPT® BRACHYTX, STRANDED, I-125
C2639 $0.00 HCPCS / CPT® BRACHYTX, NON-STRANDED,I-125
C2640 $0.00 HCPCS / CPT® BRACHYTX, STRANDED, P-103
C2641 $0.00 HCPCS / CPT® BRACHYTX, NON-STRANDED,P-103
C2642 $0.00 HCPCS / CPT® BRACHYTX, STRANDED, C-131
C2643 $0.00 HCPCS / CPT® BRACHYTX, NON-STRANDED,C-131
C2644 $0.00 HCPCS / CPT® BRACHYTX CESIUM-131 CHLORIDE
C2645 $0.00 HCPCS / CPT® BRACHYTX PLANAR, P-103
C2698 $0.00 HCPCS / CPT® BRACHYTX, STRANDED, NOS
C2699 $0.00 HCPCS / CPT® BRACHYTX, NON-STRANDED, NOS
C5271 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5272 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5273 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5274 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5275 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5276 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5277 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C5278 $0.00 HCPCS / CPT® LOW COST SKIN SUBSTITUTE APP
C8900 $0.00 HCPCS / CPT® MRA W/CONT, ABD
C8901 $0.00 HCPCS / CPT® MRA W/O CONT, ABD
C8902 $0.00 HCPCS / CPT® MRA W/O FOL W/CONT, ABD
C8903 $0.00 HCPCS / CPT® MRI W/CONT, BREAST, UNI
C8904 $0.00 HCPCS / CPT® MRI W/O CONT, BREAST, UNI
C8905 $0.00 HCPCS / CPT® MRI W/O FOL W/CONT, BRST, UN
C8906 $0.00 HCPCS / CPT® MRI W/CONT, BREAST, BI
C8907 $0.00 HCPCS / CPT® MRI W/O CONT, BREAST, BI
C8908 $0.00 HCPCS / CPT® MRI W/O FOL W/CONT, BREAST,
C8909 $0.00 HCPCS / CPT® MRA W/CONT, CHEST
C8910 $0.00 HCPCS / CPT® MRA W/O CONT, CHEST
C8911 $0.00 HCPCS / CPT® MRA W/O FOL W/CONT, CHEST
C8912 $0.00 HCPCS / CPT® MRA W/CONT, LWR EXT
C8913 $0.00 HCPCS / CPT® MRA W/O CONT, LWR EXT
C8914 $0.00 HCPCS / CPT® MRA W/O FOL W/CONT, LWR EXT
C8918 $0.00 HCPCS / CPT® MRA W/CONT, PELVIS
C8919 $0.00 HCPCS / CPT® MRA W/O CONT, PELVIS
C8920 $0.00 HCPCS / CPT® MRA W/O FOL W/CONT, PELVIS
C8921 $0.00 HCPCS / CPT® TTE W OR W/O FOL W/CONT, COM
C8922 $0.00 HCPCS / CPT® TTE W OR W/O FOL W/CONT, F/U
C8923 $0.00 HCPCS / CPT® 2D TTE W OR W/O FOL W/CON,CO
C8924 $0.00 HCPCS / CPT® 2D TTE W OR W/O FOL W/CON,FU
C8925 $0.00 HCPCS / CPT® 2D TEE W OR W/O FOL W/CON,IN
C8926 $0.00 HCPCS / CPT® TEE W OR W/O FOL W/CONT,CONG
C8927 $0.00 HCPCS / CPT® TEE W OR W/O FOL W/CONT, MON
C8928 $0.00 HCPCS / CPT® TTE W OR W/O FOL W/CON,STRES
C8929 $0.00 HCPCS / CPT® TTE W OR WO FOL WCON,DOPPLER
C8930 $0.00 HCPCS / CPT® TTE W OR W/O CONTR, CONT ECG
C8931 $0.00 HCPCS / CPT® MRA, W/DYE, SPINAL CANAL
C8932 $0.00 HCPCS / CPT® MRA, W/O DYE, SPINAL CANAL
C8933 $0.00 HCPCS / CPT® MRA, W/O&W/DYE, SPINAL CANAL
C8934 $0.00 HCPCS / CPT® MRA, W/DYE, UPPER EXTREMITY
C8935 $0.00 HCPCS / CPT® MRA, W/O DYE, UPPER EXTR
C8936 $0.00 HCPCS / CPT® MRA, W/O&W/DYE, UPPER EXTR
C8957 $0.00 HCPCS / CPT® PROLONGED IV INF, REQ PUMP
C9113 $0.00 HCPCS / CPT® INJ PANTOPRAZOLE SODIUM, VIA
C9132 $0.00 HCPCS / CPT® KCENTRA, PER I.U.
C9140 $0.00 HCPCS / CPT® AFSTYLA FACTOR VIII RECOMB
C9248 $0.00 HCPCS / CPT® INJ, CLEVIDIPINE BUTYRATE
C9250 $0.00 HCPCS / CPT® ARTISS FIBRIN SEALANT
C9254 $0.00 HCPCS / CPT® INJECTION, LACOSAMIDE
C9257 $0.00 HCPCS / CPT® BEVACIZUMAB INJECTION
C9275 $0.00 HCPCS / CPT® HEXAMINOLEVULINATE HCL
C9285 $101.03 HCPCS / CPT® PATCH, LIDOCAINE/TETRACAINE
C9290 $0.00 HCPCS / CPT® INJ, BUPIVACAINE LIPOSOME
C9293 $0.00 HCPCS / CPT® INJECTION, GLUCARPIDASE
C9352 $0.00 HCPCS / CPT® NEURAGEN NERVE GUIDE, PER CM
C9353 $0.00 HCPCS / CPT® NEURAWRAP NERVE PROTECTOR,CM
C9354 $0.00 HCPCS / CPT® VERITAS COLLAGEN MATRIX, CM2
C9355 $0.00 HCPCS / CPT® NEUROMATRIX NERVE CUFF, CM
C9356 $0.00 HCPCS / CPT® TENOGLIDE TENDON PROT, CM2
C9358 $0.00 HCPCS / CPT® SURGIMEND, FETAL
C9359 $0.00 HCPCS / CPT® IMPLNT,BON VOID FILLER-PUTTY
C9360 $0.00 HCPCS / CPT® SURGIMEND, NEONATAL
C9361 $0.00 HCPCS / CPT® NEUROMEND NERVE WRAP
C9362 $0.00 HCPCS / CPT® IMPLNT,BON VOID FILLER-STRIP
C9363 $0.00 HCPCS / CPT® INTEGRA MESHED BIL WOUND MAT
C9364 $0.00 HCPCS / CPT® PORCINE IMPLANT, PERMACOL
C9399 $0.00 HCPCS / CPT® C9399
C9447 $0.00 HCPCS / CPT® INJ, PHENYLEPHRINE KETOROLAC
C9460 $0.00 HCPCS / CPT® INJECTION, CANGRELOR
C9482 $0.00 HCPCS / CPT® SOTALOL HYDROCHLORIDE IV
C9483 $0.00 HCPCS / CPT® INJECTION, ATEZOLIZUMAB
C9497 $0.00 HCPCS / CPT® LOXAPINE, INHALATION POWDER
C9600 $0.00 HCPCS / CPT® PERC DRUG-EL COR STENT SING
C9601 $0.00 HCPCS / CPT® PERC DRUG-EL COR STENT BRAN
C9602 $0.00 HCPCS / CPT® PERC D-E COR STENT ATHER S
C9603 $0.00 HCPCS / CPT® PERC D-E COR STENT ATHER BR
C9604 $0.00 HCPCS / CPT® PERC D-E COR REVASC T CABG S
C9605 $0.00 HCPCS / CPT® PERC D-E COR REVASC T CABG B
C9606 $0.00 HCPCS / CPT® PERC D-E COR REVASC W AMI S
C9607 $0.00 HCPCS / CPT® PERC D-E COR REVASC CHRO SIN
C9608 $0.00 HCPCS / CPT® PERC D-E COR REVASC CHRO ADD
C9725 $0.00 HCPCS / CPT® PLACE ENDORECTAL APP
C9726 $0.00 HCPCS / CPT® RXT BREAST APPL PLACE/REMOV
C9727 $0.00 HCPCS / CPT® INSERT PALATE IMPLANTS
C9728 $0.00 HCPCS / CPT® PLACE DEVICE/MARKER, NON PRO
C9733 $0.00 HCPCS / CPT® NON-OPHTHALMIC FVA
C9734 $0.00 HCPCS / CPT® U/S TRTMT, NOT LEIOMYOMATA
C9739 $0.00 HCPCS / CPT® CYSTOSCOPY PROSTATIC IMP 1-3
C9740 $0.00 HCPCS / CPT® CYSTO IMPL 4 OR MORE
C9741 $0.00 HCPCS / CPT® IMPL PRESSURE SENSOR W/ANGIO
C9744 $0.00 HCPCS / CPT® ABD US W/CONTRAST
C9898 $0.00 HCPCS / CPT® INPNT STAY RADIOLABELED ITEM
C9899 $0.00 HCPCS / CPT® INPT IMPLANT PROS DEV,NO COV
E0100 $0.00 HCPCS / CPT® CANE ADJUST/FIXED WITH TIP
E0105 $0.00 HCPCS / CPT® CANE ADJUST/FIXED QUAD/3 PRO
E0110 $0.00 HCPCS / CPT® CRUTCH FOREARM PAIR
E0111 $0.00 HCPCS / CPT® CRUTCH FOREARM EACH
E0112 $0.00 HCPCS / CPT® CRUTCH UNDERARM PAIR WOOD
E0113 $0.00 HCPCS / CPT® CRUTCH UNDERARM EACH WOOD
E0114 $76.53 HCPCS / CPT® CRUTCH UNDERARM PAIR NO WOOD
E0116 $76.53 HCPCS / CPT® CRUTCH UNDERARM EACH NO WOOD
E0117 $0.00 HCPCS / CPT® UNDERARM SPRINGASSIST CRUTCH
E0118 $0.00 HCPCS / CPT® CRUTCH SUBSTITUTE
E0130 $0.00 HCPCS / CPT® WALKER RIGID ADJUST/FIXED HT
E0135 $0.00 HCPCS / CPT® WALKER FOLDING ADJUST/FIXED
E0140 $0.00 HCPCS / CPT® WALKER W TRUNK SUPPORT
E0141 $0.00 HCPCS / CPT® RIGID WHEELED WALKER ADJ/FIX
E0143 $0.00 HCPCS / CPT® WALKER FOLDING WHEELED W/O S
E0144 $1879.66 HCPCS / CPT® ENCLOSED WALKER W REAR SEAT
E0147 $0.00 HCPCS / CPT® WALKER VARIABLE WHEEL RESIST
E0148 $0.00 HCPCS / CPT® HEAVYDUTY WALKER NO WHEELS
E0149 $0.00 HCPCS / CPT® HEAVY DUTY WHEELED WALKER
E0153 $0.00 HCPCS / CPT® FOREARM CRUTCH PLATFORM ATTA
E0154 $0.00 HCPCS / CPT® WALKER PLATFORM ATTACHMENT
E0155 $0.00 HCPCS / CPT® WALKER WHEEL ATTACHMENT,PAIR
E0156 $0.00 HCPCS / CPT® WALKER SEAT ATTACHMENT
E0157 $0.00 HCPCS / CPT® WALKER CRUTCH ATTACHMENT
E0158 $0.00 HCPCS / CPT® WALKER LEG EXTENDERS SET OF4
E0159 $0.00 HCPCS / CPT® BRAKE FOR WHEELED WALKER
E0160 $0.00 HCPCS / CPT® SITZ TYPE BATH OR EQUIPMENT
E0161 $0.00 HCPCS / CPT® SITZ BATH/EQUIPMENT W/FAUCET
E0162 $0.00 HCPCS / CPT® SITZ BATH CHAIR
E0163 $0.00 HCPCS / CPT® COMMODE CHAIR WITH FIXED ARM
E0165 $0.00 HCPCS / CPT® COMMODE CHAIR WITH DETACHARM
E0167 $0.00 HCPCS / CPT® COMMODE CHAIR PAIL OR PAN
E0168 $0.00 HCPCS / CPT® HEAVYDUTY/WIDE COMMODE CHAIR
E0170 $0.00 HCPCS / CPT® COMMODE CHAIR ELECTRIC
E0171 $0.00 HCPCS / CPT® COMMODE CHAIR NON-ELECTRIC
E0172 $0.00 HCPCS / CPT® SEAT LIFT MECHANISM TOILET
E0175 $0.00 HCPCS / CPT® COMMODE CHAIR FOOT REST
E0181 $0.00 HCPCS / CPT® PRESS PAD ALTERNATING W/ PUM
E0182 $0.00 HCPCS / CPT® REPLACE PUMP, ALT PRESS PAD
E0184 $0.00 HCPCS / CPT® DRY PRESSURE MATTRESS
E0185 $0.00 HCPCS / CPT® GEL PRESSURE MATTRESS PAD
E0186 $0.00 HCPCS / CPT® AIR PRESSURE MATTRESS
E0187 $0.00 HCPCS / CPT® WATER PRESSURE MATTRESS
E0188 $0.00 HCPCS / CPT® SYNTHETIC SHEEPSKIN PAD
E0189 $0.00 HCPCS / CPT® LAMBSWOOL SHEEPSKIN PAD
E0190 $0.00 HCPCS / CPT® POSITIONING CUSHION
E0191 $0.00 HCPCS / CPT® PROTECTOR HEEL OR ELBOW
E0193 $0.00 HCPCS / CPT® POWERED AIR FLOTATION BED
E0194 $0.00 HCPCS / CPT® AIR FLUIDIZED BED
E0196 $0.00 HCPCS / CPT® GEL PRESSURE MATTRESS
E0197 $0.00 HCPCS / CPT® AIR PRESSURE PAD FOR MATTRES
E0198 $0.00 HCPCS / CPT® WATER PRESSURE PAD FOR MATTR
E0199 $0.00 HCPCS / CPT® DRY PRESSURE PAD FOR MATTRES
E0200 $0.00 HCPCS / CPT® HEAT LAMP WITHOUT STAND
E0202 $0.00 HCPCS / CPT® PHOTOTHERAPY LIGHT W/ PHOTOM
E0203 $0.00 HCPCS / CPT® THERAPEUTIC LIGHTBOX TABLETP
E0205 $0.00 HCPCS / CPT® HEAT LAMP WITH STAND
E0210 $0.00 HCPCS / CPT® ELECTRIC HEAT PAD STANDARD
E0215 $0.00 HCPCS / CPT® ELECTRIC HEAT PAD MOIST
E0217 $0.00 HCPCS / CPT® WATER CIRC HEAT PAD W PUMP
E0218 $0.00 HCPCS / CPT® WATER CIRC COLD PAD W PUMP
E0220 $45.92 HCPCS / CPT® HOT WATER BOTTLE
E0221 $0.00 HCPCS / CPT® INFRARED HEATING PAD SYSTEM
E0225 $0.00 HCPCS / CPT® HYDROCOLLATOR UNIT
E0230 $14.52 HCPCS / CPT® ICE CAP OR COLLAR
E0231 $0.00 HCPCS / CPT® WOUND WARMING DEVICE
E0232 $0.00 HCPCS / CPT® WARMING CARD FOR NWT
E0235 $0.00 HCPCS / CPT® PARAFFIN BATH UNIT PORTABLE
E0236 $0.00 HCPCS / CPT® PUMP FOR WATER CIRCULATING P
E0239 $0.00 HCPCS / CPT® HYDROCOLLATOR UNIT PORTABLE
E0240 $0.00 HCPCS / CPT® BATH/SHOWER CHAIR
E0241 $0.00 HCPCS / CPT® BATH TUB WALL RAIL
E0242 $0.00 HCPCS / CPT® BATH TUB RAIL FLOOR
E0243 $0.00 HCPCS / CPT® TOILET RAIL
E0244 $0.00 HCPCS / CPT® TOILET SEAT RAISED
E0245 $0.00 HCPCS / CPT® TUB STOOL OR BENCH
E0246 $0.00 HCPCS / CPT® TRANSFER TUB RAIL ATTACHMENT
E0247 $0.00 HCPCS / CPT® TRANS BENCH W/WO COMM OPEN
E0248 $0.00 HCPCS / CPT® HDTRANS BENCH W/WO COMM OPEN
E0249 $0.00 HCPCS / CPT® PAD WATER CIRCULATING HEAT U
E0250 $0.00 HCPCS / CPT® HOSP BED FIXED HT W/ MATTRES
E0251 $0.00 HCPCS / CPT® HOSP BED FIXD HT W/O MATTRES
E0255 $0.00 HCPCS / CPT® HOSPITAL BED VAR HT W/ MATTR
E0256 $0.00 HCPCS / CPT® HOSPITAL BED VAR HT W/O MATT
E0260 $0.00 HCPCS / CPT® HOSP BED SEMI-ELECTR W/ MATT
E0261 $0.00 HCPCS / CPT® HOSP BED SEMI-ELECTR W/O MAT
E0265 $0.00 HCPCS / CPT® HOSP BED TOTAL ELECTR W/ MAT
E0266 $0.00 HCPCS / CPT® HOSP BED TOTAL ELEC W/O MATT
E0270 $0.00 HCPCS / CPT® HOSPITAL BED INSTITUTIONAL T
E0271 $0.00 HCPCS / CPT® MATTRESS INNERSPRING
E0272 $0.00 HCPCS / CPT® MATTRESS FOAM RUBBER
E0273 $0.00 HCPCS / CPT® BED BOARD
E0274 $0.00 HCPCS / CPT® OVER-BED TABLE
E0275 $15.31 HCPCS / CPT® BED PAN STANDARD
E0276 $0.00 HCPCS / CPT® BED PAN FRACTURE
E0277 $0.00 HCPCS / CPT® POWERED PRES-REDU AIR MATTRS
E0280 $0.00 HCPCS / CPT® BED CRADLE
E0290 $0.00 HCPCS / CPT® HOSP BED FX HT W/O RAILS W/M
E0291 $0.00 HCPCS / CPT® HOSP BED FX HT W/O RAIL W/O
E0292 $0.00 HCPCS / CPT® HOSP BED VAR HT NO SR W/MATT
E0293 $0.00 HCPCS / CPT® HOSP BED VAR HT NO SR NO MAT
E0294 $0.00 HCPCS / CPT® HOSP BED SEMI-ELECT W/ MATTR
E0295 $0.00 HCPCS / CPT® HOSP BED SEMI-ELECT W/O MATT
E0296 $0.00 HCPCS / CPT® HOSP BED TOTAL ELECT W/ MATT
E0297 $0.00 HCPCS / CPT® HOSP BED TOTAL ELECT W/O MAT
E0300 $0.00 HCPCS / CPT® ENCLOSED PED CRIB HOSP GRADE
E0301 $0.00 HCPCS / CPT® HD HOSP BED, 350-600 LBS
E0302 $0.00 HCPCS / CPT® EX HD HOSP BED > 600 LBS
E0303 $0.00 HCPCS / CPT® HOSP BED HVY DTY XTRA WIDE
E0304 $0.00 HCPCS / CPT® HOSP BED XTRA HVY DTY X WIDE
E0305 $0.00 HCPCS / CPT® RAILS BED SIDE HALF LENGTH
E0310 $0.00 HCPCS / CPT® RAILS BED SIDE FULL LENGTH
E0315 $0.00 HCPCS / CPT® BED ACCESSORY BRD/TBL/SUPPRT
E0316 $0.00 HCPCS / CPT® BED SAFETY ENCLOSURE
E0325 $8.43 HCPCS / CPT® URINAL MALE JUG-TYPE
E0326 $0.00 HCPCS / CPT® URINAL FEMALE JUG-TYPE
E0328 $0.00 HCPCS / CPT® PED HOSPITAL BED, MANUAL
E0329 $0.00 HCPCS / CPT® PED HOSPITAL BED SEMI/ELECT
E0350 $0.00 HCPCS / CPT® CONTROL UNIT BOWEL SYSTEM
E0352 $231.60 HCPCS / CPT® DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM)
E0370 $0.00 HCPCS / CPT® AIR ELEVATOR FOR HEEL
E0371 $0.00 HCPCS / CPT® NONPOWER MATTRESS OVERLAY
E0372 $0.00 HCPCS / CPT® POWERED AIR MATTRESS OVERLAY
E0373 $0.00 HCPCS / CPT® NONPOWERED PRESSURE MATTRESS
E0424 $0.00 HCPCS / CPT® STATIONARY COMPRESSED GAS 02
E0425 $0.00 HCPCS / CPT® GAS SYSTEM STATIONARY COMPRE
E0430 $0.00 HCPCS / CPT® OXYGEN SYSTEM GAS PORTABLE
E0431 $0.00 HCPCS / CPT® PORTABLE GASEOUS 02
E0433 $0.00 HCPCS / CPT® PORTABLE LIQUID OXYGEN SYS
E0434 $0.00 HCPCS / CPT® PORTABLE LIQUID 02
E0435 $0.00 HCPCS / CPT® OXYGEN SYSTEM LIQUID PORTABL
E0439 $0.00 HCPCS / CPT® STATIONARY LIQUID 02
E0440 $0.00 HCPCS / CPT® OXYGEN SYSTEM LIQUID STATION
E0441 $0.00 HCPCS / CPT® STATIONARY O2 CONTENTS, GAS
E0442 $0.00 HCPCS / CPT® STATIONARY O2 CONTENTS, LIQ
E0443 $0.00 HCPCS / CPT® PORTABLE 02 CONTENTS, GAS
E0444 $0.00 HCPCS / CPT® PORTABLE 02 CONTENTS, LIQUID
E0445 $757.68 HCPCS / CPT® OXIMETER NON-INVASIVE
E0446 $0.00 HCPCS / CPT® TOPICAL OX DELIVER SYS, NOS
E0455 $0.00 HCPCS / CPT® OXYGEN TENT EXCL CROUP/PED T
E0457 $0.00 HCPCS / CPT® CHEST SHELL
E0459 $0.00 HCPCS / CPT® CHEST WRAP
E0462 $0.00 HCPCS / CPT® ROCKING BED W/ OR W/O SIDE R
E0465 $0.00 HCPCS / CPT® HOME VENT INVASIVE INTERFACE
E0466 $0.00 HCPCS / CPT® HOME VENT NON-INVASIVE INTER
E0470 $0.00 HCPCS / CPT® RAD W/O BACKUP NON-INV INTFC
E0471 $0.00 HCPCS / CPT® RAD W/BACKUP NON INV INTRFC
E0472 $0.00 HCPCS / CPT® RAD W BACKUP INVASIVE INTRFC
E0480 $0.00 HCPCS / CPT® PERCUSSOR ELECT/PNEUM HOME M
E0481 $0.00 HCPCS / CPT® INTRPULMNRY PERCUSS VENT SYS
E0482 $0.00 HCPCS / CPT® COUGH STIMULATING DEVICE
E0483 $0.00 HCPCS / CPT® CHEST COMPRESSION GEN SYSTEM
E0484 $0.00 HCPCS / CPT® NON-ELEC OSCILLATORY PEP DVC
E0485 $0.00 HCPCS / CPT® ORAL DEVICE/APPLIANCE PREFAB
E0486 $0.00 HCPCS / CPT® ORAL DEVICE/APPLIANCE CUSFAB
E0487 $0.00 HCPCS / CPT® ELECTRONIC SPIROMETER
E0500 $0.00 HCPCS / CPT® IPPB ALL TYPES
E0550 $0.00 HCPCS / CPT® HUMIDIF EXTENS SUPPLE W IPPB
E0555 $0.00 HCPCS / CPT® HUMIDIFIER FOR USE W/ REGULA
E0560 $0.00 HCPCS / CPT® HUMIDIFIER SUPPLEMENTAL W/ I
E0561 $0.00 HCPCS / CPT® HUMIDIFIER NONHEATED W PAP
E0562 $0.00 HCPCS / CPT® HUMIDIFIER HEATED USED W PAP
E0565 $0.00 HCPCS / CPT® COMPRESSOR AIR POWER SOURCE
E0570 $887.78 HCPCS / CPT® NEBULIZER WITH COMPRESSION
E0572 $0.00 HCPCS / CPT® AEROSOL COMPRESSOR ADJUST PR
E0574 $0.00 HCPCS / CPT® ULTRASONIC GENERATOR W SVNEB
E0575 $0.00 HCPCS / CPT® NEBULIZER ULTRASONIC
E0580 $382.66 HCPCS / CPT® NEBULIZER FOR USE W/ REGULAT
E0585 $0.00 HCPCS / CPT® NEBULIZER W/ COMPRESSOR & HE
E0600 $0.00 HCPCS / CPT® SUCTION PUMP PORTAB HOM MODL
E0601 $0.00 HCPCS / CPT® CONT AIRWAY PRESSURE DEVICE
E0602 $0.00 HCPCS / CPT® MANUAL BREAST PUMP
E0603 $0.00 HCPCS / CPT® ELECTRIC BREAST PUMP
E0604 $0.00 HCPCS / CPT® HOSP GRADE ELEC BREAST PUMP
E0605 $0.00 HCPCS / CPT® VAPORIZER ROOM TYPE
E0606 $0.00 HCPCS / CPT® DRAINAGE BOARD POSTURAL
E0607 $0.00 HCPCS / CPT® BLOOD GLUCOSE MONITOR HOME
E0610 $0.00 HCPCS / CPT® PACEMAKER MONITR AUDIBLE/VIS
E0615 $0.00 HCPCS / CPT® PACEMAKER MONITR DIGITAL/VIS
E0616 $0.00 HCPCS / CPT® CARDIAC EVENT RECORDER
E0617 $0.00 HCPCS / CPT® AUTOMATIC EXT DEFIBRILLATOR
E0618 $0.00 HCPCS / CPT® APNEA MONITOR
E0619 $0.00 HCPCS / CPT® APNEA MONITOR W RECORDER
E0620 $0.00 HCPCS / CPT® CAP BLD SKIN PIERCING LASER
E0621 $0.00 HCPCS / CPT® PATIENT LIFT SLING OR SEAT
E0625 $0.00 HCPCS / CPT® PATIENT LIFT BATHROOM OR TOI
E0627 $0.00 HCPCS / CPT® SEAT LIFT MECH, ELECTRIC ANY
E0629 $0.00 HCPCS / CPT® SEAT LIFT MECH, NON-ELECTRIC
E0630 $0.00 HCPCS / CPT® PATIENT LIFT HYDRAULIC
E0635 $0.00 HCPCS / CPT® PATIENT LIFT ELECTRIC
E0636 $0.00 HCPCS / CPT® PT SUPPORT & POSITIONING SYS
E0637 $0.00 HCPCS / CPT® COMBINATION SIT TO STAND SYS
E0638 $0.00 HCPCS / CPT® STANDING FRAME SYS
E0639 $0.00 HCPCS / CPT® MOVEABLE PATIENT LIFT SYSTEM
E0640 $0.00 HCPCS / CPT® FIXED PATIENT LIFT SYSTEM
E0641 $0.00 HCPCS / CPT® MULTI-POSITION STND FRAM SYS
E0642 $0.00 HCPCS / CPT® DYNAMIC STANDING FRAME
E0650 $0.00 HCPCS / CPT® PNEUMA COMPRESOR NON-SEGMENT
E0651 $0.00 HCPCS / CPT® PNEUM COMPRESSOR SEGMENTAL
E0652 $0.00 HCPCS / CPT® PNEUM COMPRES W/CAL PRESSURE
E0655 $0.00 HCPCS / CPT® PNEUMATIC APPLIANCE HALF ARM
E0656 $0.00 HCPCS / CPT® SEGMENTAL PNEUMATIC TRUNK
E0657 $0.00 HCPCS / CPT® SEGMENTAL PNEUMATIC CHEST
E0660 $0.00 HCPCS / CPT® PNEUMATIC APPLIANCE FULL LEG
E0665 $0.00 HCPCS / CPT® PNEUMATIC APPLIANCE FULL ARM
E0666 $0.00 HCPCS / CPT® PNEUMATIC APPLIANCE HALF LEG
E0667 $0.00 HCPCS / CPT® SEG PNEUMATIC APPL FULL LEG
E0668 $0.00 HCPCS / CPT® SEG PNEUMATIC APPL FULL ARM
E0669 $0.00 HCPCS / CPT® SEG PNEUMATIC APPLI HALF LEG
E0670 $0.00 HCPCS / CPT® SEG PNEUM INT LEGS/TRUNK
E0671 $0.00 HCPCS / CPT® PRESSURE PNEUM APPL FULL LEG
E0672 $0.00 HCPCS / CPT® PRESSURE PNEUM APPL FULL ARM
E0673 $0.00 HCPCS / CPT® PRESSURE PNEUM APPL HALF LEG
E0675 $0.00 HCPCS / CPT® PNEUMATIC COMPRESSION DEVICE
E0676 $0.00 HCPCS / CPT® INTER LIMB COMPRESS DEV NOS
E0691 $0.00 HCPCS / CPT® UVL PNL 2 SQ FT OR LESS
E0692 $0.00 HCPCS / CPT® UVL SYS PANEL 4 FT
E0693 $0.00 HCPCS / CPT® UVL SYS PANEL 6 FT
E0694 $0.00 HCPCS / CPT® UVL MD CABINET SYS 6 FT
E0700 $0.00 HCPCS / CPT® SAFETY EQUIPMENT
E0705 $0.00 HCPCS / CPT® TRANSFER DEVICE
E0710 $0.00 HCPCS / CPT® RESTRAINTS ANY TYPE
E0720 $0.00 HCPCS / CPT® TENS TWO LEAD
E0730 $0.00 HCPCS / CPT® TENS FOUR LEAD
E0731 $0.00 HCPCS / CPT® CONDUCTIVE GARMENT FOR TENS/
E0740 $0.00 HCPCS / CPT® NON-IMPLANT PELV FLR E-STIM
E0744 $0.00 HCPCS / CPT® NEUROMUSCULAR STIM FOR SCOLI
E0745 $0.00 HCPCS / CPT® NEUROMUSCULAR STIM FOR SHOCK
E0746 $0.00 HCPCS / CPT® ELECTROMYOGRAPH BIOFEEDBACK
E0747 $0.00 HCPCS / CPT® ELEC OSTEOGEN STIM NOT SPINE
E0748 $0.00 HCPCS / CPT® ELEC OSTEOGEN STIM SPINAL
E0749 $0.00 HCPCS / CPT® ELEC OSTEOGEN STIM IMPLANTED
E0755 $0.00 HCPCS / CPT® ELECTRONIC SALIVARY REFLEX S
E0760 $0.00 HCPCS / CPT® OSTEOGEN ULTRASOUND STIMLTOR
E0761 $0.00 HCPCS / CPT® NONTHERM ELECTROMGNTC DEVICE
E0762 $0.00 HCPCS / CPT® TRANS ELEC JT STIM DEV SYS
E0764 $0.00 HCPCS / CPT® FUNCTIONAL NEUROMUSCULARSTIM
E0765 $0.00 HCPCS / CPT® NERVE STIMULATOR FOR TX N&V
E0766 $0.00 HCPCS / CPT® ELEC STIM CANCER TREATMENT
E0769 $0.00 HCPCS / CPT® ELECTRIC WOUND TREATMENT DEV
E0770 $0.00 HCPCS / CPT® FUNCTIONAL ELECTRIC STIM NOS
E0776 $0.00 HCPCS / CPT® IV POLE
E0779 $0.00 HCPCS / CPT® AMB INFUSION PUMP MECHANICAL
E0780 $0.00 HCPCS / CPT® MECH AMB INFUSION PUMP <8HRS
E0781 $0.00 HCPCS / CPT® EXTERNAL AMBULATORY INFUS PU
E0782 $0.00 HCPCS / CPT® NON-PROGRAMBLE INFUSION PUMP
E0783 $0.00 HCPCS / CPT® PROGRAMMABLE INFUSION PUMP
E0784 $0.00 HCPCS / CPT® EXT AMB INFUSN PUMP INSULIN
E0785 $0.00 HCPCS / CPT® REPLACEMENT IMPL PUMP CATHET
E0786 $0.00 HCPCS / CPT® IMPLANTABLE PUMP REPLACEMENT
E0791 $0.00 HCPCS / CPT® PARENTERAL INFUSION PUMP STA
E0830 $0.00 HCPCS / CPT® AMBULATORY TRACTION DEVICE
E0840 $0.00 HCPCS / CPT® TRACT FRAME ATTACH HEADBOARD
E0849 $0.00 HCPCS / CPT® CERVICAL PNEUM TRAC EQUIP
E0850 $0.00 HCPCS / CPT® TRACTION STAND FREE STANDING
E0855 $0.00 HCPCS / CPT® CERVICAL TRACTION EQUIPMENT
E0856 $0.00 HCPCS / CPT® CERVIC COLLAR W AIR BLADDERS
E0860 $0.00 HCPCS / CPT® TRACT EQUIP CERVICAL TRACT
E0870 $0.00 HCPCS / CPT® TRACT FRAME ATTACH FOOTBOARD
E0880 $0.00 HCPCS / CPT® TRAC STAND FREE STAND EXTREM
E0890 $0.00 HCPCS / CPT® TRACTION FRAME ATTACH PELVIC
E0900 $0.00 HCPCS / CPT® TRAC STAND FREE STAND PELVIC
E0910 $0.00 HCPCS / CPT® TRAPEZE BAR ATTACHED TO BED
E0911 $0.00 HCPCS / CPT® HD TRAPEZE BAR ATTACH TO BED
E0912 $0.00 HCPCS / CPT® HD TRAPEZE BAR FREE STANDING
E0920 $0.00 HCPCS / CPT® FRACTURE FRAME ATTACHED TO B
E0930 $0.00 HCPCS / CPT® FRACTURE FRAME FREE STANDING
E0935 $0.00 HCPCS / CPT® CONT PAS MOTION EXERCISE DEV
E0936 $0.00 HCPCS / CPT® CPM DEVICE, OTHER THAN KNEE
E0940 $0.00 HCPCS / CPT® TRAPEZE BAR FREE STANDING
E0941 $0.00 HCPCS / CPT® GRAVITY ASSISTED TRACTION DE
E0942 $0.00 HCPCS / CPT® CERVICAL HEAD HARNESS/HALTER
E0944 $0.00 HCPCS / CPT® PELVIC BELT/HARNESS/BOOT
E0945 $0.00 HCPCS / CPT® BELT/HARNESS EXTREMITY
E0946 $0.00 HCPCS / CPT® FRACTURE FRAME DUAL W CROSS
E0947 $0.00 HCPCS / CPT® FRACTURE FRAME ATTACHMNTS PE
E0948 $0.00 HCPCS / CPT® FRACTURE FRAME ATTACHMNTS CE
E0950 $0.00 HCPCS / CPT® TRAY
E0951 $0.00 HCPCS / CPT® LOOP HEEL
E0952 $0.00 HCPCS / CPT® TOE LOOP/HOLDER, EACH
E0955 $0.00 HCPCS / CPT® CUSHIONED HEADREST
E0956 $0.00 HCPCS / CPT® W/C LATERAL TRUNK/HIP SUPPOR
E0957 $0.00 HCPCS / CPT® W/C MEDIAL THIGH SUPPORT
E0958 $0.00 HCPCS / CPT® WHLCHR ATT- CONV 1 ARM DRIVE
E0959 $0.00 HCPCS / CPT® AMPUTEE ADAPTER
E0960 $0.00 HCPCS / CPT® W/C SHOULDER HARNESS/STRAPS
E0961 $0.00 HCPCS / CPT® WHEELCHAIR BRAKE EXTENSION
E0966 $0.00 HCPCS / CPT® WHEELCHAIR HEAD REST EXTENSI
E0967 $0.00 HCPCS / CPT® MAN WC RIM/PROJECTION REP EA
E0968 $0.00 HCPCS / CPT® WHEELCHAIR COMMODE SEAT
E0969 $0.00 HCPCS / CPT® WHEELCHAIR NARROWING DEVICE
E0970 $0.00 HCPCS / CPT® WHEELCHAIR NO. 2 FOOTPLATES
E0971 $0.00 HCPCS / CPT® WHEELCHAIR ANTI-TIPPING DEVI
E0973 $0.00 HCPCS / CPT® W/CH ACCESS DET ADJ ARMREST
E0974 $0.00 HCPCS / CPT® W/CH ACCESS ANTI-ROLLBACK
E0978 $0.00 HCPCS / CPT® W/C ACC,SAF BELT PELV STRAP
E0980 $0.00 HCPCS / CPT® WHEELCHAIR SAFETY VEST
E0981 $0.00 HCPCS / CPT® SEAT UPHOLSTERY, REPLACEMENT
E0982 $0.00 HCPCS / CPT® BACK UPHOLSTERY, REPLACEMENT
E0983 $0.00 HCPCS / CPT® ADD PWR JOYSTICK
E0984 $0.00 HCPCS / CPT® ADD PWR TILLER
E0985 $0.00 HCPCS / CPT® W/C SEAT LIFT MECHANISM
E0986 $0.00 HCPCS / CPT® MAN W/C PUSH-RIM POWR SYSTEM
E0988 $0.00 HCPCS / CPT® LEVER-ACTIVATED WHEEL DRIVE
E0990 $0.00 HCPCS / CPT® WHEELCHAIR ELEVATING LEG RES
E0992 $0.00 HCPCS / CPT® WHEELCHAIR SOLID SEAT INSERT
E0994 $0.00 HCPCS / CPT® WHEELCHAIR ARM REST
E0995 $0.00 HCPCS / CPT® WC CALF REST, PAD REPLACEMNT
E1002 $0.00 HCPCS / CPT® PWR SEAT TILT
E1003 $0.00 HCPCS / CPT® PWR SEAT RECLINE
E1004 $0.00 HCPCS / CPT® PWR SEAT RECLINE MECH
E1005 $0.00 HCPCS / CPT® PWR SEAT RECLINE PWR
E1006 $0.00 HCPCS / CPT® PWR SEAT COMBO W/O SHEAR
E1007 $0.00 HCPCS / CPT® PWR SEAT COMBO W/SHEAR
E1008 $0.00 HCPCS / CPT® PWR SEAT COMBO PWR SHEAR
E1009 $0.00 HCPCS / CPT® ADD MECH LEG ELEVATION
E1010 $0.00 HCPCS / CPT® ADD PWR LEG ELEVATION
E1011 $0.00 HCPCS / CPT® PED WC MODIFY WIDTH ADJUSTM
E1012 $0.00 HCPCS / CPT® CTR MOUNT PWR ELEV LEG REST
E1014 $0.00 HCPCS / CPT® RECLINING BACK ADD PED W/C
E1015 $0.00 HCPCS / CPT® SHOCK ABSORBER FOR MAN W/C
E1016 $0.00 HCPCS / CPT® SHOCK ABSORBER FOR POWER W/C
E1017 $0.00 HCPCS / CPT® HD SHCK ABSRBR FOR HD MAN WC
E1018 $0.00 HCPCS / CPT® HD SHCK ABSRBER FOR HD POWWC
E1020 $0.00 HCPCS / CPT® RESIDUAL LIMB SUPPORT SYSTEM
E1028 $0.00 HCPCS / CPT® W/C MANUAL SWINGAWAY
E1029 $0.00 HCPCS / CPT® W/C VENT TRAY FIXED
E1030 $0.00 HCPCS / CPT® W/C VENT TRAY GIMBALED
E1031 $0.00 HCPCS / CPT® ROLLABOUT CHAIR WITH CASTERS
E1035 $0.00 HCPCS / CPT® PATIENT TRANSFER SYSTEM <300
E1036 $0.00 HCPCS / CPT® PATIENT TRANSFER SYSTEM >300
E1037 $0.00 HCPCS / CPT® TRANSPORT CHAIR, PED SIZE
E1038 $0.00 HCPCS / CPT® TRANSPORT CHAIR PT WT<=300LB
E1039 $0.00 HCPCS / CPT® TRANSPORT CHAIR PT WT >300LB
E1050 $0.00 HCPCS / CPT® WHELCHR FXD FULL LENGTH ARMS
E1060 $0.00 HCPCS / CPT® WHEELCHAIR DETACHABLE ARMS
E1070 $0.00 HCPCS / CPT® WHEELCHAIR DETACHABLE FOOT R
E1083 $0.00 HCPCS / CPT® HEMI-WHEELCHAIR FIXED ARMS
E1084 $0.00 HCPCS / CPT® HEMI-WHEELCHAIR DETACHABLE A
E1085 $0.00 HCPCS / CPT® HEMI-WHEELCHAIR FIXED ARMS
E1086 $0.00 HCPCS / CPT® HEMI-WHEELCHAIR DETACHABLE A
E1087 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWT FIXED ARM
E1088 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWEIGHT DET A
E1089 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWT FIXED ARM
E1090 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWEIGHT DET A
E1092 $0.00 HCPCS / CPT® WHEELCHAIR WIDE W/ LEG RESTS
E1093 $0.00 HCPCS / CPT® WHEELCHAIR WIDE W/ FOOT REST
E1100 $0.00 HCPCS / CPT® WHCHR S-RECL FXD ARM LEG RES
E1110 $0.00 HCPCS / CPT® WHEELCHAIR SEMI-RECL DETACH
E1130 $0.00 HCPCS / CPT® WHLCHR STAND FXD ARM FT REST
E1140 $0.00 HCPCS / CPT® WHEELCHAIR STANDARD DETACH A
E1150 $0.00 HCPCS / CPT® WHEELCHAIR STANDARD W/ LEG R
E1160 $0.00 HCPCS / CPT® WHEELCHAIR FIXED ARMS
E1161 $0.00 HCPCS / CPT® MANUAL ADULT WC W TILTINSPAC
E1170 $0.00 HCPCS / CPT® WHLCHR AMPU FXD ARM LEG REST
E1171 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE W/O LEG R
E1172 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE DETACH AR
E1180 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE W/ FOOT R
E1190 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE W/ LEG RE
E1195 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE HEAVY DUT
E1200 $0.00 HCPCS / CPT® WHEELCHAIR AMPUTEE FIXED ARM
E1220 $0.00 HCPCS / CPT® WHLCHR SPECIAL SIZE/CONSTRC
E1221 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SIZE W FOOT
E1222 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SIZE W/ LEG
E1223 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SIZE W FOOT
E1224 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SIZE W/ LEG
E1225 $0.00 HCPCS / CPT® MANUAL SEMI-RECLINING BACK
E1226 $0.00 HCPCS / CPT® MANUAL FULLY RECLINING BACK
E1227 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SZ SPEC HT A
E1228 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SZ SPEC HT B
E1229 $0.00 HCPCS / CPT® PEDIATRIC WHEELCHAIR NOS
E1230 $0.00 HCPCS / CPT® POWER OPERATED VEHICLE
E1231 $0.00 HCPCS / CPT® RIGID PED W/C TILT-IN-SPACE
E1232 $0.00 HCPCS / CPT® FOLDING PED WC TILT-IN-SPACE
E1233 $0.00 HCPCS / CPT® RIG PED WC TLTNSPC W/O SEAT
E1234 $0.00 HCPCS / CPT® FLD PED WC TLTNSPC W/O SEAT
E1235 $0.00 HCPCS / CPT® RIGID PED WC ADJUSTABLE
E1236 $0.00 HCPCS / CPT® FOLDING PED WC ADJUSTABLE
E1237 $0.00 HCPCS / CPT® RGD PED WC ADJSTABL W/O SEAT
E1238 $0.00 HCPCS / CPT® FLD PED WC ADJSTABL W/O SEAT
E1239 $0.00 HCPCS / CPT® PED POWER WHEELCHAIR NOS
E1240 $0.00 HCPCS / CPT® WHCHR LITWT DET ARM LEG REST
E1250 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWT FIXED ARM
E1260 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWT FOOT REST
E1270 $0.00 HCPCS / CPT® WHEELCHAIR LIGHTWEIGHT LEG R
E1280 $0.00 HCPCS / CPT® WHCHR H-DUTY DET ARM LEG RES
E1285 $0.00 HCPCS / CPT® WHEELCHAIR HEAVY DUTY FIXED
E1290 $0.00 HCPCS / CPT® WHEELCHAIR HVY DUTY DETACH A
E1295 $0.00 HCPCS / CPT® WHEELCHAIR HEAVY DUTY FIXED
E1296 $0.00 HCPCS / CPT® WHEELCHAIR SPECIAL SEAT HEIG
E1297 $0.00 HCPCS / CPT® WHEELCHAIR SPECIAL SEAT DEPT
E1298 $0.00 HCPCS / CPT® WHEELCHAIR SPEC SEAT DEPTH/W
E1300 $0.00 HCPCS / CPT® WHIRLPOOL PORTABLE
E1310 $0.00 HCPCS / CPT® WHIRLPOOL NON-PORTABLE
E1352 $0.00 HCPCS / CPT® O2 FLOW REG POS INSPIR PRESS
E1353 $0.00 HCPCS / CPT® OXYGEN SUPPLIES REGULATOR
E1354 $0.00 HCPCS / CPT® WHEELED CART, PORT CYL/CONC
E1355 $0.00 HCPCS / CPT® OXYGEN SUPPLIES STAND/RACK
E1356 $0.00 HCPCS / CPT® BATT PACK/CART, PORT CONC
E1357 $0.00 HCPCS / CPT® BATTERY CHARGER, PORT CONC
E1358 $0.00 HCPCS / CPT® DC POWER ADAPTER, PORT CONC
E1372 $0.00 HCPCS / CPT® OXY SUPPL HEATER FOR NEBULIZ
E1390 $0.00 HCPCS / CPT® OXYGEN CONCENTRATOR
E1391 $0.00 HCPCS / CPT® OXYGEN CONCENTRATOR, DUAL
E1392 $0.00 HCPCS / CPT® PORTABLE OXYGEN CONCENTRATOR
E1399 $0.00 HCPCS / CPT® DURABLE MEDICAL EQUIPMENT MI
E1405 $0.00 HCPCS / CPT® O2/WATER VAPOR ENRICH W/HEAT
E1406 $0.00 HCPCS / CPT® O2/WATER VAPOR ENRICH W/O HE
E1500 $0.00 HCPCS / CPT® CENTRIFUGE
E1510 $0.00 HCPCS / CPT® KIDNEY DIALYSATE DELIVRY SYS
E1520 $0.00 HCPCS / CPT® HEPARIN INFUSION PUMP
E1530 $0.00 HCPCS / CPT® REPLACEMENT AIR BUBBLE DETEC
E1540 $0.00 HCPCS / CPT® REPLACEMENT PRESSURE ALARM
E1550 $0.00 HCPCS / CPT® BATH CONDUCTIVITY METER
E1560 $0.00 HCPCS / CPT® REPLACE BLOOD LEAK DETECTOR
E1570 $0.00 HCPCS / CPT® ADJUSTABLE CHAIR FOR ESRD PT
E1575 $0.00 HCPCS / CPT® TRANSDUCER PROTECT/FLD BAR
E1580 $0.00 HCPCS / CPT® UNIPUNCTURE CONTROL SYSTEM
E1590 $0.00 HCPCS / CPT® HEMODIALYSIS MACHINE
E1592 $0.00 HCPCS / CPT® AUTO INTERM PERITONEAL DIALY
E1594 $0.00 HCPCS / CPT® CYCLER DIALYSIS MACHINE
E1600 $0.00 HCPCS / CPT® DELI/INSTALL CHRG HEMO EQUIP
E1610 $0.00 HCPCS / CPT® REVERSE OSMOSIS H2O PURI SYS
E1615 $0.00 HCPCS / CPT® DEIONIZER H2O PURI SYSTEM
E1620 $0.00 HCPCS / CPT® REPLACEMENT BLOOD PUMP
E1625 $0.00 HCPCS / CPT® WATER SOFTENING SYSTEM
E1630 $0.00 HCPCS / CPT® RECIPROCATING PERITONEAL DIA
E1632 $0.00 HCPCS / CPT® WEARABLE ARTIFICIAL KIDNEY
E1634 $0.00 HCPCS / CPT® PERITONEAL DIALYSIS CLAMP
E1635 $0.00 HCPCS / CPT® COMPACT TRAVEL HEMODIALYZER
E1636 $0.00 HCPCS / CPT® SORBENT CARTRIDGES PER 10
E1637 $0.00 HCPCS / CPT® HEMOSTATS FOR DIALYSIS, EACH
E1639 $0.00 HCPCS / CPT® DIALYSIS SCALE
E1699 $0.00 HCPCS / CPT® DIALYSIS EQUIPMENT NOC
E1700 $0.00 HCPCS / CPT® JAW MOTION REHAB SYSTEM
E1701 $0.00 HCPCS / CPT® REPL CUSHIONS FOR JAW MOTION
E1702 $0.00 HCPCS / CPT® REPL MEASR SCALES JAW MOTION
E1800 $0.00 HCPCS / CPT® ADJUST ELBOW EXT/FLEX DEVICE
E1801 $0.00 HCPCS / CPT® SPS ELBOW DEVICE
E1802 $0.00 HCPCS / CPT® ADJST FOREARM PRO/SUP DEVICE
E1805 $0.00 HCPCS / CPT® ADJUST WRIST EXT/FLEX DEVICE
E1806 $0.00 HCPCS / CPT® SPS WRIST DEVICE
E1810 $0.00 HCPCS / CPT® ADJUST KNEE EXT/FLEX DEVICE
E1811 $0.00 HCPCS / CPT® SPS KNEE DEVICE
E1812 $0.00 HCPCS / CPT® KNEE EXT/FLEX W ACT RES CTRL
E1815 $0.00 HCPCS / CPT® ADJUST ANKLE EXT/FLEX DEVICE
E1816 $0.00 HCPCS / CPT® SPS ANKLE DEVICE
E1818 $0.00 HCPCS / CPT® SPS FOREARM DEVICE
E1820 $0.00 HCPCS / CPT® SOFT INTERFACE MATERIAL
E1821 $0.00 HCPCS / CPT® REPLACEMENT INTERFACE SPSD
E1825 $0.00 HCPCS / CPT® ADJUST FINGER EXT/FLEX DEVC
E1830 $0.00 HCPCS / CPT® ADJUST TOE EXT/FLEX DEVICE
E1831 $0.00 HCPCS / CPT® STATIC STR TOE DEV EXT/FLEX
E1840 $0.00 HCPCS / CPT® ADJ SHOULDER EXT/FLEX DEVICE
E1841 $0.00 HCPCS / CPT® STATIC STR SHLDR DEV ROM ADJ
E1902 $0.00 HCPCS / CPT® AAC NON-ELECTRONIC BOARD
E2000 $0.00 HCPCS / CPT® GASTRIC SUCTION PUMP HME MDL
E2100 $0.00 HCPCS / CPT® BLD GLUCOSE MONITOR W VOICE
E2101 $0.00 HCPCS / CPT® BLD GLUCOSE MONITOR W LANCE
E2120 $0.00 HCPCS / CPT® PULSE GEN SYS TX ENDOLYMP FL
E2201 $0.00 HCPCS / CPT® MAN W/CH ACC SEAT W>=20 <24
E2202 $0.00 HCPCS / CPT® SEAT WIDTH 24-27 IN
E2203 $0.00 HCPCS / CPT® FRAME DEPTH LESS THAN 22 IN
E2204 $0.00 HCPCS / CPT® FRAME DEPTH 22 TO 25 IN
E2205 $0.00 HCPCS / CPT® MANUAL WC ACCESSORY, HANDRIM
E2206 $0.00 HCPCS / CPT® MAN WC WHL LOCK COMP REPL EA
E2207 $0.00 HCPCS / CPT® CRUTCH AND CANE HOLDER
E2208 $0.00 HCPCS / CPT® CYLINDER TANK CARRIER
E2209 $0.00 HCPCS / CPT® ARM TROUGH EACH
E2210 $0.00 HCPCS / CPT® WHEELCHAIR BEARINGS
E2211 $0.00 HCPCS / CPT® PNEUMATIC PROPULSION TIRE
E2212 $0.00 HCPCS / CPT® PNEUMATIC PROP TIRE TUBE
E2213 $0.00 HCPCS / CPT® PNEUMATIC PROP TIRE INSERT
E2214 $0.00 HCPCS / CPT® PNEUMATIC CASTER TIRE EACH
E2215 $0.00 HCPCS / CPT® PNEUMATIC CASTER TIRE TUBE
E2216 $0.00 HCPCS / CPT® FOAM FILLED PROPULSION TIRE
E2217 $0.00 HCPCS / CPT® FOAM FILLED CASTER TIRE EACH
E2218 $0.00 HCPCS / CPT® FOAM PROPULSION TIRE EACH
E2219 $0.00 HCPCS / CPT® FOAM CASTER TIRE ANY SIZE EA
E2220 $0.00 HCPCS / CPT® SOLID PROPULS TIRE, REPL, EA
E2221 $0.00 HCPCS / CPT® SOLID CASTER TIRE REPL, EACH
E2222 $0.00 HCPCS / CPT® SOLID CASTER INTEG WHL, REPL
E2224 $0.00 HCPCS / CPT® PROPULSION WHL EXCL TIRE REP
E2225 $0.00 HCPCS / CPT® CASTER WHEEL EXCLUDES TIRE
E2226 $0.00 HCPCS / CPT® CASTER FORK REPLACEMENT ONLY
E2227 $0.00 HCPCS / CPT® GEAR REDUCTION DRIVE WHEEL
E2228 $0.00 HCPCS / CPT® MWC ACC, WHEELCHAIR BRAKE
E2230 $0.00 HCPCS / CPT® MANUAL STANDING SYSTEM
E2231 $0.00 HCPCS / CPT® SOLID SEAT SUPPORT BASE
E2291 $0.00 HCPCS / CPT® PLANAR BACK FOR PED SIZE WC
E2292 $0.00 HCPCS / CPT® PLANAR SEAT FOR PED SIZE WC
E2293 $0.00 HCPCS / CPT® CONTOUR BACK FOR PED SIZE WC
E2294 $0.00 HCPCS / CPT® CONTOUR SEAT FOR PED SIZE WC
E2295 $0.00 HCPCS / CPT® PED DYNAMIC SEATING FRAME
E2300 $0.00 HCPCS / CPT® PWR SEAT ELEVATION SYS
E2301 $0.00 HCPCS / CPT® PWR STANDING
E2310 $0.00 HCPCS / CPT® ELECTRO CONNECT BTW CONTROL
E2311 $0.00 HCPCS / CPT® ELECTRO CONNECT BTW 2 SYS
E2312 $0.00 HCPCS / CPT® MINI-PROP REMOTE JOYSTICK
E2313 $0.00 HCPCS / CPT® PWC HARNESS, EXPAND CONTROL
E2321 $0.00 HCPCS / CPT® HAND INTERFACE JOYSTICK
E2322 $0.00 HCPCS / CPT® MULT MECH SWITCHES
E2323 $0.00 HCPCS / CPT® SPECIAL JOYSTICK HANDLE
E2324 $0.00 HCPCS / CPT® CHIN CUP INTERFACE
E2325 $0.00 HCPCS / CPT® SIP AND PUFF INTERFACE
E2326 $0.00 HCPCS / CPT® BREATH TUBE KIT
E2327 $0.00 HCPCS / CPT® HEAD CONTROL INTERFACE MECH
E2328 $0.00 HCPCS / CPT® HEAD/EXTREMITY CONTROL INTER
E2329 $0.00 HCPCS / CPT® HEAD CONTROL NONPROPORTIONAL
E2330 $0.00 HCPCS / CPT® HEAD CONTROL PROXIMITY SWITC
E2331 $0.00 HCPCS / CPT® ATTENDANT CONTROL
E2340 $0.00 HCPCS / CPT® W/C WDTH 20-23 IN SEAT FRAME
E2341 $0.00 HCPCS / CPT® W/C WDTH 24-27 IN SEAT FRAME
E2342 $0.00 HCPCS / CPT® W/C DPTH 20-21 IN SEAT FRAME
E2343 $0.00 HCPCS / CPT® W/C DPTH 22-25 IN SEAT FRAME
E2351 $0.00 HCPCS / CPT® ELECTRONIC SGD INTERFACE
E2358 $0.00 HCPCS / CPT® GR 34 NONSEALED LEADACID
E2359 $0.00 HCPCS / CPT® GR34 SEALED LEADACID BATTERY
E2360 $0.00 HCPCS / CPT® 22NF NONSEALED LEADACID
E2361 $0.00 HCPCS / CPT® 22NF SEALED LEADACID BATTERY
E2362 $0.00 HCPCS / CPT® GR24 NONSEALED LEADACID
E2363 $0.00 HCPCS / CPT® GR24 SEALED LEADACID BATTERY
E2364 $0.00 HCPCS / CPT® U1NONSEALED LEADACID BATTERY
E2365 $0.00 HCPCS / CPT® U1 SEALED LEADACID BATTERY
E2366 $0.00 HCPCS / CPT® BATTERY CHARGER, SINGLE MODE
E2367 $0.00 HCPCS / CPT® BATTERY CHARGER, DUAL MODE
E2368 $0.00 HCPCS / CPT® PWR WC DRIVEWHEEL MOTOR REPL
E2369 $0.00 HCPCS / CPT® PWR WC DRIVEWHEEL GEAR REPL
E2370 $0.00 HCPCS / CPT® PWR WC DR WH MOTOR/GEAR COMB
E2371 $0.00 HCPCS / CPT® GR27 SEALED LEADACID BATTERY
E2372 $0.00 HCPCS / CPT® GR27 NON-SEALED LEADACID
E2373 $0.00 HCPCS / CPT® HAND/CHIN CTRL SPEC JOYSTICK
E2374 $0.00 HCPCS / CPT® HAND/CHIN CTRL STD JOYSTICK
E2375 $0.00 HCPCS / CPT® NON-EXPANDABLE CONTROLLER
E2376 $0.00 HCPCS / CPT® EXPANDABLE CONTROLLER, REPL
E2377 $0.00 HCPCS / CPT® EXPANDABLE CONTROLLER, INITL
E2378 $0.00 HCPCS / CPT® PW ACTUATOR REPLACEMENT
E2381 $0.00 HCPCS / CPT® PNEUM DRIVE WHEEL TIRE
E2382 $0.00 HCPCS / CPT® TUBE, PNEUM WHEEL DRIVE TIRE
E2383 $0.00 HCPCS / CPT® INSERT, PNEUM WHEEL DRIVE
E2384 $0.00 HCPCS / CPT® PNEUMATIC CASTER TIRE
E2385 $0.00 HCPCS / CPT® TUBE, PNEUMATIC CASTER TIRE
E2386 $0.00 HCPCS / CPT® FOAM FILLED DRIVE WHEEL TIRE
E2387 $0.00 HCPCS / CPT® FOAM FILLED CASTER TIRE
E2388 $0.00 HCPCS / CPT® FOAM DRIVE WHEEL TIRE
E2389 $0.00 HCPCS / CPT® FOAM CASTER TIRE
E2390 $0.00 HCPCS / CPT® SOLID DRIVE WHEEL TIRE
E2391 $0.00 HCPCS / CPT® SOLID CASTER TIRE
E2392 $0.00 HCPCS / CPT® SOLID CASTER TIRE, INTEGRATE
E2394 $0.00 HCPCS / CPT® DRIVE WHEEL EXCLUDES TIRE
E2395 $0.00 HCPCS / CPT® CASTER WHEEL EXCLUDES TIRE
E2396 $0.00 HCPCS / CPT® CASTER FORK
E2397 $0.00 HCPCS / CPT® PWC ACC, LITH-BASED BATTERY
E2402 $0.00 HCPCS / CPT® NEG PRESS WOUND THERAPY PUMP
E2500 $0.00 HCPCS / CPT® SGD DIGITIZED PRE-REC <=8MIN
E2502 $0.00 HCPCS / CPT® SGD PREREC MSG >8MIN <=20MIN
E2504 $0.00 HCPCS / CPT® SGD PREREC MSG>20MIN <=40MIN
E2506 $0.00 HCPCS / CPT® SGD PREREC MSG > 40 MIN
E2508 $0.00 HCPCS / CPT® SGD SPELLING PHYS CONTACT
E2510 $0.00 HCPCS / CPT® SGD W MULTI METHODS MSG/ACCS
E2511 $0.00 HCPCS / CPT® SGD SFTWRE PRGRM FOR PC/PDA
E2512 $0.00 HCPCS / CPT® SGD ACCESSORY, MOUNTING SYS
E2599 $0.00 HCPCS / CPT® SGD ACCESSORY NOC
E2601 $0.00 HCPCS / CPT® GEN W/C CUSHION WDTH < 22 IN
E2602 $0.00 HCPCS / CPT® GEN W/C CUSHION WDTH >=22 IN
E2603 $0.00 HCPCS / CPT® SKIN PROTECT WC CUS WD <22IN
E2604 $0.00 HCPCS / CPT® SKIN PROTECT WC CUS WD>=22IN
E2605 $0.00 HCPCS / CPT® POSITION WC CUSH WDTH <22 IN
E2606 $0.00 HCPCS / CPT® POSITION WC CUSH WDTH>=22 IN
E2607 $0.00 HCPCS / CPT® SKIN PRO/POS WC CUS WD <22IN
E2608 $0.00 HCPCS / CPT® SKIN PRO/POS WC CUS WD>=22IN
E2609 $0.00 HCPCS / CPT® CUSTOM FABRICATE W/C CUSHION
E2610 $0.00 HCPCS / CPT® POWERED W/C CUSHION
E2611 $0.00 HCPCS / CPT® GEN USE BACK CUSH WDTH <22IN
E2612 $0.00 HCPCS / CPT® GEN USE BACK CUSH WDTH>=22IN
E2613 $0.00 HCPCS / CPT® POSITION BACK CUSH WD <22IN
E2614 $0.00 HCPCS / CPT® POSITION BACK CUSH WD>=22IN
E2615 $0.00 HCPCS / CPT® POS BACK POST/LAT WDTH <22IN
E2616 $0.00 HCPCS / CPT® POS BACK POST/LAT WDTH>=22IN
E2617 $0.00 HCPCS / CPT® CUSTOM FAB W/C BACK CUSHION
E2619 $0.00 HCPCS / CPT® REPLACE COVER W/C SEAT CUSH
E2620 $0.00 HCPCS / CPT® WC PLANAR BACK CUSH WD <22IN
E2621 $0.00 HCPCS / CPT® WC PLANAR BACK CUSH WD>=22IN
E2622 $0.00 HCPCS / CPT® ADJ SKIN PRO W/C CUS WD <22IN
E2623 $0.00 HCPCS / CPT® ADJ SKIN PRO WC CUS WD>=22IN
E2624 $0.00 HCPCS / CPT® ADJ SKIN PRO/POS CUS <22IN
E2625 $0.00 HCPCS / CPT® ADJ SKIN PRO/POS WC CUS>=22
E2626 $0.00 HCPCS / CPT® SEO MOBILE ARM SUP ATT TO WC
E2627 $0.00 HCPCS / CPT® ARM SUPP ATT TO WC RANCHO TY
E2628 $0.00 HCPCS / CPT® MOBILE ARM SUPPORTS RECLININ
E2629 $0.00 HCPCS / CPT® FRICTION DAMPENING ARM SUPP
E2630 $0.00 HCPCS / CPT® MONOSUSPENSION ARM/HAND SUPP
E2631 $0.00 HCPCS / CPT® ELEVAT PROXIMAL ARM SUPPORT
E2632 $0.00 HCPCS / CPT® OFFSET/LAT ROCKER ARM W/ELA
E2633 $0.00 HCPCS / CPT® MOBILE ARM SUPPORT SUPINATOR
E8000 $0.00 HCPCS / CPT® POSTERIOR GAIT TRAINER
E8001 $0.00 HCPCS / CPT® UPRIGHT GAIT TRAINER
E8002 $0.00 HCPCS / CPT® ANTERIOR GAIT TRAINER
FEE $46.20 HCPCS / CPT® RETURNED CHECK FEE
G0008 $0.00 HCPCS / CPT® ADMIN INFLUENZA VIRUS VAC
G0009 $0.00 HCPCS / CPT® ADMIN PNEUMOCOCCAL VACCINE
G0010 $0.00 HCPCS / CPT® ADMIN HEPATITIS B VACCINE
G0027 $0.00 HCPCS / CPT® SEMEN ANALYSIS
G0101 $0.00 HCPCS / CPT® CA SCREEN;PELVIC/BREAST EXAM
G0102 $0.00 HCPCS / CPT® PROSTATE CA SCREENING; DRE
G0103 $0.00 HCPCS / CPT® PSA SCREENING
G0104 $0.00 HCPCS / CPT® CA SCREEN;FLEXI SIGMOIDSCOPE
G0105 $0.00 HCPCS / CPT® COLORECTAL SCRN; HI RISK IND
G0106 $0.00 HCPCS / CPT® COLON CA SCREEN;BARIUM ENEMA
G0108 $0.00 HCPCS / CPT® DIAB MANAGE TRN PER INDIV
G0109 $0.00 HCPCS / CPT® DIAB MANAGE TRN IND/GROUP
G0117 $0.00 HCPCS / CPT® GLAUCOMA SCRN HGH RISK DIREC
G0118 $0.00 HCPCS / CPT® GLAUCOMA SCRN HGH RISK DIREC
G0120 $0.00 HCPCS / CPT® COLON CA SCRN; BARIUM ENEMA
G0121 $0.00 HCPCS / CPT® COLON CA SCRN NOT HI RSK IND
G0122 $0.00 HCPCS / CPT® COLON CA SCRN; BARIUM ENEMA
G0123 $0.00 HCPCS / CPT® SCREEN CERV/VAG THIN LAYER
G0124 $0.00 HCPCS / CPT® SCREEN C/V THIN LAYER BY MD
G0127 $0.00 HCPCS / CPT® TRIM NAIL(S)
G0128 $0.00 HCPCS / CPT® CORF SKILLED NURSING SERVICE
G0129 $0.00 HCPCS / CPT® PARTIAL HOSP PROG SERVICE
G0130 $0.00 HCPCS / CPT® SINGLE ENERGY X-RAY STUDY
G0141 $0.00 HCPCS / CPT® SCR C/V CYTO,AUTOSYS AND MD
G0143 $0.00 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0144 $0.00 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0145 $0.00 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0147 $0.00 HCPCS / CPT® SCR C/V CYTO, AUTOMATED SYS
G0148 $0.00 HCPCS / CPT® SCR C/V CYTO, AUTOSYS, RESCR
G0151 $0.00 HCPCS / CPT® HHCP-SERV OF PT,EA 15 MIN
G0152 $0.00 HCPCS / CPT® HHCP-SERV OF OT,EA 15 MIN
G0153 $0.00 HCPCS / CPT® HHCP-SVS OF S/L PATH,EA 15MN
G0155 $0.00 HCPCS / CPT® HHCP-SVS OF CSW,EA 15 MIN
G0156 $0.00 HCPCS / CPT® HHCP-SVS OF AIDE,EA 15 MIN
G0157 $0.00 HCPCS / CPT® HHC PT ASSISTANT EA 15
G0158 $0.00 HCPCS / CPT® HHC OT ASSISTANT EA 15
G0159 $0.00 HCPCS / CPT® HHC PT MAINT EA 15 MIN
G0160 $0.00 HCPCS / CPT® HHC OCCUP THERAPY EA 15
G0161 $0.00 HCPCS / CPT® HHC SLP EA 15 MIN
G0162 $0.00 HCPCS / CPT® HHC RN E&M PLAN SVS, 15 MIN
G0166 $0.00 HCPCS / CPT® EXTRNL COUNTERPULSE, PER TX
G0168 $43.73 HCPCS / CPT® DERMABOND – WOUND CLOSURE BY ADHESIVE
G0175 $0.00 HCPCS / CPT® OPPS SERVICE,SCHED TEAM CONF
G0176 $0.00 HCPCS / CPT® OPPS/PHP;ACTIVITY THERAPY
G0177 $0.00 HCPCS / CPT® OPPS/PHP; TRAIN & EDUC SERV
G0179 $0.00 HCPCS / CPT® MD RECERTIFICATION HHA PT
G0180 $0.00 HCPCS / CPT® MD CERTIFICATION HHA PATIENT
G0181 $0.00 HCPCS / CPT® HOME HEALTH CARE SUPERVISION
G0182 $0.00 HCPCS / CPT® HOSPICE CARE SUPERVISION
G0186 $0.00 HCPCS / CPT® DSTRY EYE LESN,FDR VSSL TECH
G0202 $0.00 HCPCS / CPT® SCR MAMMO BI INCL CAD
G0204 $0.00 HCPCS / CPT® DX MAMMO INCL CAD BI
G0206 $0.00 HCPCS / CPT® DX MAMMO INCL CAD UNI
G0219 $0.00 HCPCS / CPT® PET IMG WHOLBOD MELANO NONCO
G0235 $0.00 HCPCS / CPT® PET NOT OTHERWISE SPECIFIED
G0237 $0.00 HCPCS / CPT® THERAPEUTIC PROCD STRG ENDUR
G0238 $0.00 HCPCS / CPT® OTH RESP PROC, INDIV
G0239 $0.00 HCPCS / CPT® OTH RESP PROC, GROUP
G0245 $0.00 HCPCS / CPT® INITIAL FOOT EXAM PT LOPS
G0246 $0.00 HCPCS / CPT® FOLLOWUP EVAL OF FOOT PT LOP
G0247 $0.00 HCPCS / CPT® ROUTINE FOOTCARE PT W LOPS
G0248 $0.00 HCPCS / CPT® DEMONSTRATE USE HOME INR MON
G0249 $0.00 HCPCS / CPT® PROVIDE INR TEST MATER/EQUIP
G0250 $0.00 HCPCS / CPT® MD INR TEST REVIE INTER MGMT
G0252 $0.00 HCPCS / CPT® PET IMAGING INITIAL DX
G0255 $0.00 HCPCS / CPT® CURRENT PERCEP THRESHOLD TST
G0257 $0.00 HCPCS / CPT® UNSCHED DIALYSIS ESRD PT HOS
G0259 $0.00 HCPCS / CPT® INJECT FOR SACROILIAC JOINT
G0260 $0.00 HCPCS / CPT® INJ FOR SACROILIAC JT ANESTH
G0268 $248.89 HCPCS / CPT® REMOVAL OF IMPACTED WAX MD
G0269 $0.00 HCPCS / CPT® OCCLUSIVE DEVICE IN VEIN ART
G0270 $0.00 HCPCS / CPT® MNT SUBS TX FOR CHANGE DX
G0271 $0.00 HCPCS / CPT® GROUP MNT 2 OR MORE 30 MINS
G0276 $0.00 HCPCS / CPT® PILD/PLACEBO CONTROL CLIN TR
G0277 $0.00 HCPCS / CPT® HBOT, FULL BODY CHAMBER, 30M
G0278 $0.00 HCPCS / CPT® ILIAC ART ANGIO,CARDIAC CATH
G0279 $0.00 HCPCS / CPT® TOMOSYNTHESIS, MAMMO
G0281 $0.00 HCPCS / CPT® ELEC STIM UNATTEND FOR PRESS
G0282 $0.00 HCPCS / CPT® ELECT STIM WOUND CARE NOT PD
G0283 $0.00 HCPCS / CPT® ELEC STIM OTHER THAN WOUND
G0288 $0.00 HCPCS / CPT® RECON, CTA FOR SURG PLAN
G0289 $0.00 HCPCS / CPT® ARTHRO, LOOSE BODY + CHONDRO
G0293 $0.00 HCPCS / CPT® NON-COV SURG PROC,CLIN TRIAL
G0294 $0.00 HCPCS / CPT® NON-COV PROC, CLINICAL TRIAL
G0295 $0.00 HCPCS / CPT® ELECTROMAGNETIC THERAPY ONC
G0296 $0.00 HCPCS / CPT® VISIT TO DETERM LDCT ELIG
G0297 $0.00 HCPCS / CPT® LDCT FOR LUNG CA SCREEN
G0299 $0.00 HCPCS / CPT® HHS/HOSPICE OF RN EA 15 MIN
G0300 $0.00 HCPCS / CPT® HHS/HOSPICE OF LPN EA 15 MIN
G0302 $0.00 HCPCS / CPT® PRE-OP SERVICE LVRS COMPLETE
G0303 $0.00 HCPCS / CPT® PRE-OP SERVICE LVRS 10-15DOS
G0304 $0.00 HCPCS / CPT® PRE-OP SERVICE LVRS 1-9 DOS
G0305 $0.00 HCPCS / CPT® POST OP SERVICE LVRS MIN 6
G0306 $0.00 HCPCS / CPT® CBC/DIFFWBC W/O PLATELET
G0307 $0.00 HCPCS / CPT® CBC WITHOUT PLATELET
G0328 $0.00 HCPCS / CPT® FECAL BLOOD SCRN IMMUNOASSAY
G0329 $0.00 HCPCS / CPT® ELECTROMAGNTIC TX FOR ULCERS
G0333 $0.00 HCPCS / CPT® DISPENSE FEE INITIAL 30 DAY
G0337 $0.00 HCPCS / CPT® HOSPICE EVALUATION PREELECTI
G0339 $0.00 HCPCS / CPT® ROBOT LIN-RADSURG COM, FIRST
G0340 $0.00 HCPCS / CPT® ROBT LIN-RADSURG FRACTX 2-5
G0341 $0.00 HCPCS / CPT® PERCUTANEOUS ISLET CELLTRANS
G0342 $0.00 HCPCS / CPT® LAPAROSCOPY ISLET CELL TRANS
G0343 $0.00 HCPCS / CPT® LAPAROTOMY ISLET CELL TRANSP
G0364 $0.00 HCPCS / CPT® BONE MARROW ASPIRATE &BIOPSY
G0365 $0.00 HCPCS / CPT® VESSEL MAPPING HEMO ACCESS
G0372 $0.00 HCPCS / CPT® MD SERVICE REQUIRED FOR PMD
G0378 $1800.00 HCPCS / CPT® HOSPITAL OBSERVATION PER HR
G0379 $1600.00 HCPCS / CPT® DIRECT REFERRAL TO OBSERVATION
G0380 $0.00 HCPCS / CPT® LEV 1 HOSP TYPE B ED VISIT
G0381 $0.00 HCPCS / CPT® LEV 2 HOSP TYPE B ED VISIT
G0382 $0.00 HCPCS / CPT® LEV 3 HOSP TYPE B ED VISIT
G0383 $0.00 HCPCS / CPT® LEV 4 HOSP TYPE B ED VISIT
G0384 $0.00 HCPCS / CPT® LEV 5 HOSP TYPE B ED VISIT
G0390 $0.00 HCPCS / CPT® TRAUMA RESPONS W/HOSP CRITI
G0396 $0.00 HCPCS / CPT® ALCOHOL/SUBS INTERV 15-30MN
G0397 $0.00 HCPCS / CPT® ALCOHOL/SUBS INTERV >30 MIN
G0398 $0.00 HCPCS / CPT® HOME SLEEP TEST/TYPE 2 PORTA
G0399 $0.00 HCPCS / CPT® HOME SLEEP TEST/TYPE 3 PORTA
G0400 $0.00 HCPCS / CPT® HOME SLEEP TEST/TYPE 4 PORTA
G0402 $0.00 HCPCS / CPT® INITIAL PREVENTIVE EXAM
G0403 $0.00 HCPCS / CPT® EKG FOR INITIAL PREVENT EXAM
G0404 $107.95 HCPCS / CPT® EKG TRACING FOR INITIAL PREV
G0405 $0.00 HCPCS / CPT® EKG INTERPRET & REPORT PREVE
G0406 $0.00 HCPCS / CPT® INPT/TELE FOLLOW UP 15
G0407 $0.00 HCPCS / CPT® INPT/TELE FOLLOW UP 25
G0408 $0.00 HCPCS / CPT® INPT/TELE FOLLOW UP 35
G0409 $0.00 HCPCS / CPT® CORF RELATED SERV 15 MINS EA
G0410 $0.00 HCPCS / CPT® GRP PSYCH PARTIAL HOSP 45-50
G0411 $0.00 HCPCS / CPT® INTER ACTIVE GRP PSYCH PARTI
G0412 $0.00 HCPCS / CPT® OPEN TX ILIAC SPINE UNI/BIL
G0413 $0.00 HCPCS / CPT® PELVIC RING FRACTURE UNI/BIL
G0414 $0.00 HCPCS / CPT® PELVIC RING FX TREAT INT FIX
G0415 $0.00 HCPCS / CPT® OPEN TX POST PELVIC FXCTURE
G0416 $0.00 HCPCS / CPT® PROSTATE BIOPSY, ANY MTHD
G0420 $0.00 HCPCS / CPT® ED SVC CKD IND PER SESSION
G0421 $0.00 HCPCS / CPT® ED SVC CKD GRP PER SESSION
G0422 $0.00 HCPCS / CPT® INTENS CARDIAC REHAB W/EXERC
G0423 $0.00 HCPCS / CPT® INTENS CARDIAC REHAB NO EXER
G0424 $0.00 HCPCS / CPT® PULMONARY REHAB W EXER
G0425 $0.00 HCPCS / CPT® INPT/ED TELECONSULT30
G0426 $0.00 HCPCS / CPT® INPT/ED TELECONSULT50
G0427 $0.00 HCPCS / CPT® INPT/ED TELECONSULT70
G0428 $0.00 HCPCS / CPT® COLLAGEN MENISCUS IMPLANT
G0429 $0.00 HCPCS / CPT® DERMAL FILLER INJECTION(S)
G0431 $366.13 HCPCS / CPT® UDS – URINE DRUG SCREEN QUAL 1 DRUG CLASS METH EA DRUG CLASS
G0432 $0.00 HCPCS / CPT® EIA HIV-1/HIV-2 SCREEN
G0433 $0.00 HCPCS / CPT® ELISA HIV-1/HIV-2 SCREEN
G0435 $0.00 HCPCS / CPT® ORAL HIV-1/HIV-2 SCREEN
G0438 $0.00 HCPCS / CPT® PPPS, INITIAL VISIT
G0439 $0.00 HCPCS / CPT® PPPS, SUBSEQ VISIT
G0442 $0.00 HCPCS / CPT® ANNUAL ALCOHOL SCREEN 15 MIN
G0443 $0.00 HCPCS / CPT® BRIEF ALCOHOL MISUSE COUNSEL
G0444 $0.00 HCPCS / CPT® DEPRESSION SCREEN ANNUAL
G0445 $0.00 HCPCS / CPT® HIGH INTEN BEH COUNS STD 30M
G0446 $0.00 HCPCS / CPT® INTENS BEHAVE THER CARDIO DX
G0447 $0.00 HCPCS / CPT® BEHAVIOR COUNSEL OBESITY 15M
G0448 $0.00 HCPCS / CPT® PLACE PERM PACING CARDIOVERT
G0451 $0.00 HCPCS / CPT® DEVLOPMENT TEST INTERPT&REP
G0452 $0.00 HCPCS / CPT® MOLECULAR PATHOLOGY INTERPR
G0453 $0.00 HCPCS / CPT® CONT INTRAOP NEURO MONITOR
G0454 $0.00 HCPCS / CPT® MD DOCUMENT VISIT BY NPP
G0455 $0.00 HCPCS / CPT® FECAL MICROBIOTA PREP INSTIL
G0458 $0.00 HCPCS / CPT® LDR PROSTATE BRACHY COMP RAT
G0459 $0.00 HCPCS / CPT® TELEHEALTH INPT PHARM MGMT
G0460 $0.00 HCPCS / CPT® AUTOLOGOUS PRP FOR ULCERS
G0463 $0.00 HCPCS / CPT® HOSPITAL OUTPT CLINIC VISIT
G0466 $0.00 HCPCS / CPT® FQHC VISIT NEW PATIENT
G0467 $0.00 HCPCS / CPT® FQHC VISIT, ESTAB PT
G0468 $0.00 HCPCS / CPT® FQHC VISIT, IPPE OR AWV
G0469 $0.00 HCPCS / CPT® FQHC VISIT, MH NEW PT
G0470 $0.00 HCPCS / CPT® FQHC VISIT, MH ESTAB PT
G0471 $0.00 HCPCS / CPT® VEN BLOOD COLL SNF/HHA
G0472 $0.00 HCPCS / CPT® HEP C SCREEN HIGH RISK/OTHER
G0473 $0.00 HCPCS / CPT® GROUP BEHAVE COUNS 2-10
G0475 $0.00 HCPCS / CPT® HIV COMBINATION ASSAY
G0476 $0.00 HCPCS / CPT® HPV COMBO ASSAY CA SCREEN
G0477 $0.00 HCPCS / CPT® DRUG TEST PRESUMP OPTICAL
G0478 $0.00 HCPCS / CPT® DRUG TEST PRESUMP OPT INST
G0479 $366.13 HCPCS / CPT® UDS – URINE DRUG SCREEN QUAL 1 DRUG CLASS METH EA DRUG CLASS
G0480 $264.80 HCPCS / CPT® Alcohol, Ethyl, Blood
G0481 $0.00 HCPCS / CPT® DRUG TEST DEF 8-14 CLASSES
G0482 $0.00 HCPCS / CPT® DRUG TEST DEF 15-21 CLASSES
G0483 $0.00 HCPCS / CPT® DRUG TEST DEF 22+ CLASSES
G0490 $0.00 HCPCS / CPT® HOME VISIT RN, LPN BY RHC/FQ
G0491 $0.00 HCPCS / CPT® DIALYSIS ACU KIDNEY NO ESRD
G0492 $0.00 HCPCS / CPT® MD/OTH EVAL ACUT KID NO ESRD
G0493 $0.00 HCPCS / CPT® RN CARE EA 15 MIN HH/HOSPICE
G0494 $0.00 HCPCS / CPT® LPN CARE EA 15MIN HH/HOSPICE
G0495 $0.00 HCPCS / CPT® RN CARE TRAIN/EDU IN HH
G0496 $0.00 HCPCS / CPT® LPN CARE TRAIN/EDU IN HH
G0498 $0.00 HCPCS / CPT® CHEMO EXTEND IV INFUS W/PUMP
G0499 $0.00 HCPCS / CPT® HEPB SCREEN HIGH RISK INDIV
G0500 $0.00 HCPCS / CPT® MOD SEDAT ENDO SERVICE >5YRS
G0501 $0.00 HCPCS / CPT® RESOURCE-INTEN SVC DURING OV
G0502 $0.00 HCPCS / CPT® INIT PSYCH CARE MANAG, 70MIN
G0503 $0.00 HCPCS / CPT® SUBSEQ PSYCH CARE MAN,60MI
G0504 $0.00 HCPCS / CPT® INIT/SUB PSYCH CARE ADD 30 M
G0505 $0.00 HCPCS / CPT® COG/FUNC ASSESSMENT OUTPT
G0506 $0.00 HCPCS / CPT® COMP ASSES CARE PLAN CCM SVC
G0507 $0.00 HCPCS / CPT® CARE MANAGE SERV MINIMUM 20
G0508 $0.00 HCPCS / CPT® CRIT CARE TELEHEA CONSULT 60
G0509 $0.00 HCPCS / CPT® CRIT CARE TELEHEA CONSULT 50
G0913 $0.00 HCPCS / CPT® IMPROVE VISUAL FUNCT
G0914 $0.00 HCPCS / CPT® SURVEY NOT COMPLETE
G0915 $0.00 HCPCS / CPT® NO IMPROVE VISUAL FUNCT
G0916 $0.00 HCPCS / CPT® SATISFY WITH CARE
G0917 $0.00 HCPCS / CPT® SATISFY SURVEY NOT COMPLETE
G0918 $0.00 HCPCS / CPT® NO SATISFY WITH CARE
G6001 $0.00 HCPCS / CPT® ECHO GUIDANCE RADIOTHERAPY
G6002 $0.00 HCPCS / CPT® STEREOSCOPIC X-RAY GUIDANCE
G6003 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6004 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6005 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6006 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6007 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6008 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6009 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6010 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6011 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6012 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6013 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6014 $0.00 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6015 $0.00 HCPCS / CPT® RADIATION TX DELIVERY IMRT
G6016 $0.00 HCPCS / CPT® DELIVERY COMP IMRT
G6017 $0.00 HCPCS / CPT® INTRAFRACTION TRACK MOTION
G6038 $126.72 HCPCS / CPT® SALICYLATE
G6039 $258.83 HCPCS / CPT® ACETAMINOPHEN
G8395 $0.00 HCPCS / CPT® LVEF>=40% DOC NORMAL OR MILD
G8396 $0.00 HCPCS / CPT® LVEF NOT PERFORMED
G8397 $0.00 HCPCS / CPT® DIL MACULA/FUNDUS EXAM/W DOC
G8398 $0.00 HCPCS / CPT® DIL MACULAR/FUNDUS NOT PERFO
G8399 $0.00 HCPCS / CPT® PT W/DXA RESULTS DOCUMENT
G8400 $0.00 HCPCS / CPT® PT W/DXA NO RESULTS DOC
G8404 $0.00 HCPCS / CPT® LOW EXTEMITY NEUR EXAM DOCUM
G8405 $0.00 HCPCS / CPT® LOW EXTEMITY NEUR NOT PERFOR
G8410 $0.00 HCPCS / CPT® EVAL ON FOOT DOCUMENTED
G8415 $0.00 HCPCS / CPT® EVAL ON FOOT NOT PERFORMED
G8416 $0.00 HCPCS / CPT® PT INELIG FOOTWEAR EVALUATIO
G8417 $0.00 HCPCS / CPT® CALC BMI ABV UP PARAM F/U
G8418 $0.00 HCPCS / CPT® CALC BMI BLW LOW PARAM F/U
G8419 $0.00 HCPCS / CPT® CALC BMI OUT NRM PARAM NOF/U
G8420 $0.00 HCPCS / CPT® CALC BMI NORM PARAMETERS
G8421 $0.00 HCPCS / CPT® BMI NOT CALCULATED
G8422 $0.00 HCPCS / CPT® PT INELIG BMI CALCULATION
G8427 $0.00 HCPCS / CPT® DOCREV CUR MEDS BY ELIG CLIN
G8428 $0.00 HCPCS / CPT® CUR MEDS NOT DOCUMENT
G8430 $0.00 HCPCS / CPT® PT INELIG MED CHECK
G8431 $0.00 HCPCS / CPT® POS CLIN DEPRES SCRN F/U DOC
G8432 $0.00 HCPCS / CPT® DEP SCR NOT DOC, RNG
G8433 $0.00 HCPCS / CPT® SCR DEP NOT DONE, DOC RSN
G8442 $0.00 HCPCS / CPT® PT INELIG PAIN ASSESSMENT
G8450 $0.00 HCPCS / CPT® BETA-BLOC RX PT W/ABN LVEF
G8451 $0.00 HCPCS / CPT® PT W/ABN LVEF INELIG B-BLOC
G8452 $0.00 HCPCS / CPT® PT W/ABN LVEF B-BLOC NO RX
G8465 $0.00 HCPCS / CPT® HIGH RISK RECURRENCE PRO CA
G8473 $0.00 HCPCS / CPT® ACE/ARB THXPY RX’D
G8474 $0.00 HCPCS / CPT® ACE/ARB NOT RX’D; DOC REAS
G8475 $0.00 HCPCS / CPT® ACE/ARB THXPY NOT RX’D
G8476 $0.00 HCPCS / CPT® BP SYS <140 AND DIAS <90
G8477 $0.00 HCPCS / CPT® BP SYS>=140 AND/OR DIAS >=90
G8478 $0.00 HCPCS / CPT® BP NOT PERFORMED/DOC
G8482 $0.00 HCPCS / CPT® FLU IMMUNIZE ORDER/ADMIN
G8483 $0.00 HCPCS / CPT® FLU IMM NO ADMIN DOC REA
G8484 $0.00 HCPCS / CPT® FLU IMMUNIZE NO ADMIN
G8506 $0.00 HCPCS / CPT® PT REC ACE/ARB
G8509 $0.00 HCPCS / CPT® POS PAIN ASSESS NO F/U DOC
G8510 $0.00 HCPCS / CPT® SCR DEP NEG, NO PLAN REQD
G8511 $0.00 HCPCS / CPT® SCR DEP POS, NO PLAN DOC RNG
G8535 $0.00 HCPCS / CPT® PT INELIG NO ELD MAL SCRN
G8536 $0.00 HCPCS / CPT® NO DOC ELDER MAL SCRN
G8539 $0.00 HCPCS / CPT® DOC FUNCT AND CARE PLAN
G8540 $0.00 HCPCS / CPT® PT INELIG FUNCT ASSESS
G8541 $0.00 HCPCS / CPT® NO DOC CUR FUNCT ASSESS
G8542 $0.00 HCPCS / CPT® DOC FUNCT NO DEFICIENCIES
G8543 $0.00 HCPCS / CPT® CUR FUNCT ASSES; NO CARE PLN
G8559 $0.00 HCPCS / CPT® PT REF DOC OTO EVAL
G8560 $0.00 HCPCS / CPT® PT HX ACT DRAIN PREV 90 DAYS
G8561 $0.00 HCPCS / CPT® PT INELIG FOR REF OTO EVAL
G8562 $0.00 HCPCS / CPT® PT NO HX ACT DRAIN 90 D
G8563 $0.00 HCPCS / CPT® PT NO REF OTO REAS NO SPEC
G8564 $0.00 HCPCS / CPT® PT REF OTO EVAL
G8565 $0.00 HCPCS / CPT® VER DOC HEAR LOSS
G8566 $0.00 HCPCS / CPT® PT INELIG REF OTO EVAL
G8567 $0.00 HCPCS / CPT® PT NO DOC HEAR LOSS
G8568 $0.00 HCPCS / CPT® PT NO REF OTOLO NO SPEC
G8569 $0.00 HCPCS / CPT® PROL INTUBATION REQ
G8570 $0.00 HCPCS / CPT® NO PROL INTUB REQ
G8571 $0.00 HCPCS / CPT® STER WD IFX 30 D POSTOP
G8572 $0.00 HCPCS / CPT® NO STER WD IFX
G8573 $0.00 HCPCS / CPT® STK CABG
G8574 $0.00 HCPCS / CPT® NO STRK CABG
G8575 $0.00 HCPCS / CPT® POSTOP REN FAIL
G8576 $0.00 HCPCS / CPT® NO POSTOP REN FAIL
G8577 $0.00 HCPCS / CPT® REOP REQ BLD GRFT OTH
G8578 $0.00 HCPCS / CPT® NO REOP REQ BLD GRFT OTH
G8598 $7.50 HCPCS / CPT® ASPIRIN OR ANOTHER ANTITHROMBOTIC THERAPY USED
G8599 $0.00 HCPCS / CPT® NO ASA/ANTIPLAT THER USE RNG
G8600 $0.00 HCPCS / CPT® TPA INITI W/IN 3 HRS
G8601 $0.00 HCPCS / CPT® NO ELIG TPA INIT W/IN 3 HRS
G8602 $0.00 HCPCS / CPT® NO TPA INIT W/IN 3 HRS
G8627 $0.00 HCPCS / CPT® SURG PROC W/IN 30 DAYS
G8628 $0.00 HCPCS / CPT® NO SURG PROC W/IN 30 DAYS
G8633 $0.00 HCPCS / CPT® PHARM THER OSTEO RX
G8635 $0.00 HCPCS / CPT® NO PHARM THER OSTEO RX
G8647 $0.00 HCPCS / CPT® FUN STAT SCORE KNEE >= 0
G8648 $0.00 HCPCS / CPT® FUN STAT SCORE KNEE < 0
G8649 $0.00 HCPCS / CPT® RAFSCRS KNEE NO MSR, NO FOTO
G8650 $0.00 HCPCS / CPT® FUN STAT SCORE KNEE NOT DONE
G8651 $0.00 HCPCS / CPT® FUN STAT SCORE HIP >= 0
G8652 $0.00 HCPCS / CPT® FUN STAT SCORE HIP < 0
G8653 $0.00 HCPCS / CPT® RAFSCRS HIP, NO MSR, NO SURV
G8654 $0.00 HCPCS / CPT® FUN STAT SCORE HIP NOT DONE
G8655 $0.00 HCPCS / CPT® RAFSCRS FT ANK SCORE >=0
G8656 $0.00 HCPCS / CPT® RAFSCRS FT ANK SCORE < 0
G8657 $0.00 HCPCS / CPT® RAFSCRS FOOT, NO MSR/NO FOTO
G8658 $0.00 HCPCS / CPT® RAFSCRS FOOT, NO MSR/NO SURV
G8659 $0.00 HCPCS / CPT® RAFSCRS LUMB SCORE >= 0
G8660 $0.00 HCPCS / CPT® RAFSCRS LUMB SCORE < 0
G8661 $0.00 HCPCS / CPT® RAFSCRS LUM, NO MSR/NO FOTO
G8662 $0.00 HCPCS / CPT® RAFSCRS LUM, NO MSR/NO SURV
G8663 $0.00 HCPCS / CPT® FUN STAT SCORE SHDL >=0
G8664 $0.00 HCPCS / CPT® FUN STAT SCORE SHDL < 0
G8665 $0.00 HCPCS / CPT® RAFSCRS SHLDR, NO MSR/FOTO
G8666 $0.00 HCPCS / CPT® FUN STAT SCORE SHDL NOT DONE
G8667 $0.00 HCPCS / CPT® FUN STAT SCORE UE >=0
G8668 $0.00 HCPCS / CPT® FUN STAT SCORE UE < 0
G8669 $0.00 HCPCS / CPT® RAFSCRS HAND, NO MSR/SURV
G8670 $0.00 HCPCS / CPT® FUN STAT SCORE UE NOT DONE
G8671 $0.00 HCPCS / CPT® RAFSCRS NECK, SCORE >/=0
G8672 $0.00 HCPCS / CPT® RAFSCRS NECK, SCORE <0
G8673 $0.00 HCPCS / CPT® RAFSCRS NECK, NO MSR/NO FOTO
G8674 $0.00 HCPCS / CPT® RAFSCRS NECK, NO MSR/NO FOTO
G8694 $0.00 HCPCS / CPT® LVEF <40%
G8696 $0.00 HCPCS / CPT® ANTITHROMB THX PRESC
G8697 $0.00 HCPCS / CPT® ANTITHROMB NO PRESC DOC REAS
G8698 $0.00 HCPCS / CPT® ANTITHROMB NO PRESC NO REAS
G8708 $0.00 HCPCS / CPT® ANTIBIOTIC NOT PRES
G8709 $0.00 HCPCS / CPT® MED REAS ANTIBIOTIC PRES
G8710 $0.00 HCPCS / CPT® PT PRES ANTIBIOTIC
G8711 $0.00 HCPCS / CPT® PRES ANTIBIOTIC
G8712 $0.00 HCPCS / CPT® NOT PRES ANTIBIOTIC
G8721 $0.00 HCPCS / CPT® PT, PN, HIST GRADE DOC
G8722 $0.00 HCPCS / CPT® MED REAS PT, PN, NOT DOC
G8723 $0.00 HCPCS / CPT® SPEC SIT NOT PRIM TUMOR
G8724 $0.00 HCPCS / CPT® PT, PN, HIST GRADE NOT DOC
G8730 $0.00 HCPCS / CPT® PAIN DOC POS AND PLAN
G8731 $0.00 HCPCS / CPT® PAIN NEG NO PLAN
G8732 $0.00 HCPCS / CPT® NO DOC OF PAIN
G8733 $0.00 HCPCS / CPT® DOC POS ELDER MAL SCRN PLAN
G8734 $0.00 HCPCS / CPT® DOC NEG ELDER MAL NO PLAN
G8735 $0.00 HCPCS / CPT® ELD MAL SCRN POS NO PLAN
G8749 $0.00 HCPCS / CPT® SIGNS OF MELANOMA ABSENT
G8752 $0.00 HCPCS / CPT® SYS BP LESS 140
G8753 $0.00 HCPCS / CPT® SYS BP > OR = 140
G8754 $0.00 HCPCS / CPT® DIAS BP LESS 90
G8755 $0.00 HCPCS / CPT® DIAS BP > OR = 90
G8756 $0.00 HCPCS / CPT® NO BP MEASURE DOC
G8783 $0.00 HCPCS / CPT® BP SCRN PERF REC INTERVAL
G8785 $0.00 HCPCS / CPT® BP SCRN NO PERF AT INTERVAL
G8797 $0.00 HCPCS / CPT® SPECIMEN SITE NOT ESOPHAGUS
G8798 $0.00 HCPCS / CPT® SPECIMEN SITE NOT PROSTATE
G8806 $0.00 HCPCS / CPT® TRANSAB OR TRANSVAG US
G8807 $0.00 HCPCS / CPT® DOC REAS NO US
G8808 $0.00 HCPCS / CPT® NO TRANSAB OR TRANSVAG US
G8809 $0.00 HCPCS / CPT® RH-IMMUNOGLOBULIN ORDER
G8810 $0.00 HCPCS / CPT® DOC REAS NO RH-IMMUNO
G8811 $0.00 HCPCS / CPT® NO RH-IMMUNOGLOBULIN ORDER
G8815 $0.00 HCPCS / CPT® DOC REAS NO STATIN THERAPY
G8816 $0.00 HCPCS / CPT® STATIN MED PRES AT DISCH
G8817 $0.00 HCPCS / CPT® DOC REAS NO STATIN MED DISCH
G8818 $0.00 HCPCS / CPT® PT DISCH TO HOME BY DAY#7
G8825 $0.00 HCPCS / CPT® PT NOT DISCH TO HOME DAY#7
G8826 $0.00 HCPCS / CPT® PT DISCH HOME DAY #2 EVAR
G8833 $0.00 HCPCS / CPT® PT NOT DISCH HOME DAY#2 EVAR
G8834 $0.00 HCPCS / CPT® PT DISCH HOME DAY #2 CEA
G8838 $0.00 HCPCS / CPT® NOT DISCH HOME BY DAY #2
G8839 $0.00 HCPCS / CPT® SLEEP APNEA ASSESS
G8840 $0.00 HCPCS / CPT® DOC REAS NO SLEEP APNEA
G8841 $0.00 HCPCS / CPT® NO SLEEP APNEA ASSESS
G8842 $0.00 HCPCS / CPT® AHI OR RDI INITIAL DX
G8843 $0.00 HCPCS / CPT® DOC REAS NO AHI OR RDI
G8844 $0.00 HCPCS / CPT® NO AHI OR RDI INITIAL DX
G8845 $0.00 HCPCS / CPT® POS AIRWAY PRESS PRESCRIBED
G8846 $0.00 HCPCS / CPT® MOD OR SEVERE OSA
G8849 $0.00 HCPCS / CPT® DOC REAS NO POS AIR PRESS
G8850 $0.00 HCPCS / CPT® NO PAP PRESCRIBED
G8851 $0.00 HCPCS / CPT® ADHERE POS AIR PRESS THERAPY
G8852 $0.00 HCPCS / CPT® POS AIR PRESS PRESCRIBE
G8854 $0.00 HCPCS / CPT® REAS NO ADHERE POS AIR PRES
G8855 $0.00 HCPCS / CPT® POS AIR PRESS ADHERE NO PERF
G8856 $0.00 HCPCS / CPT® REF FOR OTO EVAL
G8857 $0.00 HCPCS / CPT® NO ELIG REF FOR OTO EVAL
G8858 $0.00 HCPCS / CPT® NOT REF FOR OTO EVAL
G8861 $0.00 HCPCS / CPT® DXA ORDERED FOR OSTEO
G8863 $0.00 HCPCS / CPT® NO ASSESS BONE LOSS
G8864 $0.00 HCPCS / CPT® PNEUMOCOCCAL VACCINE ADMIN
G8865 $0.00 HCPCS / CPT® DOC MED REAS NO PNEUMOCOCCAL
G8866 $0.00 HCPCS / CPT® DOC PT REAS NO PNEUMOCOCCAL
G8867 $0.00 HCPCS / CPT® NO PNEUMOCOCCAL ADMIN
G8869 $0.00 HCPCS / CPT® DOC IMMUN HEP B 1ST ANTITNF
G8872 $0.00 HCPCS / CPT® INTRAOP IMAGE CONFIRM EXCISE
G8873 $0.00 HCPCS / CPT® SPECIMEN NOT INTRAOP IMAGE
G8874 $0.00 HCPCS / CPT® TISSUE NOT IMAGE INTRAOP
G8875 $0.00 HCPCS / CPT® BREAST CANCER DX MIN INVSIVE
G8876 $0.00 HCPCS / CPT® DOC REAS NO MIN INV DX
G8877 $0.00 HCPCS / CPT® NO BRST CNCR DX MIN INVASIVE
G8878 $0.00 HCPCS / CPT® SENT LYMPH NODE BIOPSY
G8879 $0.00 HCPCS / CPT® NODE NEG INV BRST CNCR
G8880 $0.00 HCPCS / CPT® DOC REAS NO LYMPH NODE BIOP
G8881 $0.00 HCPCS / CPT® BRST CNCR STAGE > T1N0M0
G8882 $0.00 HCPCS / CPT® NO SENT LYMPH NODE BIOPSY
G8883 $0.00 HCPCS / CPT® REV, COMM, TRACK, DOC BIOPSY
G8884 $0.00 HCPCS / CPT® DOC REAS BIOPSY NOT REVIEW
G8885 $0.00 HCPCS / CPT® NO REV, COMM, TRACK BIOPSY
G8895 $9.90 HCPCS / CPT® ANTROM PRESCRIBE
G8907 $0.00 HCPCS / CPT® PT DOC NO EVENTS ON DISCHARG
G8908 $0.00 HCPCS / CPT® PT DOC W BURN PRIOR TO D/C
G8909 $0.00 HCPCS / CPT® PT DOC NO BURN PRIOR TO D/C
G8910 $0.00 HCPCS / CPT® PT DOC TO HAVE FALL IN ASC
G8911 $0.00 HCPCS / CPT® PT DOC NO FALL IN ASC
G8912 $0.00 HCPCS / CPT® PT DOC WITH WRONG EVENT
G8913 $0.00 HCPCS / CPT® PT DOC NO WRONG EVENT
G8914 $0.00 HCPCS / CPT® PT TRANS TO HOSP POST D/C
G8915 $0.00 HCPCS / CPT® PT NOT TRANS TO HOSP AT D/C
G8916 $0.00 HCPCS / CPT® PT W IV AB GIVEN ON TIME
G8917 $0.00 HCPCS / CPT® PT W IV AB NOT GIVEN ON TIME
G8918 $0.00 HCPCS / CPT® PT W/O PREOP ORDER IV AB PRO
G8923 $0.00 HCPCS / CPT® LVEF < 40% OR LVSD
G8924 $0.00 HCPCS / CPT® SPIR FEV1/FVC <70%,FEV <60%
G8925 $0.00 HCPCS / CPT® SPIR FEV1/FVC>=60% & NO COPD
G8926 $0.00 HCPCS / CPT® SPIRO NO PERF OR DOC
G8934 $0.00 HCPCS / CPT® LVEF <40% OR DEP LV SYS FCN
G8935 $0.00 HCPCS / CPT® RX ACE OR ARB THERAPY
G8936 $0.00 HCPCS / CPT® PT NOT ELIGIBLE ACE/ARB
G8937 $0.00 HCPCS / CPT® NO RX ACE/ARB THERAPY
G8938 $0.00 HCPCS / CPT® BMI CALC, PT NO F/U PLAN ELG
G8939 $0.00 HCPCS / CPT® PAIN ASSESS DOC, F/U NO DOC
G8941 $0.00 HCPCS / CPT® NO DOC ELDER SCRN, PT NO EL
G8942 $0.00 HCPCS / CPT® DOC FCN/CARE PLAN W/30 DAYS
G8944 $0.00 HCPCS / CPT® AJCC MEL CNR STG 0 – IIC
G8946 $0.00 HCPCS / CPT® MIBM BUT NO DX OF BREAST CA
G8947 $0.00 HCPCS / CPT® 1 OR MORE NEUROPSYCH
G8950 $0.00 HCPCS / CPT® PRE-HTN OR HTN DOC, F/U INDC
G8952 $0.00 HCPCS / CPT® PRE-HTN/HTN, NO F/U, NOT GVN
G8955 $0.00 HCPCS / CPT® MOST RECENT ASSESS VOL MGMT
G8956 $0.00 HCPCS / CPT® PT RCV HEDIA OUTPT DYLS FAC
G8958 $0.00 HCPCS / CPT® ASSESS VOL MGMT NOT DOC
G8959 $0.00 HCPCS / CPT® CLIN TX MDD COMM TO TX CLIN
G8960 $0.00 HCPCS / CPT® CLIN TX MDD NOT COMM
G8961 $0.00 HCPCS / CPT® CSIT LOWRISK SURG PTS PREOP
G8962 $0.00 HCPCS / CPT® CSIT ON PT ANY REAS 30 DAYS
G8963 $0.00 HCPCS / CPT® CSI PER ASX PT W/PCI 2 YRS
G8964 $0.00 HCPCS / CPT® CSI ANY OTHER THAN PCI 2 YR
G8965 $0.00 HCPCS / CPT® CSIT PERF ON LOW CHD RSK
G8966 $0.00 HCPCS / CPT® CSIT PERF SX OR HIGH CHD RSK
G8967 $0.00 HCPCS / CPT® WRFRN OR ORAL ANTIGOAG PRES
G8968 $0.00 HCPCS / CPT® DOC RSN NO WARF/ANTICOG PRES
G8969 $0.00 HCPCS / CPT® PT RSN NO PRES WRFRN OR OTHR
G8970 $0.00 HCPCS / CPT® NO RSK FAC OR 1 MOD RISK TE
G8971 $0.00 HCPCS / CPT® WARFRN OR OTHR ANTCOG NO RX
G8972 $0.00 HCPCS / CPT® 1>=RISK OR>= MOD RISK FOR TE
G8973 $0.00 HCPCS / CPT® MST RCNT HBB < 10G/DL
G8974 $0.00 HCPCS / CPT® HGB NOT DOC RNS NOT GVN
G8975 $0.00 HCPCS / CPT® HGB <10G/DL, MED RSN
G8976 $0.00 HCPCS / CPT® HGB >= 10 G/DL
G8978 $0.00 HCPCS / CPT® MOBILITY CURRENT STATUS
G8979 $0.00 HCPCS / CPT® MOBILITY GOAL STATUS
G8980 $0.00 HCPCS / CPT® MOBILITY D/C STATUS
G8981 $0.00 HCPCS / CPT® BODY POS CURRENT STATUS
G8982 $0.00 HCPCS / CPT® BODY POS GOAL STATUS
G8983 $0.00 HCPCS / CPT® BODY POS D/C STATUS
G8984 $0.00 HCPCS / CPT® CARRY CURRENT STATUS
G8985 $0.00 HCPCS / CPT® CARRY GOAL STATUS
G8986 $0.00 HCPCS / CPT® CARRY D/C STATUS
G8987 $0.00 HCPCS / CPT® SELF CARE CURRENT STATUS
G8988 $0.00 HCPCS / CPT® SELF CARE GOAL STATUS
G8989 $0.00 HCPCS / CPT® SELF CARE D/C STATUS
G8990 $0.00 HCPCS / CPT® OTHER PT/OT CURRENT STATUS
G8991 $0.00 HCPCS / CPT® OTHER PT/OT GOAL STATUS
G8992 $0.00 HCPCS / CPT® OTHER PT/OT D/C STATUS
G8993 $0.00 HCPCS / CPT® SUB PT/OT CURRENT STATUS
G8994 $0.00 HCPCS / CPT® SUB PT/OT GOAL STATUS
G8995 $0.00 HCPCS / CPT® SUB PT/OT D/C STATUS
G8996 $0.00 HCPCS / CPT® SWALLOW CURRENT STATUS
G8997 $0.00 HCPCS / CPT® SWALLOW GOAL STATUS
G8998 $0.00 HCPCS / CPT® SWALLOW D/C STATUS
G8999 $0.00 HCPCS / CPT® MOTOR SPEECH CURRENT STATUS
G9001 $0.00 HCPCS / CPT® MCCD, INITIAL RATE
G9002 $0.00 HCPCS / CPT® MCCD,MAINTENANCE RATE
G9003 $0.00 HCPCS / CPT® MCCD, RISK ADJ HI, INITIAL
G9004 $0.00 HCPCS / CPT® MCCD, RISK ADJ LO, INITIAL
G9005 $0.00 HCPCS / CPT® MCCD, RISK ADJ, MAINTENANCE
G9006 $0.00 HCPCS / CPT® MCCD, HOME MONITORING
G9007 $0.00 HCPCS / CPT® MCCD, SCH TEAM CONF
G9008 $0.00 HCPCS / CPT® MCCD,PHYS COOR-CARE OVRSGHT
G9009 $0.00 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 3
G9010 $0.00 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 4
G9011 $0.00 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 5
G9012 $0.00 HCPCS / CPT® OTHER SPECIFIED CASE MGMT
G9013 $0.00 HCPCS / CPT® ESRD DEMO BUNDLE LEVEL I
G9014 $0.00 HCPCS / CPT® ESRD DEMO BUNDLE-LEVEL II
G9016 $0.00 HCPCS / CPT® DEMO-SMOKING CESSATION COUN
G9017 $0.00 HCPCS / CPT® AMANTADINE HCL 100MG ORAL
G9018 $0.00 HCPCS / CPT® ZANAMIVIR,INHALATION PWD 10M
G9019 $0.00 HCPCS / CPT® OSELTAMIVIR PHOSPHATE 75MG
G9020 $0.00 HCPCS / CPT® RIMANTADINE HCL 100MG ORAL
G9033 $0.00 HCPCS / CPT® AMANTADINE HCL ORAL BRAND
G9034 $0.00 HCPCS / CPT® ZANAMIVIR, INH PWDR, BRAND
G9035 $0.00 HCPCS / CPT® OSELTAMIVIR PHOSP, BRAND
G9036 $0.00 HCPCS / CPT® RIMANTADINE HCL, BRAND
G9050 $0.00 HCPCS / CPT® ONCOLOGY WORK-UP EVALUATION
G9051 $0.00 HCPCS / CPT® ONCOLOGY TX DECISION-MGMT
G9052 $0.00 HCPCS / CPT® ONC SURVEILLANCE FOR DISEASE
G9053 $0.00 HCPCS / CPT® ONC EXPECTANT MANAGEMENT PT
G9054 $0.00 HCPCS / CPT® ONC SUPERVISION PALLIATIVE
G9055 $0.00 HCPCS / CPT® ONC VISIT UNSPECIFIED NOS
G9056 $0.00 HCPCS / CPT® ONC PRAC MGMT ADHERES GUIDE
G9057 $0.00 HCPCS / CPT® ONC PRACT MGMT DIFFERS TRIAL
G9058 $0.00 HCPCS / CPT® ONC PRAC MGMT DISAGREE W/GUI
G9059 $0.00 HCPCS / CPT® ONC PRAC MGMT PT OPT ALTERNA
G9060 $0.00 HCPCS / CPT® ONC PRAC MGMT DIF PT COMORB
G9061 $0.00 HCPCS / CPT® ONC PRAC COND NOADD BY GUIDE
G9062 $0.00 HCPCS / CPT® ONC PRAC GUIDE DIFFERS NOS
G9063 $0.00 HCPCS / CPT® ONC DX NSCLC STGI NO PROGRES
G9064 $0.00 HCPCS / CPT® ONC DX NSCLC STG2 NO PROGRES
G9065 $0.00 HCPCS / CPT® ONC DX NSCLC STG3A NO PROGRE
G9066 $0.00 HCPCS / CPT® ONC DX NSCLC STG3B-4 METASTA
G9067 $0.00 HCPCS / CPT® ONC DX NSCLC DX UNKNOWN NOS
G9068 $0.00 HCPCS / CPT® ONC DX SCLC/NSCLC LIMITED
G9069 $0.00 HCPCS / CPT® ONC DX SCLC/NSCLC EXT AT DX
G9070 $0.00 HCPCS / CPT® ONC DX SCLC/NSCLC EXT UNKNWN
G9071 $0.00 HCPCS / CPT® ONC DX BRST STG1-2B HR,NOPRO
G9072 $0.00 HCPCS / CPT® ONC DX BRST STG1-2 NOPROGRES
G9073 $0.00 HCPCS / CPT® ONC DX BRST STG3-HR, NO PRO
G9074 $0.00 HCPCS / CPT® ONC DX BRST STG3-NOPROGRESS
G9075 $0.00 HCPCS / CPT® ONC DX BRST METASTIC/ RECUR
G9077 $0.00 HCPCS / CPT® ONC DX PROSTATE T1NO PROGRES
G9078 $0.00 HCPCS / CPT® ONC DX PROSTATE T2NO PROGRES
G9079 $0.00 HCPCS / CPT® ONC DX PROSTATE T3B-T4NOPROG
G9080 $0.00 HCPCS / CPT® ONC DX PROSTATE W/RISE PSA
G9083 $0.00 HCPCS / CPT® ONC DX PROSTATE UNKNWN NOS
G9084 $0.00 HCPCS / CPT® ONC DX COLON T1-3,N1-2,NO PR
G9085 $0.00 HCPCS / CPT® ONC DX COLON T4, N0 W/O PROG
G9086 $0.00 HCPCS / CPT® ONC DX COLON T1-4 NO DX PROG
G9087 $0.00 HCPCS / CPT® ONC DX COLON METAS EVID DX
G9088 $0.00 HCPCS / CPT® ONC DX COLON METAS NOEVID DX
G9089 $0.00 HCPCS / CPT® ONC DX COLON EXTENT UNKNOWN
G9090 $0.00 HCPCS / CPT® ONC DX RECTAL T1-2 NO PROGR
G9091 $0.00 HCPCS / CPT® ONC DX RECTAL T3 N0 NO PROG
G9092 $0.00 HCPCS / CPT® ONC DX RECTAL T1-3,N1-2NOPRG
G9093 $0.00 HCPCS / CPT® ONC DX RECTAL T4,N,M0 NO PRG
G9094 $0.00 HCPCS / CPT® ONC DX RECTAL M1 W/METS PROG
G9095 $0.00 HCPCS / CPT® ONC DX RECTAL EXTENT UNKNWN
G9096 $0.00 HCPCS / CPT® ONC DX ESOPHAG T1-T3 NOPROG
G9097 $0.00 HCPCS / CPT® ONC DX ESOPHAGEAL T4 NO PROG
G9098 $0.00 HCPCS / CPT® ONC DX ESOPHAGEAL METS RECUR
G9099 $0.00 HCPCS / CPT® ONC DX ESOPHAGEAL UNKNOWN
G9100 $0.00 HCPCS / CPT® ONC DX GASTRIC NO RECURRENCE
G9101 $0.00 HCPCS / CPT® ONC DX GASTRIC P R1-R2NOPROG
G9102 $0.00 HCPCS / CPT® ONC DX GASTRIC UNRESECTABLE
G9103 $0.00 HCPCS / CPT® ONC DX GASTRIC RECURRENT
G9104 $0.00 HCPCS / CPT® ONC DX GASTRIC UNKNOWN NOS
G9105 $0.00 HCPCS / CPT® ONC DX PANCREATC P R0 RES NO
G9106 $0.00 HCPCS / CPT® ONC DX PANCREATC P R1/R2 NO
G9107 $0.00 HCPCS / CPT® ONC DX PANCREATIC UNRESECTAB
G9108 $0.00 HCPCS / CPT® ONC DX PANCREATIC UNKNWN NOS
G9109 $0.00 HCPCS / CPT® ONC DX HEAD/NECK T1-T2NO PRG
G9110 $0.00 HCPCS / CPT® ONC DX HEAD/NECK T3-4 NOPROG
G9111 $0.00 HCPCS / CPT® ONC DX HEAD/NECK M1 METS REC
G9112 $0.00 HCPCS / CPT® ONC DX HEAD/NECK EXT UNKNOWN
G9113 $0.00 HCPCS / CPT® ONC DX OVARIAN STG1A-B NO PR
G9114 $0.00 HCPCS / CPT® ONC DX OVARIAN STG1A-B OR 2
G9115 $0.00 HCPCS / CPT® ONC DX OVARIAN STG3/4 NOPROG
G9116 $0.00 HCPCS / CPT® ONC DX OVARIAN RECURRENCE
G9117 $0.00 HCPCS / CPT® ONC DX OVARIAN UNKNOWN NOS
G9123 $0.00 HCPCS / CPT® ONC DX CML CHRONIC PHASE
G9124 $0.00 HCPCS / CPT® ONC DX CML ACCELER PHASE
G9125 $0.00 HCPCS / CPT® ONC DX CML BLAST PHASE
G9126 $0.00 HCPCS / CPT® ONC DX CML REMISSION
G9128 $0.00 HCPCS / CPT® ONC DX MULTI MYELOMA STAGE I
G9129 $0.00 HCPCS / CPT® ONC DX MULT MYELOMA STG2 HIG
G9130 $0.00 HCPCS / CPT® ONC DX MULTI MYELOMA UNKNOWN
G9131 $0.00 HCPCS / CPT® ONC DX BRST UNKNOWN NOS
G9132 $0.00 HCPCS / CPT® ONC DX PROSTATE METS NO CAST
G9133 $0.00 HCPCS / CPT® ONC DX PROSTATE CLINICAL MET
G9134 $0.00 HCPCS / CPT® ONC NHLSTG 1-2 NO RELAP NO
G9135 $0.00 HCPCS / CPT® ONC DX NHL STG 3-4 NOT RELAP
G9136 $0.00 HCPCS / CPT® ONC DX NHL TRANS TO LG BCELL
G9137 $0.00 HCPCS / CPT® ONC DX NHL RELAPSE/REFRACTOR
G9138 $0.00 HCPCS / CPT® ONC DX NHL STG UNKNOWN
G9139 $0.00 HCPCS / CPT® ONC DX CML DX STATUS UNKNOWN
G9140 $0.00 HCPCS / CPT® FRONTIER EXTENDED STAY DEMO
G9143 $0.00 HCPCS / CPT® WARFARIN RESPON GENETIC TEST
G9147 $0.00 HCPCS / CPT® OUTPT IV INSULIN TX ANY MEA
G9148 $0.00 HCPCS / CPT® MEDICAL HOME LEVEL 1
G9149 $0.00 HCPCS / CPT® MEDICAL HOME LEVEL II
G9150 $0.00 HCPCS / CPT® MEDICAL HOME LEVEL III
G9151 $0.00 HCPCS / CPT® MAPCP DEMO STATE
G9152 $0.00 HCPCS / CPT® MAPCP DEMO COMMUNITY
G9153 $0.00 HCPCS / CPT® MAPCP DEMO PHYSICIAN
G9156 $0.00 HCPCS / CPT® EVALUATION FOR WHEELCHAIR
G9157 $0.00 HCPCS / CPT® TRANSESOPH DOPPL CARDIAC MON
G9158 $0.00 HCPCS / CPT® MOTOR SPEECH D/C STATUS
G9159 $0.00 HCPCS / CPT® LANG COMP CURRENT STATUS
G9160 $0.00 HCPCS / CPT® LANG COMP GOAL STATUS
G9161 $0.00 HCPCS / CPT® LANG COMP D/C STATUS
G9162 $0.00 HCPCS / CPT® LANG EXPRESS CURRENT STATUS
G9163 $0.00 HCPCS / CPT® LANG EXPRESS GOAL STATUS
G9164 $0.00 HCPCS / CPT® LANG EXPRESS D/C STATUS
G9165 $0.00 HCPCS / CPT® ATTEN CURRENT STATUS
G9166 $0.00 HCPCS / CPT® ATTEN GOAL STATUS
G9167 $0.00 HCPCS / CPT® ATTEN D/C STATUS
G9168 $0.00 HCPCS / CPT® MEMORY CURRENT STATUS
G9169 $0.00 HCPCS / CPT® MEMORY GOAL STATUS
G9170 $0.00 HCPCS / CPT® MEMORY D/C STATUS
G9171 $0.00 HCPCS / CPT® VOICE CURRENT STATUS
G9172 $0.00 HCPCS / CPT® VOICE GOAL STATUS
G9173 $0.00 HCPCS / CPT® VOICE D/C STATUS
G9174 $0.00 HCPCS / CPT® SPEECH LANG CURRENT STATUS
G9175 $0.00 HCPCS / CPT® SPEECH LANG GOAL STATUS
G9176 $0.00 HCPCS / CPT® SPEECH LANG D/C STATUS
G9186 $0.00 HCPCS / CPT® MOTOR SPEECH GOAL STATUS
G9187 $0.00 HCPCS / CPT® BPCI HOME VISIT
G9188 $0.00 HCPCS / CPT® BETA NOT GIVEN NO REASON
G9189 $0.00 HCPCS / CPT® BETA PRES OR ALREADY TAKING
G9190 $0.00 HCPCS / CPT® MEDICAL REASON FOR NO BETA
G9191 $0.00 HCPCS / CPT® PT REASON FOR NO BETA
G9192 $0.00 HCPCS / CPT® SYSTEM REASON FOR NO BETA
G9196 $0.00 HCPCS / CPT® MED REASON FOR NO CEPH
G9197 $0.00 HCPCS / CPT® ORDER FOR CEPH
G9198 $0.00 HCPCS / CPT® NO ORDER FOR CEPH NO REASON
G9212 $0.00 HCPCS / CPT® DOC OF DSM-IV INIT EVAL
G9213 $0.00 HCPCS / CPT® NO DOC OF DSM-IV
G9223 $0.00 HCPCS / CPT® PJP PROPH ORDERED CD4 LOW
G9225 $0.00 HCPCS / CPT® NORSN NO FOOT EXAM
G9226 $0.00 HCPCS / CPT® 3 COMP FOOT EXAM COMPLETED
G9227 $0.00 HCPCS / CPT® DOCRSN NO CARE PLAN
G9228 $0.00 HCPCS / CPT® GC CHL SYP DOCUMENTED
G9229 $0.00 HCPCS / CPT® PTRSN NO GC CHL SYP TEST
G9230 $0.00 HCPCS / CPT® NORSN FOR GC CHL SYP TEST
G9231 $0.00 HCPCS / CPT® DOC ESRD DIA TRANS PREG
G9232 $0.00 HCPCS / CPT® PTRSN NO COMM COMORBID
G9239 $0.00 HCPCS / CPT® DOC RSN HEMOD & CATH ACC
G9240 $0.00 HCPCS / CPT® DOC PT W CATH MAINT DIA
G9241 $0.00 HCPCS / CPT® DOC PT W OUT CATH MAINT DIA
G9242 $0.00 HCPCS / CPT® DOC VIRAL LOAD >=200
G9243 $0.00 HCPCS / CPT® DOC VIRAL LOAD <200
G9246 $0.00 HCPCS / CPT® NO MED VISIT IN 24MO
G9247 $0.00 HCPCS / CPT® 1 MED VISIT IN 24MO
G9250 $0.00 HCPCS / CPT® DOC OF PAIN COMFORT 48HR
G9251 $0.00 HCPCS / CPT® DOC NO PAIN COMFORT 48HR
G9254 $0.00 HCPCS / CPT® DOC PT DISCHG >2D
G9255 $0.00 HCPCS / CPT® DOC PT DISCHG <=2D
G9256 $0.00 HCPCS / CPT® DOC DEATH AFTER CAS
G9257 $0.00 HCPCS / CPT® DOC STROKE AFTER CAS
G9258 $0.00 HCPCS / CPT® DOC STROKE AFTER CEA
G9259 $0.00 HCPCS / CPT® DOC SURV NO STROKE AFTER CAS
G9260 $0.00 HCPCS / CPT® DOC DEATH AFTER CEA
G9261 $0.00 HCPCS / CPT® DOC SURV NO STROKE AFTER CEA
G9262 $0.00 HCPCS / CPT® DOC DEATH IN HOSP AAA REPAIR
G9263 $0.00 HCPCS / CPT® DOC SURV IN HOSP AAA REPAIR
G9264 $0.00 HCPCS / CPT® DOC RSN HEMOD W/CATH >=90D
G9265 $0.00 HCPCS / CPT® DOC CATH >90D FOR MAINT DIA
G9266 $0.00 HCPCS / CPT® NORSN PT CATH >=90D
G9267 $0.00 HCPCS / CPT® DOC COMP OR MORT W IN 30D
G9268 $0.00 HCPCS / CPT® DOC COMP OR MORT W IN 90D
G9269 $0.00 HCPCS / CPT® DOC NO COMP OR MORT W IN 30D
G9270 $0.00 HCPCS / CPT® DOC NO COMP OR MORT W IN 90D
G9273 $0.00 HCPCS / CPT® SYS <140 AND DIA <90
G9274 $0.00 HCPCS / CPT® BP OUT OF NRML LIMITS
G9275 $0.00 HCPCS / CPT® DOC OF NON TOBACCO USER
G9276 $0.00 HCPCS / CPT® DOC OF TOBACCO USER
G9277 $0.00 HCPCS / CPT® DOC DAILY ASPIRIN OR CONTRA
G9278 $0.00 HCPCS / CPT® DOC NO DAILY ASPIRIN
G9279 $0.00 HCPCS / CPT® PNE SCRN DONE DOC VAC DONE
G9280 $0.00 HCPCS / CPT® PNE NOT GIVEN NORSN
G9281 $0.00 HCPCS / CPT® PNE SCRN DONE DOC NOT IND
G9282 $0.00 HCPCS / CPT® DOC MEDRSN NO HISTO TYPE
G9283 $0.00 HCPCS / CPT® HIST TYPE DOC ON REPORT
G9284 $0.00 HCPCS / CPT® NO HIST TYPE DOC ON REPORT
G9285 $0.00 HCPCS / CPT® SITE NOT SMALL CELL LUNG CA
G9286 $0.00 HCPCS / CPT® ANTIBIO RX W IN 10D OF SYMPT
G9287 $0.00 HCPCS / CPT® NO ANTIBIO W IN 10D OF SYMPT
G9288 $0.00 HCPCS / CPT® DOC MEDRSN NO HIST TYPE RPT
G9289 $0.00 HCPCS / CPT® DOC TYPE NSM LUNG CA
G9290 $0.00 HCPCS / CPT® NO DOC TYPE NSM LUNG CA
G9291 $0.00 HCPCS / CPT® NOT NSM LUNG CA
G9292 $0.00 HCPCS / CPT® MEDRSN NO PT CATEGORY
G9293 $0.00 HCPCS / CPT® NO PT CATEGORY ON REPORT
G9294 $0.00 HCPCS / CPT® PT CAT AND THCK ON REPORT
G9295 $0.00 HCPCS / CPT® NON CUTANEOUS LOC
G9296 $0.00 HCPCS / CPT® DOC SHARE DEC PRIOR PROC
G9297 $0.00 HCPCS / CPT® NO DOC SHARE DEC PRIOR PROC
G9298 $0.00 HCPCS / CPT® EVAL RISK VTE CARD 30D PRIOR
G9299 $0.00 HCPCS / CPT® NO EVAL RISKK VTE CARD PRIOR
G9300 $0.00 HCPCS / CPT® DOC MEDRSN NO COMPL ANTIBIO
G9301 $0.00 HCPCS / CPT® DOC COMPL INF ANTIBIO
G9302 $0.00 HCPCS / CPT® NORSN INCOMP INF ANTIBIO
G9303 $0.00 HCPCS / CPT® NORSN NO PROS INFO OP RPT
G9304 $0.00 HCPCS / CPT® PROS INFO OP RPT
G9305 $0.00 HCPCS / CPT® NO INTERV REQ FOR LEAK
G9306 $0.00 HCPCS / CPT® INTERV REQ FOR LEAK
G9307 $0.00 HCPCS / CPT® NO RET FOR SURG W IN 30D
G9308 $0.00 HCPCS / CPT® UNPL RET OR W/COMPL W/IN 30D
G9309 $0.00 HCPCS / CPT® NO UNPLND HOSP READM IN 30D
G9310 $0.00 HCPCS / CPT® UNPLND HOSP READM IN 30D
G9311 $0.00 HCPCS / CPT® NO SURG SITE INFECTION
G9312 $0.00 HCPCS / CPT® SURGICAL SITE INFECTION
G9313 $0.00 HCPCS / CPT® DOCRSN NOT FIRST LINE AMOX
G9314 $0.00 HCPCS / CPT® NORSN NOT FIRST LINE AMOX
G9315 $0.00 HCPCS / CPT® DOC FIRST LINE AMOX
G9316 $0.00 HCPCS / CPT® DOC COMM RISK CALC
G9317 $0.00 HCPCS / CPT® NO DOC COMM RISK CALC
G9318 $0.00 HCPCS / CPT® IMAGE STD NOMENCLATURE
G9319 $0.00 HCPCS / CPT® IMAGE NOT STD NOMENCLATURE
G9321 $0.00 HCPCS / CPT® DOC COUNT OF CT IN 12MO
G9322 $0.00 HCPCS / CPT® NO DOC COUNT OF CT IN 12MO
G9326 $0.00 HCPCS / CPT® CT DONE NO RAD DS INDEX, NRG
G9327 $0.00 HCPCS / CPT® CT DONE RAD DS INDEX
G9329 $0.00 HCPCS / CPT® NORSN NO DICOM FORMAT DOC
G9340 $0.00 HCPCS / CPT® DICOM FORMAT DOC ON RPT
G9341 $0.00 HCPCS / CPT® SRCH FOR CT W IN 12 MOS
G9342 $0.00 HCPCS / CPT® NO SRCH FOR CT IN 12MO NORSN
G9344 $0.00 HCPCS / CPT® SYSRSN NO DICOM SRCH
G9345 $0.00 HCPCS / CPT® FOLLOW UP PULM NOD
G9347 $0.00 HCPCS / CPT® NO FOLLOW UP PULM NOD NORSN
G9348 $0.00 HCPCS / CPT® DOCRSN NO SINUS CT DX
G9349 $0.00 HCPCS / CPT® DOC SINUS CT 28D
G9350 $0.00 HCPCS / CPT® NO DOC SINUS CT 28D OR DX
G9351 $0.00 HCPCS / CPT® DOC >1 SINUS CT W 90D DX
G9352 $0.00 HCPCS / CPT® NOT >1 SINUS CT W 90D DX
G9353 $0.00 HCPCS / CPT® MEDRSN >1 SINUS CT W 90D DX
G9354 $0.00 HCPCS / CPT® 1 OR NO CT SINUS W/IN 90D DX
G9355 $0.00 HCPCS / CPT® NO EARLY IND/DELIVERY
G9356 $0.00 HCPCS / CPT® EARLY IND/DELIVERY
G9357 $0.00 HCPCS / CPT® PP EVAL/EDU PERF
G9358 $0.00 HCPCS / CPT® PP EVAL/EDU NOT PERF
G9359 $0.00 HCPCS / CPT® DOC OF NEG OR MAN POS TB SCN
G9360 $0.00 HCPCS / CPT® NO DOC OF NEG OR MAN POS TB
G9361 $0.00 HCPCS / CPT® DOC RSN ELECT C-SEC/INDUCT
G9364 $0.00 HCPCS / CPT® SINUS CAUS BAC INX
G9365 $0.00 HCPCS / CPT® 1HIGH RISK MED ORD
G9366 $0.00 HCPCS / CPT® 1HIGH RISK NO ORD
G9367 $0.00 HCPCS / CPT® 2HIGH RISK MED ORD
G9368 $0.00 HCPCS / CPT® 2HIGH RISK NO ORD
G9380 $0.00 HCPCS / CPT® OFF ASSIS EOL ISS
G9381 $0.00 HCPCS / CPT® DOC MED REAS NO OFFER EOL
G9382 $0.00 HCPCS / CPT® NO OFF ASSIS EOL
G9383 $0.00 HCPCS / CPT® RECD SCRN HCV INFEC
G9384 $0.00 HCPCS / CPT® DOC MED REAS NO ANN SRN HCV
G9385 $0.00 HCPCS / CPT® DOC PT REAS NOT REC HCV SRN
G9386 $0.00 HCPCS / CPT® SCRN HCV INFEC NOT RECD
G9389 $0.00 HCPCS / CPT® UNPLN RUP POST CAP
G9390 $0.00 HCPCS / CPT® NO UNPLN RUP POST CAP
G9393 $0.00 HCPCS / CPT® INI PHQ9 >9 REMISS <5
G9394 $0.00 HCPCS / CPT® DX BIPOL, DEATH, NHRES, HOSP
G9395 $0.00 HCPCS / CPT® INI PHQ9 >9 NO REMISS >=5
G9396 $0.00 HCPCS / CPT® INI PHQ9 >9 NOT ASSESS
G9399 $0.00 HCPCS / CPT® DOC DISC TX CHOICES
G9400 $0.00 HCPCS / CPT® DOC REAS NO DISC TX OPT
G9401 $0.00 HCPCS / CPT® NO DISC TX CHOICES
G9402 $0.00 HCPCS / CPT® RECD F/U W/IN 30D DISCH
G9403 $0.00 HCPCS / CPT® DOC REAS NO 30 DAY F/U
G9404 $0.00 HCPCS / CPT® NO 30 DAY F/U
G9405 $0.00 HCPCS / CPT® RECD F/U W/IN 7D DISCH
G9406 $0.00 HCPCS / CPT® DOC REAS NO 7D F/U
G9407 $0.00 HCPCS / CPT® NO 7D F/U
G9408 $0.00 HCPCS / CPT® CARD TAMP W/IN 30D
G9409 $0.00 HCPCS / CPT® NO CARD TAMP E/IN 30D
G9410 $0.00 HCPCS / CPT® ADMIT W/IN 180D REQ REMOV
G9411 $0.00 HCPCS / CPT® NO ADMIT W/IN 180D REQ REMOV
G9412 $0.00 HCPCS / CPT® ADMIT W/IN 180D REQ SURG REV
G9413 $0.00 HCPCS / CPT® NO ADMIT REQ SURG REV
G9414 $0.00 HCPCS / CPT® 1DOSE MENIG VAC BTWN 11 & 13
G9415 $0.00 HCPCS / CPT® NO 1DOSE MENI VAC BTWN 11&13
G9416 $0.00 HCPCS / CPT® PT 1 TDAP BETW 10-13 YRS
G9417 $0.00 HCPCS / CPT® PT NOT 1 TDAP BETW 10-13 YRS
G9418 $0.00 HCPCS / CPT® LUNGCX BX RPT DOCS CLASS
G9419 $0.00 HCPCS / CPT® MED REAS NOT INCL HISTO TYPE
G9420 $0.00 HCPCS / CPT® SPEC SITE NO LUNG
G9421 $0.00 HCPCS / CPT® LUNG CX BX RPT NO DOC CLASS
G9422 $0.00 HCPCS / CPT® RPT DOC CLASS HISTO TYPE
G9423 $0.00 HCPCS / CPT® MED REAS RPT NO HISTO TYPE
G9424 $0.00 HCPCS / CPT® SITE NO LUNG OR LUNG CX
G9425 $0.00 HCPCS / CPT® SPEC RPT NO DOC CLASS HISTO
G9426 $0.00 HCPCS / CPT® IMPR MED TIME EDARR PAIN MED
G9427 $0.00 HCPCS / CPT® NO IMPRO MED TIME PAIN MED
G9428 $0.00 HCPCS / CPT® RPT PT CAT AND PT1
G9429 $0.00 HCPCS / CPT® DOC MED REAS NO PT CAT
G9430 $0.00 HCPCS / CPT® SPEC SITE NO CUTANEOUS
G9431 $0.00 HCPCS / CPT® NO PT CAT AND PT1
G9432 $0.00 HCPCS / CPT® ASTH CONTROLLED
G9434 $0.00 HCPCS / CPT® ASTH NOT CONTROLLED
G9448 $0.00 HCPCS / CPT® BORN 1945-1965
G9449 $0.00 HCPCS / CPT® HX BLD TRANSF B/F 1992
G9450 $0.00 HCPCS / CPT® HX INJEC DRUG USE
G9451 $0.00 HCPCS / CPT® 1X SCRN HCV INFECT
G9452 $0.00 HCPCS / CPT® DOC MED REAS NO SCRN HCV
G9453 $0.00 HCPCS / CPT® PT REAS NO HCV INFECT
G9454 $0.00 HCPCS / CPT® NO HCV INFECT SRN
G9455 $0.00 HCPCS / CPT® ABD IMAG W/US, CT OR MRI
G9456 $0.00 HCPCS / CPT® DOC MED PT REAS NO HCC SCRN
G9457 $0.00 HCPCS / CPT® NO ABD IMAG W/O REASON
G9458 $0.00 HCPCS / CPT® TOB USER RECD CESS INTERV
G9459 $0.00 HCPCS / CPT® TOB NON-USER
G9460 $0.00 HCPCS / CPT® NO TOB ASSESS OR CESS INTER
G9468 $0.00 HCPCS / CPT® NO RECD CORTICO>=10MG/D >60D
G9469 $0.00 HCPCS / CPT® REC CORTICO>60D OR 1RX 600MG
G9470 $0.00 HCPCS / CPT® NO REC CORTICO>60D 1RX 600MG
G9471 $0.00 HCPCS / CPT® W/IN 2YR DXA NOT ORDER
G9472 $0.00 HCPCS / CPT® NO DXA NO MED HX NO RV SX
G9473 $0.00 HCPCS / CPT® CHAP SERVICES AT HOSPICE
G9474 $0.00 HCPCS / CPT® DIET COUNSEL AT HOSPICE
G9475 $0.00 HCPCS / CPT® OTHER COUNSELOR AT HOSPICE
G9476 $0.00 HCPCS / CPT® VOLUN SERVICE AT HOSPICE
G9477 $0.00 HCPCS / CPT® CARE COORD AT HOSPICE
G9478 $0.00 HCPCS / CPT® OTHE THERAPIST AT HOSPICE
G9479 $0.00 HCPCS / CPT® PHARMACIST AT HOSPICE
G9480 $0.00 HCPCS / CPT® ADMISSION TO MCCM
G9481 $0.00 HCPCS / CPT® REMOTE E/M NEW PT 10MINS
G9482 $0.00 HCPCS / CPT® REMOTE E/M NEW PT 20MINS
G9483 $0.00 HCPCS / CPT® REMOTE E/M NEW PT 30MINS
G9484 $0.00 HCPCS / CPT® REMOTE E/M NEW PT 45MINS
G9485 $0.00 HCPCS / CPT® REMOTE E/M NEW PT 60MINS
G9486 $0.00 HCPCS / CPT® REMOTE E/M EST. PT 10MINS
G9487 $0.00 HCPCS / CPT® REMOTE E/M EST. PT 15MINS
G9488 $0.00 HCPCS / CPT® REMOTE E/M EST. PT 25MINS
G9489 $0.00 HCPCS / CPT® REMOTE E/M EST. PT 40MINS
G9490 $0.00 HCPCS / CPT® JOINT REPLAC MOD HOME VISIT
G9496 $0.00 HCPCS / CPT® DOC RSN NO ADENO/NEOPL DETEC
G9497 $0.00 HCPCS / CPT® REC INST NO SMOKE DAY SURG
G9498 $0.00 HCPCS / CPT® ABX REG PRESCRIBED
G9500 $0.00 HCPCS / CPT® RAD EXPOS IND/EXP TM DOC
G9501 $0.00 HCPCS / CPT® RAD EXPOS IND/EXP TM NO DOC
G9502 $0.00 HCPCS / CPT® MED REAS NO PERF FOOT EXAM
G9503 $0.00 HCPCS / CPT® PT TK TAMS HCL
G9504 $0.00 HCPCS / CPT® DOC REAS NO HBV STATUS
G9505 $0.00 HCPCS / CPT® ABX PRES W/IN 10 DYS OF SYMP
G9506 $0.00 HCPCS / CPT® BIO IMM RESP MOD PRESC
G9507 $0.00 HCPCS / CPT® DOC REAS ON STATIN OR CONTRA
G9508 $0.00 HCPCS / CPT® DOC PT NOT ON STATIN
G9509 $0.00 HCPCS / CPT® REMIS 12M PHQ-9 SCORE <5
G9510 $0.00 HCPCS / CPT® REMIS 12M NOT PHQ-9 SCORE <5
G9511 $0.00 HCPCS / CPT® PHQ-9 >9 DURING 12M TIME
G9512 $0.00 HCPCS / CPT® INDIV PDC > 0.8
G9513 $0.00 HCPCS / CPT® INDIV PDC NOT > 0.8
G9514 $0.00 HCPCS / CPT® REQ RET OR W/IN 90D OF SURG
G9515 $0.00 HCPCS / CPT® NO REAS, NO RET OR W/IN 90D
G9516 $0.00 HCPCS / CPT® IMPR VIS ACUIT W/IN 90D
G9517 $0.00 HCPCS / CPT® NO IMPR VIS ACUIT W/IN 90D
G9518 $0.00 HCPCS / CPT® DOC ACTIVE INJ DRUG USE
G9519 $0.00 HCPCS / CPT® FINAL REF +/- 0.5 W/IN 90D
G9520 $0.00 HCPCS / CPT® REFRACT NOT +/- 0.5 W/IN 90D
G9521 $0.00 HCPCS / CPT® ER AND IP HOSP <2 IN 12 MOS
G9522 $0.00 HCPCS / CPT® ER/IP HOSP =/>2 IN 12 MOS
G9523 $0.00 HCPCS / CPT® D/C HEMO OR PERIT DIALYSIS
G9524 $0.00 HCPCS / CPT® REFER TO HOSPICE
G9525 $0.00 HCPCS / CPT® DOC PT REAS NO HOSPICE REFER
G9526 $0.00 HCPCS / CPT® NO REASON, NO REFER HOSPICE
G9529 $0.00 HCPCS / CPT® MINOR BLUNT TRAUMA W/HEAD CT
G9530 $0.00 HCPCS / CPT® MIN HD TRAUM GCS=15 W/CT ED
G9531 $0.00 HCPCS / CPT® DOC SHNT/BR TUM/ON ANTIPL RX
G9532 $0.00 HCPCS / CPT® INJ >24 HR IN ED GCS <15
G9533 $0.00 HCPCS / CPT® INDIC FOR HEAD CT NOT VALID
G9534 $0.00 HCPCS / CPT® ADV BRAIN IMAGE NOT ORDERED
G9535 $0.00 HCPCS / CPT® NORMAL NEURO EXAM
G9536 $0.00 HCPCS / CPT® DOC MED REAS ADV BRAIN IMAGE
G9537 $0.00 HCPCS / CPT® DOC SYSTEM REAS ADV IMAGING
G9538 $0.00 HCPCS / CPT® ADV BRAIN IMAGE ORDERED
G9539 $0.00 HCPCS / CPT® INTENT POT REMV TIME PLACEMT
G9540 $0.00 HCPCS / CPT® PT ALIVE 3 MOS POST PROC
G9541 $0.00 HCPCS / CPT® FILTER GONE AFT 3MOS PLACMT
G9542 $0.00 HCPCS / CPT® DOC REASS APPR REMO FILT 3MS
G9543 $0.00 HCPCS / CPT® DOC 2X RE-ASSESS FILT REMOV
G9544 $0.00 HCPCS / CPT® NO FILT REMOV W/IN 3MOS PLCM
G9547 $0.00 HCPCS / CPT® INCID FINDING LIVER/KID/ADRE
G9548 $0.00 HCPCS / CPT® ABD IMAG AND FOLLOWUP REC
G9549 $0.00 HCPCS / CPT® DOC MED RSN FOR FOLLOW IMAG
G9550 $0.00 HCPCS / CPT® ABD IMAG AND FOLLOWUP NO REC
G9551 $0.00 HCPCS / CPT® ABD IMAG NO LES,KID/LIVR/ADR
G9552 $0.00 HCPCS / CPT® INC THYR NODE <1.0 IN RPT
G9553 $0.00 HCPCS / CPT® PRIOR THYROID DISE DX
G9554 $0.00 HCPCS / CPT® CT/CTA/MRI/A CHST FOLL REC
G9555 $0.00 HCPCS / CPT® DOC MED RSN FOR FOLLUP IMAGE
G9556 $0.00 HCPCS / CPT® CT/CTA/MRI/A NO FOLLUP IMAG
G9557 $0.00 HCPCS / CPT® CT/CTA/MRI/A NO THYR <1.0CM
G9558 $0.00 HCPCS / CPT® TX BETA-LACTAM ABX THERAPY
G9559 $0.00 HCPCS / CPT® DOC MED REAS NO ABX THERAPY
G9560 $0.00 HCPCS / CPT® NO BETA-LACTAM ABX THER, RNG
G9561 $0.00 HCPCS / CPT® PRESC OPIATES >6 WKS
G9562 $0.00 HCPCS / CPT® FOLL-UP EVAL Q3MO OPIOD TX
G9563 $0.00 HCPCS / CPT® NO F/U EVAL Q3MO OPIOD TX
G9573 $0.00 HCPCS / CPT® REMIS 6M W/6MOS PHQ-9 <5
G9574 $0.00 HCPCS / CPT® REMIS 6M W/O 6MOS PHQ-9 <5
G9577 $0.00 HCPCS / CPT® PRESC OPIATES >6 WKS
G9578 $0.00 HCPCS / CPT® DOC OPIOID TX 1X DURING THER
G9579 $0.00 HCPCS / CPT® NO DOC OPIOID TX 1X AT THER
G9580 $0.00 HCPCS / CPT® DOOR TO PUNC TIME <2HRS
G9582 $0.00 HCPCS / CPT® DOOR TO PUNC TIME >2HR, NRG
G9583 $0.00 HCPCS / CPT® PRESC OPIATES >6 WKS
G9584 $0.00 HCPCS / CPT® EVAL OPIOID USE INSTR/PT INT
G9585 $0.00 HCPCS / CPT® NO EVAL OPI USE INSTR/INTV
G9593 $0.00 HCPCS / CPT® LOW PECARN PED HEAD TRAUMA
G9594 $0.00 HCPCS / CPT® GSC >15 & HD CT BY ED MD
G9595 $0.00 HCPCS / CPT® DOC SHNT/TUM/COAG/THROMBOCYT
G9596 $0.00 HCPCS / CPT® HD INJ >24H/GCS >15/NO RES
G9597 $0.00 HCPCS / CPT® NO LOW PECARN PED HEAD TRAUM
G9598 $0.00 HCPCS / CPT® AOR ANE 5.5-5.9 CM MAX DIAM
G9599 $0.00 HCPCS / CPT® AOR ANE >=6.0 CM MAX DIAM
G9600 $0.00 HCPCS / CPT® SYMP AAA URGENT REPAIR
G9601 $0.00 HCPCS / CPT® PT DCHG HOME POST OP DAY 7
G9602 $0.00 HCPCS / CPT® PT NO DCHG HOME POSTOP DAY 7
G9603 $0.00 HCPCS / CPT® PT SURV IMPROV BSLINE TX
G9604 $0.00 HCPCS / CPT® PT SURV RESULTS NOT AVAIL
G9605 $0.00 HCPCS / CPT® SURV SCORE NO IMPROV W/TX
G9606 $0.00 HCPCS / CPT® INTRAOP CYST EVAL TRAC INJ
G9607 $0.00 HCPCS / CPT® DOC RSN NO INTEROP CYSTO
G9608 $0.00 HCPCS / CPT® INTRAOP CYST EVAL NOT DONE
G9609 $0.00 HCPCS / CPT® DOC ORDER ANTI-PLAT
G9610 $0.00 HCPCS / CPT® DOC MD RSN NO ANTIPLA
G9611 $0.00 HCPCS / CPT® NO DOC ORDER ANTI-PLAT RNG
G9612 $0.00 HCPCS / CPT® PHO DOC >1 CECAL LDMK COM EX
G9613 $0.00 HCPCS / CPT® DOC POST SURG ANATOMY
G9614 $0.00 HCPCS / CPT® NO PHOTODOC CECAL LDMK EXAM
G9615 $0.00 HCPCS / CPT® PRE-OP ASST DOC
G9616 $0.00 HCPCS / CPT® DOC RSN NO PREOP ASSMT
G9617 $0.00 HCPCS / CPT® PRE-OP ASST NOT DOC, RNG
G9618 $0.00 HCPCS / CPT® DOC SCR UTER MAL OR US/SAMP
G9620 $0.00 HCPCS / CPT® NO SCR UTR MALIG/US/SAMP RNG
G9621 $0.00 HCPCS / CPT® SCR UNHEAL ETOH W/COUNSEL
G9622 $0.00 HCPCS / CPT® NO UNHEAL ETOH USER
G9623 $0.00 HCPCS / CPT® DOC MED RSN NO SCR ETOH USE
G9624 $0.00 HCPCS / CPT® NO ETOH SCR/NO COUNC/NRG
G9625 $0.00 HCPCS / CPT® PTBLAD INJ AT SURG/1MO POST
G9626 $0.00 HCPCS / CPT® MED RSN NO RPT BALDDER INJ
G9627 $0.00 HCPCS / CPT® NO BLD INJ AT SURG/1 MO POS
G9628 $0.00 HCPCS / CPT® BOWEL INJ AT SURG/1MOS POST
G9629 $0.00 HCPCS / CPT® MED RSN NO RPT BOWEL INJ
G9630 $0.00 HCPCS / CPT® NO BOW INJ AT SURG/1MOS POST
G9631 $0.00 HCPCS / CPT® URTR INJ AT SURG/1MOS POST
G9632 $0.00 HCPCS / CPT® MED RSN FOR NO RPT URET INJ
G9633 $0.00 HCPCS / CPT® NO URET INJ AT SURG/1MO POST
G9634 $0.00 HCPCS / CPT® QUAL LIFE TOOL 2X SAME/IMPR
G9635 $0.00 HCPCS / CPT® NO DOC RSN DO QUAL LIFE ASSM
G9636 $0.00 HCPCS / CPT® NO LIFE ASST 2X SAME/DECR
G9637 $0.00 HCPCS / CPT® DOC >1 DOSE REDUC TECH
G9638 $0.00 HCPCS / CPT® NO DOC >1 DOSE REDUC TECH
G9639 $0.00 HCPCS / CPT® AMP NO REQD IN48H IELER PROC
G9640 $0.00 HCPCS / CPT® DOC PLAN HYBRID/STAGE PROC
G9641 $0.00 HCPCS / CPT® AMP REQD W/IN 48H IELER PROC
G9642 $0.00 HCPCS / CPT® CURRENT SMOKER
G9643 $0.00 HCPCS / CPT® ELECTIVE SURGERY
G9644 $0.00 HCPCS / CPT® NO SMOK B/4 ANES DAY OF SURG
G9645 $0.00 HCPCS / CPT® HAD SMOKE B/4 ANES DAY SURG
G9646 $0.00 HCPCS / CPT® PT W/90D MRS 0-2
G9647 $0.00 HCPCS / CPT® NO MRS SCORE IN 90D FOLLOWUP
G9648 $0.00 HCPCS / CPT® PT W/90D MRS >2
G9649 $0.00 HCPCS / CPT® PSORI TOOL DOC W/BENCHMK
G9651 $0.00 HCPCS / CPT® PSORI TOOL DOC/NO BNCHMK MET
G9654 $0.00 HCPCS / CPT® MON ANESTH CARE
G9655 $0.00 HCPCS / CPT® TOC TOOL INCL KEY ELEM
G9656 $0.00 HCPCS / CPT® PT DIRECT ANESTH LOC TO PACU
G9658 $0.00 HCPCS / CPT® TOC TOOL INCL ELEM NOT USED
G9659 $0.00 HCPCS / CPT® >85Y NO HX COLO CA/RSN SCOPE
G9660 $0.00 HCPCS / CPT® DOC MED RSN SCOPE PT >85Y
G9661 $0.00 HCPCS / CPT® >85Y SCOPE OTHR RSN
G9662 $0.00 HCPCS / CPT® PRIOR DX/ACTIVE CLIN ASCVD
G9663 $0.00 HCPCS / CPT® FAST/DIR LDL = 190 MG/DL
G9664 $0.00 HCPCS / CPT® TAKING STATIN OR REC’D ORDER
G9665 $0.00 HCPCS / CPT® NO STATIN/NO ORDER STATIN
G9666 $0.00 HCPCS / CPT® FAS/DIR LDL 70-189MG/DL MST
G9674 $0.00 HCPCS / CPT® PT W/CLIN ASCVD DX
G9675 $0.00 HCPCS / CPT® PT W/FAST/DIR LAB LDL-C >190
G9676 $0.00 HCPCS / CPT® 40-75Y W/TYPE 1/2 W/LDL-C RS
G9678 $0.00 HCPCS / CPT® ONCOLOGY CARE MODEL SERVICE
G9679 $0.00 HCPCS / CPT® ACUTE CARE PNEUMONIA
G9680 $0.00 HCPCS / CPT® ACUTE CARE CONGESTIVE HEART
G9681 $0.00 HCPCS / CPT® ACUTE CARE CHRONIC OBSTRUCT
G9682 $0.00 HCPCS / CPT® ACUTE CARE SKIN INFECTION
G9683 $0.00 HCPCS / CPT® ACUTE CARE FLUID OR ELECTROL
G9684 $0.00 HCPCS / CPT® ACUTE CARE URINARY TRACT INF
G9685 $0.00 HCPCS / CPT® ACUTE NURSING FACILITY CARE
G9686 $0.00 HCPCS / CPT® NURSING FACILITY CONFERENCE
G9687 $0.00 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9688 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9689 $0.00 HCPCS / CPT® INPT ELECT CAROTID INTERVENT
G9690 $0.00 HCPCS / CPT® PT REC HOSPICE DUR MSMT PER
G9691 $0.00 HCPCS / CPT® PT HOSP DUR MSMT PERIOD
G9692 $0.00 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9693 $0.00 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9694 $0.00 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9695 $0.00 HCPCS / CPT® LONG ACT INHAL BRONCHDIL PRE
G9696 $0.00 HCPCS / CPT® MED RSN NO PRESC BRONCHDIL
G9697 $0.00 HCPCS / CPT® PT RSN NO PRESC BRONCHDIL
G9698 $0.00 HCPCS / CPT® SYS RSN NO PRESC BRONCHDIL
G9699 $0.00 HCPCS / CPT® LONG INHAL BRONCHDIL NO PRES
G9700 $0.00 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9701 $0.00 HCPCS / CPT® CHILD ANBX 30 PRIOR DX ESTAB
G9702 $0.00 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9703 $0.00 HCPCS / CPT® CHILD ANBX 30 PRIOR DX PHARY
G9704 $0.00 HCPCS / CPT® AJCC BR CA STG I: T1 MIC/T1A
G9705 $0.00 HCPCS / CPT® AJCC BR CA STG IB
G9706 $0.00 HCPCS / CPT® LOW RECUR PROST CA
G9707 $0.00 HCPCS / CPT® PT HAD HOSP DUR MSMT PER
G9708 $0.00 HCPCS / CPT® BILAT MAST/HX BI /UNILAT MAS
G9709 $0.00 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9710 $0.00 HCPCS / CPT® PT PROV HOSP SRV MSMT PER
G9711 $0.00 HCPCS / CPT® PT HX TOT COL OR COLON CA
G9712 $0.00 HCPCS / CPT® DOC MED RSN PRESC ANBX
G9713 $0.00 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9714 $0.00 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9715 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9716 $0.00 HCPCS / CPT® BMI NOT NORM, NO FOLLOW, DOC
G9717 $0.00 HCPCS / CPT® DOC DX DEPR/DX BIPOL, NO SCR
G9718 $0.00 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9719 $0.00 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9720 $0.00 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9721 $0.00 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9722 $0.00 HCPCS / CPT® DOC HX RENAL FAIL OR CR+ >4
G9723 $0.00 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9724 $0.00 HCPCS / CPT® PT W/DOC USE ANTICOAG MST YR
G9725 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9726 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9727 $0.00 HCPCS / CPT® NO KNEE INTAKE PROM, NO PROX
G9728 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9729 $0.00 HCPCS / CPT® NO HIP INTAKE PROM, NO PROXY
G9730 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9731 $0.00 HCPCS / CPT® NO FOOT PROM, NO PROXY
G9732 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9733 $0.00 HCPCS / CPT® NO BACK INTAKE PROM, NO PROX
G9734 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9735 $0.00 HCPCS / CPT® PT NO FOTO KNEE AND NO PROXY
G9736 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9737 $0.00 HCPCS / CPT® PT NO FOTO ELBOW, NO PROXY
G9738 $0.00 HCPCS / CPT® REFUSED TO PARTICIPATE
G9739 $0.00 HCPCS / CPT® PT NO FOTO ORTH, NO PROXY
G9740 $0.00 HCPCS / CPT® HOSP SRV TO PT DUR MSMT PER
G9741 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9742 $0.00 HCPCS / CPT® PSYCH SYMPT ASSESSED
G9743 $0.00 HCPCS / CPT® PSYCH SYMP NOT ASSESSED, RNS
G9744 $0.00 HCPCS / CPT® PT NOT ELIG, DX HTN
G9745 $0.00 HCPCS / CPT® DOC RSN NO SCR HIGH BP
G9746 $0.00 HCPCS / CPT® MIT STEN, VALVE OR TRANS AF
G9747 $0.00 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9748 $0.00 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9749 $0.00 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9750 $0.00 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9751 $0.00 HCPCS / CPT® PT DIED W/IN 24 MOS RPT TIME
G9752 $0.00 HCPCS / CPT® URGENT SURGERY
G9753 $0.00 HCPCS / CPT® DOC NO DICOM, CT OTHER FAC
G9754 $0.00 HCPCS / CPT® INCID PULM NODULE
G9755 $0.00 HCPCS / CPT® DOC MED RSN FOR IMAGING
G9756 $0.00 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9757 $0.00 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9758 $0.00 HCPCS / CPT® HOSPICE OR TERM PHASE
G9759 $0.00 HCPCS / CPT® HX PREOP POST CAP RUP
G9760 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9761 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9762 $0.00 HCPCS / CPT® PT HAD HPV B/T 9-13 YR
G9763 $0.00 HCPCS / CPT® PT NO HPV B/T 9-13 YR
G9764 $0.00 HCPCS / CPT® PT TX ORAL SYST/BIO MED PSOR
G9765 $0.00 HCPCS / CPT® PT DECL CHAN/CONIND OR <6M
G9766 $0.00 HCPCS / CPT® CVA STROKE DX TX TRANSF FAC
G9767 $0.00 HCPCS / CPT® HOSP NEW DX CVA CONSID EVST
G9768 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9769 $0.00 HCPCS / CPT® BN DEN 2YR/GOT OST MED/THER
G9770 $0.00 HCPCS / CPT® PERIP NERVE BLOCK
G9771 $0.00 HCPCS / CPT® ANES END, 1 TEMP >35.5(95.9)
G9772 $0.00 HCPCS / CPT® DOC TEMP >35.5(95.9), ANEST
G9773 $0.00 HCPCS / CPT® NO TEMP >35.5(95.9), ANES
G9774 $0.00 HCPCS / CPT® PT HAD HYST
G9775 $0.00 HCPCS / CPT® RECD 2 ANTI-EMET PRE/INTRAOP
G9776 $0.00 HCPCS / CPT® DOC MED RSN NO PROPH ANTIEM
G9777 $0.00 HCPCS / CPT® PT NO ANTIEMET PRE/INTRAOP
G9778 $0.00 HCPCS / CPT® PTS DX W/PREGN
G9779 $0.00 HCPCS / CPT® PTS BREASTFEEDING
G9780 $0.00 HCPCS / CPT® PTS DX W/RHABDOMYOLYSIS
G9781 $0.00 HCPCS / CPT® DOC RSN NO STATIN
G9782 $0.00 HCPCS / CPT® HX DX FAM/PURE HYPERCHOLES
G9783 $0.00 HCPCS / CPT® DOC DX DM, FAST <70, NO STAT
G9784 $0.00 HCPCS / CPT® PATH/DERM 2ND OPIN BX
G9785 $0.00 HCPCS / CPT® PATH RPT SNT PATH/DERM IN 7D
G9786 $0.00 HCPCS / CPT® NO PATH RPT SENT IN 7D
G9787 $0.00 HCPCS / CPT® PT ALIVE LST DAY MSMT YR
G9788 $0.00 HCPCS / CPT® MOST RCT BP
G9789 $0.00 HCPCS / CPT® RECORD BP IP, ER, URG/SELF
G9790 $0.00 HCPCS / CPT® MOST RCT BP >/= 140/90
G9791 $0.00 HCPCS / CPT® MOST RCT TOB STAT FREE
G9792 $0.00 HCPCS / CPT® MOST RCT TOB STAT NOT FREE
G9793 $0.00 HCPCS / CPT® PT ON DAILY ASA/ANTIPLAT
G9794 $0.00 HCPCS / CPT® DOC MED RSN NO ASA/ANTIPLAT
G9795 $0.00 HCPCS / CPT® PT NO DAILY ASA/ANTIPLAT
G9796 $0.00 HCPCS / CPT® PT NOT CURRENTLY ON STATIN
G9797 $0.00 HCPCS / CPT® PT CURRENTLY ON STATIN
G9798 $0.00 HCPCS / CPT® D/C AMI BTW 7/1-6/30 MST PER
G9799 $0.00 HCPCS / CPT® MED DISP EVT INDIC HX ASTH
G9800 $0.00 HCPCS / CPT® PT ID INTOL/ALLEG BETA-BLOCK
G9801 $0.00 HCPCS / CPT® NONACUT TRANSF FROM INPT
G9802 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9803 $0.00 HCPCS / CPT® POST D/C 180D TX BETA-BL AMI
G9804 $0.00 HCPCS / CPT® NO POST D/C 180D TX BB AMI
G9805 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9806 $0.00 HCPCS / CPT® PT RECD CERV CYTO/HPV
G9807 $0.00 HCPCS / CPT® PT NO RECD CERV CYTO/HPV
G9808 $0.00 HCPCS / CPT® PT NO ASTHM CONT MED MST PER
G9809 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9810 $0.00 HCPCS / CPT® PDC 75% W/ASTH CONT MED
G9811 $0.00 HCPCS / CPT® NO PDC 75% W/ASTH CONT MED
G9812 $0.00 HCPCS / CPT® PT DIED DURING INPT/30D AFT
G9813 $0.00 HCPCS / CPT® PT NOT DIED W/IN 30D OF PROC
G9814 $0.00 HCPCS / CPT® DEATH OCC DUR HOSPITALIZ
G9815 $0.00 HCPCS / CPT® NO DEATH OCC DUR HOSPITALIZ
G9816 $0.00 HCPCS / CPT® DEATH OCC 30D POST PROC
G9817 $0.00 HCPCS / CPT® NO DEATH OCC 30D POST PROC
G9818 $0.00 HCPCS / CPT® DOC SEX ACTIVITY
G9819 $0.00 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9820 $0.00 HCPCS / CPT® DOC CHLAM SCR TEST W/FOLLOW
G9821 $0.00 HCPCS / CPT® NO DOC CHLAM SCR TS W/FOLLOW
G9822 $0.00 HCPCS / CPT® ENDO ABL PROC YR PREV IND DT
G9823 $0.00 HCPCS / CPT® ENDO SMPL/HYST BX RES DOC
G9824 $0.00 HCPCS / CPT® ENDO SMPL/HYST BX RES NO DOC
G9825 $0.00 HCPCS / CPT® HER-2 NEG,UNDOC/UNKN
G9826 $0.00 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9827 $0.00 HCPCS / CPT® HER-2 TARG THER NO INIT TX
G9828 $0.00 HCPCS / CPT® HER-2 TARG THER DUR INIT TX
G9829 $0.00 HCPCS / CPT® BREAST ADJ CHEMO ADMIN
G9830 $0.00 HCPCS / CPT® HER-2 POS
G9831 $0.00 HCPCS / CPT® AJCC STG BRT CA DX II OR III
G9832 $0.00 HCPCS / CPT® BRT CA DX I, NO T1/T1A/T1B
G9833 $0.00 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9834 $0.00 HCPCS / CPT® PT MET DIS AT DX
G9835 $0.00 HCPCS / CPT® TRASTUZ GIVEN W/IN 12 MOS DX
G9836 $0.00 HCPCS / CPT® RSN NO TRAST GIVEN DOC
G9837 $0.00 HCPCS / CPT® TRASTUZ NOT IN 12 MOS DX
G9838 $0.00 HCPCS / CPT® PT MET DIS AT DX
G9839 $0.00 HCPCS / CPT® ANTI-EGFR MON ANTI THER
G9840 $0.00 HCPCS / CPT® KRAS TST BFR BEG ANTI MOAB
G9841 $0.00 HCPCS / CPT® NO KRAS TST BFR BEG ANT MOAB
G9842 $0.00 HCPCS / CPT® PT MET DIS AT DX
G9843 $0.00 HCPCS / CPT® KRAS GENE MUT
G9844 $0.00 HCPCS / CPT® PT NO RECD ANTI-EGFR THER
G9845 $0.00 HCPCS / CPT® PT RECD ANTI-EGFR THER
G9846 $0.00 HCPCS / CPT® PT DIED FROM CANCER
G9847 $0.00 HCPCS / CPT® PT RECD CHEMO LAST 14D LIFE
G9848 $0.00 HCPCS / CPT® PT NO CHEMO LAST 14D LIFE
G9849 $0.00 HCPCS / CPT® PT DIED FROM CANCER
G9850 $0.00 HCPCS / CPT® 1/MORE ED LAST 30D LIFE
G9851 $0.00 HCPCS / CPT® 1/NO ED VISIT LAST 30D LIFE
G9852 $0.00 HCPCS / CPT® PT DIED FROM CANCER
G9853 $0.00 HCPCS / CPT® ICU STAY LAST 30D LIFE
G9854 $0.00 HCPCS / CPT® NO ICU STAY LAST 30D LIFE
G9855 $0.00 HCPCS / CPT® PT DIED FROM CANCER
G9856 $0.00 HCPCS / CPT® PT NO HOSPICE
G9857 $0.00 HCPCS / CPT® PT ADMIT HOSPICE
G9858 $0.00 HCPCS / CPT® PT ENROLL HOSPICE
G9859 $0.00 HCPCS / CPT® PT DIED FROM CANCER
G9860 $0.00 HCPCS / CPT® PT LESS 3D HOSPICE
G9861 $0.00 HCPCS / CPT® PT MORE THAN 3D HOSPICE
G9862 $0.00 HCPCS / CPT® DOC RSN NO 10 YR FOLLOW
H0001 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG ASSESS
H0002 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0003 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0004 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0005 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0006 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0007 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0008 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0009 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0010 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0011 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0012 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0013 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0014 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0015 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0016 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0017 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0018 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0019 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0020 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0021 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG TRAINING
H0022 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG INTERVEN
H0023 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG OUTREACH
H0024 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0025 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0026 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0027 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0028 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0029 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0030 $0.00 HCPCS / CPT® ALCOHOL AND/OR DRUG HOTLINE
H0031 $0.00 HCPCS / CPT® MH HEALTH ASSESS BY NON-MD
H0032 $0.00 HCPCS / CPT® MH SVC PLAN DEV BY NON-MD
H0033 $0.00 HCPCS / CPT® ORAL MED ADM DIRECT OBSERVE
H0034 $0.00 HCPCS / CPT® MED TRNG & SUPPORT PER 15MIN
H0035 $0.00 HCPCS / CPT® MH PARTIAL HOSP TX UNDER 24H
H0036 $0.00 HCPCS / CPT® COMM PSY FACE-FACE PER 15MIN
H0037 $0.00 HCPCS / CPT® COMM PSY SUP TX PGM PER DIEM
H0038 $0.00 HCPCS / CPT® SELF-HELP/PEER SVC PER 15MIN
H0039 $0.00 HCPCS / CPT® ASSER COM TX FACE-FACE/15MIN
H0040 $0.00 HCPCS / CPT® ASSERT COMM TX PGM PER DIEM
H0041 $0.00 HCPCS / CPT® FOS C CHLD NON-THER PER DIEM
H0042 $0.00 HCPCS / CPT® FOS C CHLD NON-THER PER MON
H0043 $0.00 HCPCS / CPT® SUPPORTED HOUSING, PER DIEM
H0044 $0.00 HCPCS / CPT® SUPPORTED HOUSING, PER MONTH
H0045 $0.00 HCPCS / CPT® RESPITE NOT-IN-HOME PER DIEM
H0046 $0.00 HCPCS / CPT® MENTAL HEALTH SERVICE, NOS
H0047 $0.00 HCPCS / CPT® ALCOHOL/DRUG ABUSE SVC NOS
H0048 $0.00 HCPCS / CPT® SPEC COLL NON-BLOOD:A/D TEST
H0049 $0.00 HCPCS / CPT® ALCOHOL/DRUG SCREENING
H0050 $0.00 HCPCS / CPT® ALCOHOL/DRUG SERVICE 15 MIN
H1000 $0.00 HCPCS / CPT® PRENATAL CARE ATRISK ASSESSM
H1001 $0.00 HCPCS / CPT® ANTEPARTUM MANAGEMENT
H1002 $0.00 HCPCS / CPT® CARECOORDINATION PRENATAL
H1003 $0.00 HCPCS / CPT® PRENATAL AT RISK EDUCATION
H1004 $0.00 HCPCS / CPT® FOLLOW UP HOME VISIT/PRENTAL
H1005 $0.00 HCPCS / CPT® PRENATALCARE ENHANCED SRV PK
H1010 $0.00 HCPCS / CPT® NONMED FAMILY PLANNING ED
H1011 $0.00 HCPCS / CPT® FAMILY ASSESSMENT
H2000 $0.00 HCPCS / CPT® COMP MULTIDISIPLN EVALUATION
H2001 $0.00 HCPCS / CPT® REHABILITATION PROGRAM 1/2 D
H2010 $0.00 HCPCS / CPT® COMPREHENSIVE MED SVC 15 MIN
H2011 $0.00 HCPCS / CPT® CRISIS INTERVEN SVC, 15 MIN
H2012 $0.00 HCPCS / CPT® BEHAV HLTH DAY TREAT, PER HR
H2013 $0.00 HCPCS / CPT® PSYCH HLTH FAC SVC, PER DIEM
H2014 $0.00 HCPCS / CPT® SKILLS TRAIN AND DEV, 15 MIN
H2015 $0.00 HCPCS / CPT® COMP COMM SUPP SVC, 15 MIN
H2016 $0.00 HCPCS / CPT® COMP COMM SUPP SVC, PER DIEM
H2017 $0.00 HCPCS / CPT® PSYSOC REHAB SVC, PER 15 MIN
H2018 $0.00 HCPCS / CPT® PSYSOC REHAB SVC, PER DIEM
H2019 $0.00 HCPCS / CPT® THER BEHAV SVC, PER 15 MIN
H2020 $0.00 HCPCS / CPT® THER BEHAV SVC, PER DIEM
H2021 $0.00 HCPCS / CPT® COM WRAP-AROUND SV, 15 MIN
H2022 $0.00 HCPCS / CPT® COM WRAP-AROUND SV, PER DIEM
H2023 $0.00 HCPCS / CPT® SUPPORTED EMPLOY, PER 15 MIN
H2024 $0.00 HCPCS / CPT® SUPPORTED EMPLOY, PER DIEM
H2025 $0.00 HCPCS / CPT® SUPP MAINT EMPLOY, 15 MIN
H2026 $0.00 HCPCS / CPT® SUPP MAINT EMPLOY, PER DIEM
H2027 $0.00 HCPCS / CPT® PSYCHOED SVC, PER 15 MIN
H2028 $0.00 HCPCS / CPT® SEX OFFEND TX SVC, 15 MIN
H2029 $0.00 HCPCS / CPT® SEX OFFEND TX SVC, PER DIEM
H2030 $0.00 HCPCS / CPT® MH CLUBHOUSE SVC, PER 15 MIN
H2031 $0.00 HCPCS / CPT® MH CLUBHOUSE SVC, PER DIEM
H2032 $0.00 HCPCS / CPT® ACTIVITY THERAPY, PER 15 MIN
H2033 $0.00 HCPCS / CPT® MULTISYS THER/JUVENILE 15MIN
H2034 $0.00 HCPCS / CPT® A/D HALFWAY HOUSE, PER DIEM
H2035 $0.00 HCPCS / CPT® A/D TX PROGRAM, PER HOUR
H2036 $0.00 HCPCS / CPT® A/D TX PROGRAM, PER DIEM
H2037 $0.00 HCPCS / CPT® DEV DELAY PREV DP CH, 15 MIN
J0120 $0.00 HCPCS / CPT® TETRACYCLIN INJECTION
J0129 $0.00 HCPCS / CPT® ABATACEPT INJECTION
J0130 $0.00 HCPCS / CPT® ABCIXIMAB INJECTION
J0131 $0.00 HCPCS / CPT® ACETAMINOPHEN INJECTION
J0132 $0.00 HCPCS / CPT® ACETYLCYSTEINE INJECTION
J0133 $0.00 HCPCS / CPT® ACYCLOVIR INJECTION
J0135 $0.00 HCPCS / CPT® ADALIMUMAB INJECTION
J0153 $21.83 HCPCS / CPT® Adenosine inj 1mg
J0171 $236.24 HCPCS / CPT® ADRENALIN EPINEPHRINE INJECT
J0178 $0.00 HCPCS / CPT® AFLIBERCEPT INJECTION
J0180 $0.00 HCPCS / CPT® AGALSIDASE BETA INJECTION
J0190 $0.00 HCPCS / CPT® INJ BIPERIDEN LACTATE/5 MG
J0200 $0.00 HCPCS / CPT® ALATROFLOXACIN MESYLATE
J0202 $0.00 HCPCS / CPT® INJECTION, ALEMTUZUMAB
J0205 $0.00 HCPCS / CPT® ALGLUCERASE INJECTION
J0207 $0.00 HCPCS / CPT® AMIFOSTINE
J0210 $0.00 HCPCS / CPT® METHYLDOPATE HCL INJECTION
J0215 $0.00 HCPCS / CPT® ALEFACEPT
J0220 $0.00 HCPCS / CPT® ALGLUCOSIDASE ALFA INJECTION
J0221 $0.00 HCPCS / CPT® LUMIZYME INJECTION
J0256 $0.00 HCPCS / CPT® ALPHA 1 PROTEINASE INHIBITOR
J0257 $0.00 HCPCS / CPT® GLASSIA INJECTION
J0270 $0.00 HCPCS / CPT® ALPROSTADIL FOR INJECTION
J0275 $0.00 HCPCS / CPT® ALPROSTADIL URETHRAL SUPPOS
J0278 $0.00 HCPCS / CPT® AMIKACIN SULFATE INJECTION
J0280 $0.00 HCPCS / CPT® AMINOPHYLLIN 250 MG INJ
J0282 $17.95 HCPCS / CPT® AMIODARONE HCL 30MG
J0285 $0.00 HCPCS / CPT® AMPHOTERICIN B
J0287 $0.00 HCPCS / CPT® AMPHOTERICIN B LIPID COMPLEX
J0288 $0.00 HCPCS / CPT® AMPHO B CHOLESTERYL SULFATE
J0289 $0.00 HCPCS / CPT® AMPHOTERICIN B LIPOSOME INJ
J0290 $28.16 HCPCS / CPT® AMPICILLIN 500 MG INJ UNASYN
J0295 $40.40 HCPCS / CPT® AMPICILLIN SODIUM PER 1.5 GM – UNASYN
J0300 $0.00 HCPCS / CPT® AMOBARBITAL 125 MG INJ
J0330 $226.54 HCPCS / CPT® SUCCINYCHOLINE CHLORIDE INJ UP TO 20 MG
J0348 $0.00 HCPCS / CPT® ANIDULAFUNGIN INJECTION
J0350 $0.00 HCPCS / CPT® INJECTION ANISTREPLASE 30 U
J0360 $226.54 HCPCS / CPT® HYDRALAZINE HCL INJ UP TO 20MG
J0364 $0.00 HCPCS / CPT® APOMORPHINE HYDROCHLORIDE
J0365 $0.00 HCPCS / CPT® APROTONIN, 10,000 KIU
J0380 $0.00 HCPCS / CPT® INJ METARAMINOL BITARTRATE
J0390 $0.00 HCPCS / CPT® CHLOROQUINE INJECTION
J0395 $0.00 HCPCS / CPT® ARBUTAMINE HCL INJECTION
J0400 $0.00 HCPCS / CPT® ARIPIPRAZOLE INJECTION
J0401 $0.00 HCPCS / CPT® INJ ARIPIPRAZOLE EXT REL 1MG
J0456 $106.39 HCPCS / CPT® ZITHROMAX – AZITHROMYCIN 500MG
J0461 $5.45 HCPCS / CPT® ATROPINE SULFATE INJECTION 0.01mg
J0470 $0.00 HCPCS / CPT® DIMECAPROL INJECTION
J0475 $0.00 HCPCS / CPT® BACLOFEN 10 MG INJECTION
J0476 $0.00 HCPCS / CPT® BACLOFEN INTRATHECAL TRIAL
J0480 $0.00 HCPCS / CPT® BASILIXIMAB
J0485 $0.00 HCPCS / CPT® BELATACEPT INJECTION
J0490 $0.00 HCPCS / CPT® BELIMUMAB INJECTION
J0500 $270.16 HCPCS / CPT® BENTYL – DICYCLOMINE INJECTION 20MG
J0515 $28.16 HCPCS / CPT® Inj benztropine mesylate
J0520 $0.00 HCPCS / CPT® BETHANECHOL CHLORIDE INJECT
J0558 $42.00 HCPCS / CPT® PENICILLIN G BENZATHINE/PROCAINE INJ; 100,000 UNITS
J0560 $250.00 HCPCS / CPT® PENICILLIN G BENZATHINE INJ
J0561 $42.00 HCPCS / CPT® PENICILLIN G BENZATHINE INJ
J0570 $416.67 HCPCS / CPT® BICILLIN – PENICILLIN G BENZATHINE 1,200,000 UNIT INJ
J0571 $0.00 HCPCS / CPT® BUPRENORPHINE ORAL 1MG
J0572 $0.00 HCPCS / CPT® BUPREN/NAL UP TO 3MG BUPRENO
J0573 $0.00 HCPCS / CPT® BUPREN/NAL 3.1 TO 6MG BUPREN
J0574 $0.00 HCPCS / CPT® BUPREN/NAL 6.1 TO 10MG BUPRE
J0575 $0.00 HCPCS / CPT® BUPREN/NAL OVER 10MG BUPRENO
J0580 $76.43 HCPCS / CPT® PENICILLIN G BENZATHINE INJ
J0583 $0.00 HCPCS / CPT® BIVALIRUDIN
J0585 $0.00 HCPCS / CPT® INJECTION,ONABOTULINUMTOXINA
J0586 $0.00 HCPCS / CPT® ABOBOTULINUMTOXINA
J0587 $0.00 HCPCS / CPT® INJ, RIMABOTULINUMTOXINB
J0588 $0.00 HCPCS / CPT® INCOBOTULINUMTOXIN A
J0592 $0.00 HCPCS / CPT® BUPRENORPHINE HYDROCHLORIDE
J0594 $0.00 HCPCS / CPT® BUSULFAN INJECTION
J0595 $18.37 HCPCS / CPT® STADOL (BUTORPHANOL TARTRATE 1 MG)
J0596 $0.00 HCPCS / CPT® INJECTION, RUCONEST
J0597 $0.00 HCPCS / CPT® C-1 ESTERASE, BERINERT
J0598 $0.00 HCPCS / CPT® C-1 ESTERASE, CINRYZE
J0600 $0.00 HCPCS / CPT® EDETATE CALCIUM DISODIUM INJ
J0610 $190.11 HCPCS / CPT® INJECTION, CALCIUM GLUCONATE, PER 10 ML
J0620 $0.00 HCPCS / CPT® CALCIUM GLYCER & LACT/10 ML
J0630 $0.00 HCPCS / CPT® CALCITONIN SALMON INJECTION
J0636 $0.00 HCPCS / CPT® INJ CALCITRIOL PER 0.1 MCG
J0637 $0.00 HCPCS / CPT® CASPOFUNGIN ACETATE
J0638 $0.00 HCPCS / CPT® CANAKINUMAB INJECTION
J0640 $0.00 HCPCS / CPT® LEUCOVORIN CALCIUM INJECTION
J0641 $3.45 HCPCS / CPT® LEVOLEUCOVORIN INJECTION
J0670 $0.00 HCPCS / CPT® INJ MEPIVACAINE HCL/10 ML
J0690 $27.95 HCPCS / CPT® ANCEF – CEFAZOLIN SODIUM INJECTION 500MG
J0692 $46.20 HCPCS / CPT® INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG
J0694 $60.85 HCPCS / CPT® CEFOXITIN SODIUM INJECTION
J0695 $0.00 HCPCS / CPT® INJ CEFTOLOZANE TAZOBACTAM
J0696 $174.27 HCPCS / CPT® ROCEPHIN – CEFTRIAXONE SODIUM up to 250MG
J0697 $0.00 HCPCS / CPT® STERILE CEFUROXIME INJECTION
J0698 $34.98 HCPCS / CPT® CEFOTAXIME SODIUM INJECTION
J0702 $20.39 HCPCS / CPT® Betamethasone acet&sod phosp
J0704 $20.39 HCPCS / CPT® BETAMETHASONE SOD PHOSP/4 MG
J0706 $0.00 HCPCS / CPT® CAFFEINE CITRATE INJECTION
J0708 $24.29 HCPCS / CPT® J0708
J0710 $0.00 HCPCS / CPT® CEPHAPIRIN SODIUM INJECTION
J0712 $0.00 HCPCS / CPT® CEFTAROLINE FOSAMIL INJ
J0713 $0.00 HCPCS / CPT® INJ CEFTAZIDIME PER 500 MG
J0714 $0.00 HCPCS / CPT® CEFTAZIDIME AND AVIBACTAM
J0715 $0.00 HCPCS / CPT® CEFTIZOXIME SODIUM / 500 MG
J0716 $0.00 HCPCS / CPT® CENTRUROIDES IMMUNE F(AB)
J0717 $0.00 HCPCS / CPT® CERTOLIZUMAB PEGOL INJ 1MG
J0720 $0.00 HCPCS / CPT® CHLORAMPHENICOL SODIUM INJEC
J0725 $0.00 HCPCS / CPT® CHORIONIC GONADOTROPIN/1000U
J0735 $9.73 HCPCS / CPT® CLONIDINE HYDROCHLORIDE 1 MG
J0740 $0.00 HCPCS / CPT® CIDOFOVIR INJECTION
J0743 $0.00 HCPCS / CPT® CILASTATIN SODIUM INJECTION
J0744 $187.51 HCPCS / CPT® CIPROFLAXACIN IV
J0745 $0.00 HCPCS / CPT® INJ CODEINE PHOSPHATE /30 MG
J0770 $0.00 HCPCS / CPT® COLISTIMETHATE SODIUM INJ
J0775 $0.00 HCPCS / CPT® COLLAGENASE, CLOST HIST INJ
J0780 $16.78 HCPCS / CPT® COMPAZINE – PROCHLORPERAZINE 10MG
J0795 $0.00 HCPCS / CPT® CORTICORELIN OVINE TRIFLUTAL
J0800 $0.00 HCPCS / CPT® CORTICOTROPIN INJECTION
J0833 $0.00 HCPCS / CPT® COSYNTROPIN INJECTION NOS
J0834 $0.00 HCPCS / CPT® COSYNTROPIN CORTROSYN INJ
J0840 $0.00 HCPCS / CPT® CROTALIDAE POLY IMMUNE FAB
J0850 $0.00 HCPCS / CPT® CYTOMEGALOVIRUS IMM IV /VIAL
J0875 $0.00 HCPCS / CPT® INJECTION, DALBAVANCIN
J0878 $0.00 HCPCS / CPT® DAPTOMYCIN INJECTION
J0881 $0.00 HCPCS / CPT® DARBEPOETIN ALFA, NON-ESRD
J0882 $0.00 HCPCS / CPT® DARBEPOETIN ALFA, ESRD USE
J0883 $0.00 HCPCS / CPT® ARGATROBAN NONESRD USE 1MG
J0884 $0.00 HCPCS / CPT® ARGATROBAN ESRD DIALYSIS 1MG
J0885 $0.00 HCPCS / CPT® EPOETIN ALFA, NON-ESRD
J0887 $0.00 HCPCS / CPT® EPOETIN BETA ESRD USE
J0888 $0.00 HCPCS / CPT® EPOETIN BETA NON ESRD
J0890 $0.00 HCPCS / CPT® PEGINESATIDE INJECTION
J0894 $0.00 HCPCS / CPT® DECITABINE INJECTION
J0895 $0.00 HCPCS / CPT® DEFEROXAMINE MESYLATE INJ
J0897 $0.00 HCPCS / CPT® DENOSUMAB INJECTION
J0945 $0.00 HCPCS / CPT® BROMPHENIRAMINE MALEATE INJ
J1000 $0.00 HCPCS / CPT® DEPO-ESTRADIOL CYPIONATE INJ
J1020 $3.57 HCPCS / CPT® METHYLPREDNISOLONE 20 MG INJ
J1030 $6.82 HCPCS / CPT® SOLU-MEDROL – METHYLPREDNISOLONE 40 MG INJ
J1040 $13.62 HCPCS / CPT® SOLU-MEDROL – METHYLPREDNISOLONE 80 MG INJ
J1050 $0.00 HCPCS / CPT® MEDROXYPROGESTERONE ACETATE
J1071 $0.00 HCPCS / CPT® INJ TESTOSTERONE CYPIONATE
J1094 $28.16 HCPCS / CPT® DECADRON DEXAMETHASONE ACETATE 1MG
J1100 $28.16 HCPCS / CPT® DECADRON – DEXAMETHASONE SODIUM PHOS 1MG
J1110 $28.80 HCPCS / CPT® INJ DIHYDROERGOTAMINE MESYLT
J1120 $0.00 HCPCS / CPT® ACETAZOLAMID SODIUM INJECTIO
J1130 $0.00 HCPCS / CPT® INJ DICLOFENAC SODIUM 0.5MG
J1160 $46.20 HCPCS / CPT® DIGOXIN INJECTION
J1162 $0.00 HCPCS / CPT® DIGOXIN IMMUNE FAB (OVINE)
J1165 $53.58 HCPCS / CPT® PHENYTOIN SODIUM INJECTION
J1170 $53.58 HCPCS / CPT® DILAUDID – HYDROMORPHONE UP TO 4MG
J1180 $0.00 HCPCS / CPT® DYPHYLLINE INJECTION
J1190 $0.00 HCPCS / CPT® DEXRAZOXANE HCL INJECTION
J1200 $28.16 HCPCS / CPT® BENADRYL – DIPHENHYDRAMINE HCL INJECTION 50MG
J1205 $0.00 HCPCS / CPT® CHLOROTHIAZIDE SODIUM INJ
J1212 $0.00 HCPCS / CPT® DIMETHYL SULFOXIDE 50% 50 ML
J1230 $0.00 HCPCS / CPT® METHADONE INJECTION
J1240 $43.16 HCPCS / CPT® ANTIVERT – DIMENHYDRINATE INJECTION 50MG
J1245 $0.00 HCPCS / CPT® DIPYRIDAMOLE INJECTION
J1250 $0.00 HCPCS / CPT® INJ DOBUTAMINE HCL/250 MG
J1260 $0.00 HCPCS / CPT® DOLASETRON MESYLATE
J1265 $23.39 HCPCS / CPT® INJECTION, DOPAMINE HCL, 40 MG
J1267 $0.00 HCPCS / CPT® DORIPENEM INJECTION
J1270 $0.00 HCPCS / CPT® INJECTION, DOXERCALCIFEROL
J1290 $0.00 HCPCS / CPT® ECALLANTIDE INJECTION
J1300 $0.00 HCPCS / CPT® ECULIZUMAB INJECTION
J1320 $0.00 HCPCS / CPT® AMITRIPTYLINE INJECTION
J1322 $0.00 HCPCS / CPT® ELOSULFASE ALFA, INJECTION
J1324 $0.00 HCPCS / CPT® ENFUVIRTIDE INJECTION
J1325 $0.00 HCPCS / CPT® EPOPROSTENOL INJECTION
J1327 $0.00 HCPCS / CPT® EPTIFIBATIDE INJECTION
J1330 $0.00 HCPCS / CPT® ERGONOVINE MALEATE INJECTION
J1335 $278.40 HCPCS / CPT® INVANZ – ERTAPENEM; 500MG IV
J1364 $0.00 HCPCS / CPT® ERYTHRO LACTOBIONATE /500 MG
J1380 $0.00 HCPCS / CPT® ESTRADIOL VALERATE 10 MG INJ
J1410 $0.00 HCPCS / CPT® INJ ESTROGEN CONJUGATE 25 MG
J1430 $0.00 HCPCS / CPT® ETHANOLAMINE OLEATE 100 MG
J1435 $0.00 HCPCS / CPT® INJECTION ESTRONE PER 1 MG
J1436 $0.00 HCPCS / CPT® ETIDRONATE DISODIUM INJ
J1438 $0.00 HCPCS / CPT® ETANERCEPT INJECTION
J1439 $0.00 HCPCS / CPT® INJ FERRIC CARBOXYMALTOS 1MG
J1442 $0.00 HCPCS / CPT® INJ FILGRASTIM EXCL BIOSIMIL
J1443 $0.00 HCPCS / CPT® INJ FERRIC PYROPHOSPHATE CIT
J1447 $0.00 HCPCS / CPT® INJ TBO FILGRASTIM 1 MICROG
J1450 $0.00 HCPCS / CPT® FLUCONAZOLE
J1451 $0.00 HCPCS / CPT® FOMEPIZOLE, 15 MG
J1452 $0.00 HCPCS / CPT® INTRAOCULAR FOMIVIRSEN NA
J1453 $0.00 HCPCS / CPT® FOSAPREPITANT INJECTION
J1455 $0.00 HCPCS / CPT® FOSCARNET SODIUM INJECTION
J1457 $0.00 HCPCS / CPT® GALLIUM NITRATE INJECTION
J1458 $0.00 HCPCS / CPT® GALSULFASE INJECTION
J1459 $0.00 HCPCS / CPT® INJ IVIG PRIVIGEN 500 MG
J1460 $0.00 HCPCS / CPT® GAMMA GLOBULIN 1 CC INJ
J1556 $0.00 HCPCS / CPT® INJ, IMM GLOB BIVIGAM, 500MG
J1557 $0.00 HCPCS / CPT® GAMMAPLEX INJECTION
J1559 $0.00 HCPCS / CPT® HIZENTRA INJECTION
J1560 $0.00 HCPCS / CPT® GAMMA GLOBULIN > 10 CC INJ
J1561 $0.00 HCPCS / CPT® GAMUNEX-C/GAMMAKED
J1562 $0.00 HCPCS / CPT® VIVAGLOBIN, INJ
J1566 $0.00 HCPCS / CPT® IMMUNE GLOBULIN, POWDER
J1568 $0.00 HCPCS / CPT® OCTAGAM INJECTION
J1569 $0.00 HCPCS / CPT® GAMMAGARD LIQUID INJECTION
J1570 $0.00 HCPCS / CPT® GANCICLOVIR SODIUM INJECTION
J1571 $0.00 HCPCS / CPT® HEPAGAM B IM INJECTION
J1572 $0.00 HCPCS / CPT® FLEBOGAMMA INJECTION
J1573 $0.00 HCPCS / CPT® HEPAGAM B INTRAVENOUS, INJ
J1575 $0.00 HCPCS / CPT® HYQVIA 100MG IMMUNEGLOBULIN
J1580 $65.81 HCPCS / CPT® GARAMYCIN GENTAMICIN INJ
J1595 $0.00 HCPCS / CPT® INJECTION GLATIRAMER ACETATE
J1599 $0.00 HCPCS / CPT® IVIG NON-LYOPHILIZED, NOS
J1600 $0.00 HCPCS / CPT® GOLD SODIUM THIOMALEATE INJ
J1602 $0.00 HCPCS / CPT® GOLIMUMAB FOR IV USE 1MG
J1610 $89.00 HCPCS / CPT® GLUCAGON HYDROCHLORIDE/1 MG
J1620 $0.00 HCPCS / CPT® GONADORELIN HYDROCH/ 100 MCG
J1626 $0.00 HCPCS / CPT® GRANISETRON HCL INJECTION
J1630 $35.64 HCPCS / CPT® HALOPERIDOL INJECTION
J1631 $116.20 HCPCS / CPT® HALOPERIDOL DECANOATE INJ
J1640 $0.00 HCPCS / CPT® HEMIN, 1 MG
J1642 $17.61 HCPCS / CPT® BOLUS IV LOCK PUSH – INJ HEPARIN SODIUM PER 10 U
J1644 $459.20 HCPCS / CPT® INJ HEPARIN SODIUM PER 1000U
J1645 $0.00 HCPCS / CPT® DALTEPARIN SODIUM
J1650 $100.00 HCPCS / CPT® LOVENOX – INJ ENOXAPARIN SODIUM 10MG = 1 Unit
J1652 $0.00 HCPCS / CPT® FONDAPARINUX SODIUM
J1655 $0.00 HCPCS / CPT® TINZAPARIN SODIUM INJECTION
J1670 $53.58 HCPCS / CPT® TETANUS IMMUNE GLOBULIN INJ
J1675 $0.00 HCPCS / CPT® HISTRELIN ACETATE
J1700 $0.00 HCPCS / CPT® HYDROCORTISONE ACETATE INJ
J1710 $0.00 HCPCS / CPT® HYDROCORTISONE SODIUM PH INJ
J1720 $175.00 HCPCS / CPT® HYDROCORTISONE SODIUM SUCC I
J1725 $0.00 HCPCS / CPT® HYDROXYPROGESTERONE CAPROATE
J1730 $0.00 HCPCS / CPT® DIAZOXIDE INJECTION
J1740 $0.00 HCPCS / CPT® IBANDRONATE SODIUM INJECTION
J1741 $0.00 HCPCS / CPT® IBUPROFEN INJECTION
J1742 $0.00 HCPCS / CPT® IBUTILIDE FUMARATE INJECTION
J1743 $0.00 HCPCS / CPT® IDURSULFASE INJECTION
J1744 $0.00 HCPCS / CPT® ICATIBANT INJECTION
J1745 $0.00 HCPCS / CPT® INFLIXIMAB NOT BIOSIMIL 10MG
J1750 $0.00 HCPCS / CPT® INJ IRON DEXTRAN
J1756 $0.00 HCPCS / CPT® IRON SUCROSE INJECTION
J1786 $0.00 HCPCS / CPT® IMUGLUCERASE INJECTION
J1790 $4.17 HCPCS / CPT® DROPERIDOL INJECTION
J1800 $0.00 HCPCS / CPT® PROPRANOLOL INJECTION
J1810 $28.16 HCPCS / CPT® Droperidol/fentanyl Inj
J1815 $40.49 HCPCS / CPT® INSULIN INJECTION; PER 5 UNITS
J1817 $0.00 HCPCS / CPT® INSULIN FOR INSULIN PUMP USE
J1826 $0.00 HCPCS / CPT® INTERFERON BETA-1A INJ
J1830 $0.00 HCPCS / CPT® INTERFERON BETA-1B / .25 MG
J1833 $0.00 HCPCS / CPT® INJECTION, ISAVUCONAZONIUM
J1835 $0.00 HCPCS / CPT® ITRACONAZOLE INJECTION
J1840 $0.00 HCPCS / CPT® KANAMYCIN SULFATE 500 MG INJ
J1850 $0.00 HCPCS / CPT® KANAMYCIN SULFATE 75 MG INJ
J1885 $50.00 HCPCS / CPT® TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG
J1890 $0.00 HCPCS / CPT® CEPHALOTHIN SODIUM INJECTION
J1930 $225.49 HCPCS / CPT® LANREOTIDE INJECTION 1 MG
J1931 $0.00 HCPCS / CPT® LARONIDASE INJECTION
J1940 $28.16 HCPCS / CPT® LASIX – FUROSEMIDE INJECTION
J1942 $0.00 HCPCS / CPT® ARIPIPRAZOLE LAUROXIL 1MG
J1945 $0.00 HCPCS / CPT® LEPIRUDIN
J1950 $3952.29 HCPCS / CPT® LEUPROLIDE ACETATE /3.75 MG
J1953 $0.00 HCPCS / CPT® LEVETIRACETAM INJECTION
J1955 $0.00 HCPCS / CPT® INJ LEVOCARNITINE PER 1 GM
J1956 $156.89 HCPCS / CPT® LEVAQUIN – LEVOFLOXACIN INJECTION 250MG
J1960 $0.00 HCPCS / CPT® LEVORPHANOL TARTRATE INJ
J1980 $48.72 HCPCS / CPT® HYOSCYAMINE SULFATE INJ
J1990 $0.00 HCPCS / CPT® CHLORDIAZEPOXIDE INJECTION
J2001 $40.49 HCPCS / CPT® LIDOCAINE
J2010 $0.00 HCPCS / CPT® LINCOMYCIN INJECTION
J2020 $278.42 HCPCS / CPT® INJECTION, LINEZOLID 200MG
J2060 $130.26 HCPCS / CPT® ATIVAN – LORAZEPAM INJECTION 2MG
J2150 $33.44 HCPCS / CPT® MANNITOL INJECTION
J2170 $0.00 HCPCS / CPT® MECASERMIN INJECTION
J2175 $100.00 HCPCS / CPT® DEMEROL – MEPERIDINE HYDROCHL; 100 MG IV
J2180 $0.00 HCPCS / CPT® MEPERIDINE/PROMETHAZINE INJ
J2182 $0.00 HCPCS / CPT® INJECTION, MEPOLIZUMAB, 1MG
J2185 $0.00 HCPCS / CPT® MEROPENEM
J2210 $0.00 HCPCS / CPT® METHYLERGONOVIN MALEATE INJ
J2212 $0.00 HCPCS / CPT® METHYLNALTREXONE INJECTION
J2248 $0.00 HCPCS / CPT® MICAFUNGIN SODIUM INJECTION
J2250 $15.01 HCPCS / CPT® VERSED – INJ MIDAZOLAM HYDROCHLORIDE PER 1MG
J2260 $18.48 HCPCS / CPT® INJ MILRINONE LACTATE / 5 MG
J2265 $0.00 HCPCS / CPT® MINOCYCLINE HYDROCHLORIDE
J2270 $28.16 HCPCS / CPT® MORPHINE SULFATE INJECTION UP TO 10MG
J2271 $26.07 HCPCS / CPT® MORPHINE SO4 INJECTION 100MG
J2274 $0.00 HCPCS / CPT® IN MORPHINE PRESERVATIV FREE
J2278 $0.00 HCPCS / CPT® ZICONOTIDE INJECTION
J2280 $0.00 HCPCS / CPT® INJ, MOXIFLOXACIN 100 MG
J2300 $65.81 HCPCS / CPT® INJ NALBUPHINE HYDROCHLORIDE
J2310 $38.27 HCPCS / CPT® INJ NALOXONE HYDROCHLORIDE
J2315 $17.91 HCPCS / CPT® INJECTION, NALTREXONE, DEPOT FORM, 1 MG
J2320 $0.00 HCPCS / CPT® NANDROLONE DECANOATE 50 MG
J2323 $0.00 HCPCS / CPT® NATALIZUMAB INJECTION
J2325 $0.00 HCPCS / CPT® NESIRITIDE INJECTION
J2353 $0.00 HCPCS / CPT® OCTREOTIDE INJECTION, DEPOT
J2354 $0.00 HCPCS / CPT® OCTREOTIDE INJ, NON-DEPOT
J2355 $0.00 HCPCS / CPT® OPRELVEKIN INJECTION
J2357 $0.00 HCPCS / CPT® OMALIZUMAB INJECTION
J2358 $0.00 HCPCS / CPT® OLANZAPINE LONG-ACTING INJ
J2360 $161.11 HCPCS / CPT® NORFLEX – ORPHENADRINE UP TO 60MG
J2370 $107.39 HCPCS / CPT® NEO-SYNEPHRINE – PHENYLEPHRINE HCL INJECTION
J2400 $0.00 HCPCS / CPT® CHLOROPROCAINE HCL INJECTION
J2405 $28.16 HCPCS / CPT® ZOFRAN (ONDANSETRON HCL INJECTION 1MG)
J2407 $0.00 HCPCS / CPT® INJECTION, ORITAVANCIN
J2410 $0.00 HCPCS / CPT® OXYMORPHONE HCL INJECTION
J2425 $0.00 HCPCS / CPT® PALIFERMIN INJECTION
J2426 $0.00 HCPCS / CPT® PALIPERIDONE PALMITATE INJ
J2430 $0.00 HCPCS / CPT® PAMIDRONATE DISODIUM /30 MG
J2440 $0.00 HCPCS / CPT® PAPAVERIN HCL INJECTION
J2460 $0.00 HCPCS / CPT® OXYTETRACYCLINE INJECTION
J2469 $0.00 HCPCS / CPT® PALONOSETRON HCL
J2501 $0.00 HCPCS / CPT® PARICALCITOL
J2502 $0.00 HCPCS / CPT® INJ, PASIREOTIDE LONG ACTING
J2503 $0.00 HCPCS / CPT® PEGAPTANIB SODIUM INJECTION
J2504 $0.00 HCPCS / CPT® PEGADEMASE BOVINE, 25 IU
J2505 $0.00 HCPCS / CPT® INJECTION, PEGFILGRASTIM 6MG
J2507 $0.00 HCPCS / CPT® PEGLOTICASE INJECTION
J2510 $0.00 HCPCS / CPT® PENICILLIN G PROCAINE INJ
J2513 $0.00 HCPCS / CPT® PENTASTARCH 10% SOLUTION
J2515 $0.00 HCPCS / CPT® PENTOBARBITAL SODIUM INJ
J2540 $72.78 HCPCS / CPT® PENICILLIN G POTASSIUM INJ
J2543 $111.67 HCPCS / CPT® ZOSYN – PIPERACILLIN 1.125 MG
J2545 $0.00 HCPCS / CPT® PENTAMIDINE NON-COMP UNIT
J2547 $0.00 HCPCS / CPT® INJECTION, PERAMIVIR
J2550 $28.16 HCPCS / CPT® PHENERGAN – PROMETHAZINE HCL INJECTION UP TO 50MG
J2560 $0.00 HCPCS / CPT® PHENOBARBITAL SODIUM INJ
J2562 $0.00 HCPCS / CPT® PLERIXAFOR INJECTION
J2590 $0.00 HCPCS / CPT® OXYTOCIN INJECTION
J2597 $0.00 HCPCS / CPT® INJ DESMOPRESSIN ACETATE
J2650 $7.96 HCPCS / CPT® PRELONE – INJECTION PREDNISOLONE ACETATE UP TO 1 ML
J2670 $0.00 HCPCS / CPT® TOTAZOLINE HCL INJECTION
J2680 $0.00 HCPCS / CPT® FLUPHENAZINE DECANOATE 25 MG
J2690 $28.16 HCPCS / CPT® PROCAINAMIDE HCL INJECTION
J2700 $0.00 HCPCS / CPT® OXACILLIN SODIUM INJECITON
J2704 $47.10 HCPCS / CPT® INJ, PROPOFOL, 10 MG
J2710 $0.00 HCPCS / CPT® NEOSTIGMINE METHYLSLFTE INJ
J2720 $0.00 HCPCS / CPT® INJ PROTAMINE SULFATE/10 MG
J2724 $0.00 HCPCS / CPT® PROTEIN C CONCENTRATE
J2725 $0.00 HCPCS / CPT® INJ PROTIRELIN PER 250 MCG
J2730 $28.16 HCPCS / CPT® PRALIDOXINE CHLORIDE
J2760 $0.00 HCPCS / CPT® PHENTOLAINE MESYLATE INJ
J2765 $75.00 HCPCS / CPT® METOCLOPRAMIDE HCL INJECTION
J2770 $213.91 HCPCS / CPT® QUINUPRISTIN/DALFOPRISTIN
J2778 $0.00 HCPCS / CPT® RANIBIZUMAB INJECTION
J2780 $14.05 HCPCS / CPT® RANITIDINE HYDROCHLORIDE INJ
J2783 $0.00 HCPCS / CPT® RASBURICASE
J2785 $0.00 HCPCS / CPT® REGADENOSON INJECTION
J2786 $0.00 HCPCS / CPT® INJECTION, RESLIZUMAB, 1MG
J2788 $0.00 HCPCS / CPT® RHO D IMMUNE GLOBULIN 50 MCG
J2790 $261.44 HCPCS / CPT® RHOGAM INJECTION
J2791 $0.00 HCPCS / CPT® RHOPHYLAC INJECTION
J2792 $0.00 HCPCS / CPT® RHO(D) IMMUNE GLOBULIN H, SD
J2793 $0.00 HCPCS / CPT® RILONACEPT INJECTION
J2794 $0.00 HCPCS / CPT® RISPERIDONE, LONG ACTING
J2795 $0.00 HCPCS / CPT® ROPIVACAINE HCL INJECTION
J2796 $0.00 HCPCS / CPT® ROMIPLOSTIM INJECTION
J2800 $27.93 HCPCS / CPT® METHOCARBAMOL INJECTION; 100mg-10ML IV
J2805 $68.88 HCPCS / CPT® SINCALIDE INJECTION
J2810 $0.00 HCPCS / CPT® INJ THEOPHYLLINE PER 40 MG
J2820 $0.00 HCPCS / CPT® SARGRAMOSTIM INJECTION
J2840 $0.00 HCPCS / CPT® INJ SEBELIPASE ALFA 1 MG
J2850 $0.00 HCPCS / CPT® INJ SECRETIN SYNTHETIC HUMAN
J2860 $0.00 HCPCS / CPT® INJECTION, SILTUXIMAB
J2910 $0.00 HCPCS / CPT® AUROTHIOGLUCOSE INJECITON
J2916 $0.00 HCPCS / CPT® NA FERRIC GLUCONATE COMPLEX
J2920 $13.62 HCPCS / CPT® METHYLPREDNISOLONE INJECTION
J2930 $121.52 HCPCS / CPT® SOLU-MEDROL – METHYLPREDNISOLONE UP TO 125MG
J2940 $0.00 HCPCS / CPT® SOMATREM INJECTION
J2941 $0.00 HCPCS / CPT® SOMATROPIN INJECTION
J2950 $77.68 HCPCS / CPT® PROMAZINE HCL INJECTION
J2993 $0.00 HCPCS / CPT® RETEPLASE INJECTION
J2995 $0.00 HCPCS / CPT® INJ STREPTOKINASE /250000 IU
J2997 $2285.71 HCPCS / CPT® INJECTION, ALTEPLASE RECOMBINANT, SINGLE VIAL, 1 MG
J3000 $0.00 HCPCS / CPT® STREPTOMYCIN INJECTION
J3010 $50.45 HCPCS / CPT® FENTANYL CITRATE INJECITON 0.1MG
J3030 $50.00 HCPCS / CPT® SUMATRIPTAN SUCCINATE / 6 MG
J3060 $0.00 HCPCS / CPT® INJ, TALIGLUCERACE ALFA 10 U
J3070 $0.00 HCPCS / CPT® PENTAZOCINE INJECTION
J3090 $0.00 HCPCS / CPT® INJ TEDIZOLID PHOSPHATE
J3095 $0.00 HCPCS / CPT® TELAVANCIN INJECTION
J3101 $0.00 HCPCS / CPT® TENECTEPLASE INJECTION
J3105 $107.79 HCPCS / CPT® terbutaline sulfate, up to 1 mg
J3110 $0.00 HCPCS / CPT® TERIPARATIDE INJECTION
J3121 $0.00 HCPCS / CPT® INJ TESTOSTERO ENANTHATE 1MG
J3130 $30.61 HCPCS / CPT® TESTOSTERONE ENANTHATE INJ
J3145 $0.00 HCPCS / CPT® TESTOSTERONE UNDECANOATE 1MG
J3230 $79.81 HCPCS / CPT® CHLORPROMAZINE HCL INJECTION
J3240 $0.00 HCPCS / CPT® THYROTROPIN INJECTION
J3243 $0.00 HCPCS / CPT® TIGECYCLINE INJECTION
J3246 $0.00 HCPCS / CPT® TIROFIBAN HCL
J3250 $0.00 HCPCS / CPT® TRIMETHOBENZAMIDE HCL INJ
J3260 $47.22 HCPCS / CPT® TOBRAMYCIN SULFATE INJECTION
J3262 $0.00 HCPCS / CPT® TOCILIZUMAB INJECTION
J3265 $0.00 HCPCS / CPT® INJECTION TORSEMIDE 10 MG/ML
J3280 $0.00 HCPCS / CPT® THIETHYLPERAZINE MALEATE INJ
J3285 $0.00 HCPCS / CPT® TREPROSTINIL INJECTION
J3300 $0.00 HCPCS / CPT® TRIAMCINOLONE A INJ PRS-FREE
J3301 $22.77 HCPCS / CPT® TRIAMCINOLONE ACET INJ NOS
J3302 $0.00 HCPCS / CPT® TRIAMCINOLONE DIACETATE INJ
J3303 $0.00 HCPCS / CPT® TRIAMCINOLONE HEXACETONL INJ
J3305 $0.00 HCPCS / CPT® INJ TRIMETREXATE GLUCORONATE
J3310 $0.00 HCPCS / CPT® PERPHENAZINE INJECITON
J3315 $0.00 HCPCS / CPT® TRIPTORELIN PAMOATE
J3320 $114.80 HCPCS / CPT® SPECTINOMYCN DI-HCL INJ
J3350 $0.00 HCPCS / CPT® UREA INJECTION
J3355 $0.00 HCPCS / CPT® UROFOLLITROPIN, 75 IU
J3357 $0.00 HCPCS / CPT® USTEKINUMAB SUB CU INJ, 1 MG
J3360 $14.08 HCPCS / CPT® VALIUM – DIAZEPAM INJECTION UP TO 5 MG
J3364 $0.00 HCPCS / CPT® UROKINASE 5000 IU INJECTION
J3365 $0.00 HCPCS / CPT® UROKINASE 250,000 IU INJ
J3370 $300.01 HCPCS / CPT® VANCOMYCIN HCL INJECTION 500MG
J3380 $0.00 HCPCS / CPT® INJECTION, VEDOLIZUMAB
J3385 $0.00 HCPCS / CPT® VELAGLUCERASE ALFA
J3396 $0.00 HCPCS / CPT® VERTEPORFIN INJECTION
J3400 $0.00 HCPCS / CPT® TRIFLUPROMAZINE HCL INJ
J3410 $28.16 HCPCS / CPT® HYDROXYZINE HCL INJECTION
J3411 $15.31 HCPCS / CPT® THIAMINE HCL 100 MG
J3415 $0.00 HCPCS / CPT® PYRIDOXINE HCL 100 MG
J3420 $117.10 HCPCS / CPT® VITAMIN B12 INJECTION
J3430 $0.00 HCPCS / CPT® VITAMIN K PHYTONADIONE INJ
J3465 $0.00 HCPCS / CPT® INJECTION, VORICONAZOLE
J3470 $0.00 HCPCS / CPT® HYALURONIDASE INJECTION
J3471 $0.00 HCPCS / CPT® OVINE, UP TO 999 USP UNITS
J3472 $0.00 HCPCS / CPT® OVINE, 1000 USP UNITS
J3473 $0.00 HCPCS / CPT® HYALURONIDASE RECOMBINANT
J3475 $32.50 HCPCS / CPT® MAGNESIUM SULFATE INJ PER 500MG
J3480 $25.00 HCPCS / CPT® POTASSIUM CHLORIDE/K-DUR; PER 2MEQ; IV
J3485 $0.00 HCPCS / CPT® ZIDOVUDINE
J3486 $45.77 HCPCS / CPT® GEODON – ZIPRASIDONE MESYLATE 10MG
J3489 $0.00 HCPCS / CPT® ZOLEDRONIC ACID 1MG
J3490 $300.00 HCPCS / CPT® UNCLASSIFIED DRUGS –
J3490 ASA $9.73 HCPCS / CPT® ASA UP TO 325MG TAB
J3490 CARD $55.00 HCPCS / CPT® CARDIZEM – DILTIAZEM; 5 MG IV
J3490 CHAR $38.27 HCPCS / CPT® ACTIVATED CHARCOAL 25G
J3490 CODE $3.52 HCPCS / CPT® TYLENOL W/ CODEINE 1 TSP
J3490 DAV $9.73 HCPCS / CPT® DAVROCET N – TAB
J3490 DON $15.92 HCPCS / CPT® DONNATOL 10 ML
J3490 DROP $31.69 HCPCS / CPT® EYE DROPS
J3490 ETO $21.00 HCPCS / CPT® ETOMIDATE 20MG/10ML V 10/B
J3490 IB $9.73 HCPCS / CPT® IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL)
J3490 IMO $11.49 HCPCS / CPT® IMODIUM-2MG TAB
J3490 KET $38.27 HCPCS / CPT® KETAMINE UP TO 50MG
J3490 LAB $7.66 HCPCS / CPT® LABETALOL UP TO 100 MG
J3490 LIDO $66.90 HCPCS / CPT® VISCOUS XYLOCAINE
J3490 LYTE $31.69 HCPCS / CPT® PEDIALYTE
J3490 MAC $65.14 HCPCS / CPT® MARCAINE 10ML
J3490 MAL $9.73 HCPCS / CPT® MAALOX 30 CC
J3490 NITR $10.51 HCPCS / CPT® NITRO STAT- NITROGLYCERIN
J3490 NOR $36.26 HCPCS / CPT® NORCO 5/325 MG (Hydrocodone Bitartrate and Acetaminophen)
J3490 PRO $4.92 HCPCS / CPT® PROPOFOL 10MG
J3490 RA $10.49 HCPCS / CPT® RACONIC 0.5ML
J3490 REPI $15.31 HCPCS / CPT® RACEMIC EPINEPHRINE
J3490 ROC $23.09 HCPCS / CPT® ROCURONIUM UP TO 10MG
J3490 SPRA $185.75 HCPCS / CPT® SPRAY – HURRICANE SPRAY
J3490 TET $73.92 HCPCS / CPT® TETRACAINE – PONTOCAINE 1% 2ML IM\IV
J3490 TYL $91.84 HCPCS / CPT® TYLENOL 450MG
J3490 TYL2 $84.19 HCPCS / CPT® TYLENOL 400 MG
J3490 TYL3 $168.37 HCPCS / CPT® TYLENOL 1000MG
J3490 TYL4 $99.50 HCPCS / CPT® TYLENOL 500MG
J3490 TYL5 $42.10 HCPCS / CPT® TYLENOL UP TO 200 MG
J3490 TYL6 $45.92 HCPCS / CPT® TYLENOL 300 MG
J3490 VIC $15.31 HCPCS / CPT® VICODIN
J3490 VICO $15.00 HCPCS / CPT® J3490 VICO
J3490 VIT $25.00 HCPCS / CPT® MULTIVITAMIN; 1 AMP IV
J3490 ZYV $944.80 HCPCS / CPT® ZYVOX TAB 600MG
J3490AFRIN $60.77 HCPCS / CPT® AFRIN NASAL SPRAY
J3490AURA $50.00 HCPCS / CPT® AURALGAN/ANTIPYRINE-BENZOCAINE; SOLUTION/ELIXIR EAR DROPS
J3490BENZO $25.00 HCPCS / CPT® BENZOCAINE; TOPICAL ANESTHETIC
J3490CALC $50.00 HCPCS / CPT® CALCIUM CHLORIDE; 100MG/ML IV
J3490CARD $8.38 HCPCS / CPT® J3490CARD
J3490CORT $150.00 HCPCS / CPT® CORTICOSPORIN/NEOMYCIN+POLYMYXIN-HC; SOLUTION/ELIXIR; OTIC
J3490CORT1 $15.00 HCPCS / CPT® HYDROCORTISONE 10 1%; TOPICAL CREAM
J3490DAV $8.38 HCPCS / CPT® J3490DAV
J3490EMLA $25.00 HCPCS / CPT® LIDOCAINE AND PRILOCAINE; EMLA TOPICAL CREAM
J3490ENA $30.00 HCPCS / CPT® ENALAPRILAT; 1.25MG IV
J3490ERYTH $98.57 HCPCS / CPT® ERYTHROMYCIN 500MG/IV
J3490FOLIC $30.00 HCPCS / CPT® FOLIC ACID; 1MG IV
J3490GASTR $200.00 HCPCS / CPT® GASTROGRAFIN (DIATRIZOATE MEGLUMINE & SODIUM); 30ML SOLUTION-ELIXIR PO
J3490KDUR $3.45 HCPCS / CPT® K-DUR PER 2MEQ PO
J3490LAB10 $40.00 HCPCS / CPT® LABETALOL; 10MG IV
J3490LACT $45.00 HCPCS / CPT® LACTULOSE SOLUTION; 10G/5ML
J3490LEVO $200.00 HCPCS / CPT® LEVOPHED-NOREPINEPHRINE BITARTRATE; 4MG/4ML IV
J3490LIDO $20.00 HCPCS / CPT® LIDOCAINE HCL
J3490LOP $65.00 HCPCS / CPT® LOPRESSOR – METOPROLOL TARTRATE; 5MG IV
J3490NS150 $50.00 HCPCS / CPT® NORMAL SALINE; 150ML IV
J3490PRO $22.97 HCPCS / CPT® PROPARACAINE
J3490SILVA $35.00 HCPCS / CPT® SILVADENE TOPICAL
J3490SOBI $75.00 HCPCS / CPT® SODIUM BICARBONATE
J3490TETRA $40.00 HCPCS / CPT® TETRACAINE HCL, OPTH DROPS; 0.5%
J3490TYL $8.38 HCPCS / CPT® J3490TYL
J3490TYL C $45.92 HCPCS / CPT® TYLENOL W/ CODIENE
J3490VEC $50.00 HCPCS / CPT® VECURONIUM BROMIDE; 10MG IV
J3490VERAP $90.00 HCPCS / CPT® VERAPAMIL; 5MG IVP
J3490ZITHR $91.08 HCPCS / CPT® ZITHROMAX 500MG
J3520 $0.00 HCPCS / CPT® EDETATE DISODIUM PER 150 MG
J3530 $0.00 HCPCS / CPT® NASAL VACCINE INHALATION
J3535 $0.00 HCPCS / CPT® METERED DOSE INHALER DRUG
J3570 $0.00 HCPCS / CPT® LAETRILE AMYGDALIN VIT B17
J3590 $0.00 HCPCS / CPT® UNCLASSIFIED BIOLOGICS
J4390LIDOC $8.38 HCPCS / CPT® LIDOCAINE 10ML ORAL PO
J7030 $125.00 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS 1000CC
J7040 $34.90 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS – 500 ML=1 UNIT
J7042 $60.00 HCPCS / CPT® 5% DEXTROSE-NORMAL SALINE; 500MG IV
J7050 $34.26 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS 250cc
J7060 $50.00 HCPCS / CPT® 5% DEXTROSE-WATER; 500 ML IV
J7070 $125.00 HCPCS / CPT® 5% DEXTROSE-NORMAL SALINE; 1000 ML IV
J7100 $0.00 HCPCS / CPT® DEXTRAN 40 INFUSION
J7110 $168.28 HCPCS / CPT® DEXTRAN 75 INFUSION
J7120 $138.78 HCPCS / CPT® RINGERS LACTATE INFUSION
J7121 $0.00 HCPCS / CPT® 5% DEXTROSE IN LAC RINGERS
J7130 $99.50 HCPCS / CPT® HYPERTONIC SALINE SOLUTION
J7131 $0.00 HCPCS / CPT® HYPERTONIC SALINE SOL
J7175 $0.00 HCPCS / CPT® INJ, FACTOR X, (HUMAN), 1IU
J7178 $0.00 HCPCS / CPT® HUMAN FIBRINOGEN CONC INJ
J7179 $0.00 HCPCS / CPT® VONVENDI INJ 1 IU VWF:RCO
J7180 $0.00 HCPCS / CPT® FACTOR XIII ANTI-HEM FACTOR
J7181 $0.00 HCPCS / CPT® FACTOR XIII RECOMB A-SUBUNIT
J7182 $0.00 HCPCS / CPT® FACTOR VIII RECOMB NOVOEIGHT
J7183 $0.00 HCPCS / CPT® WILATE INJECTION
J7185 $0.00 HCPCS / CPT® XYNTHA INJ
J7186 $0.00 HCPCS / CPT® ANTIHEMOPHILIC VIII/VWF COMP
J7187 $0.00 HCPCS / CPT® HUMATE-P, INJ
J7188 $0.00 HCPCS / CPT® FACTOR VIII RECOMB OBIZUR
J7189 $0.00 HCPCS / CPT® FACTOR VIIA
J7190 $0.00 HCPCS / CPT® FACTOR VIII
J7191 $0.00 HCPCS / CPT® FACTOR VIII (PORCINE)
J7192 $0.00 HCPCS / CPT® FACTOR VIII RECOMBINANT NOS
J7193 $0.00 HCPCS / CPT® FACTOR IX NON-RECOMBINANT
J7194 $0.00 HCPCS / CPT® FACTOR IX COMPLEX
J7195 $0.00 HCPCS / CPT® FACTOR IX RECOMBINANT NOS
J7196 $0.00 HCPCS / CPT® ANTITHROMBIN RECOMBINANT
J7197 $0.00 HCPCS / CPT® ANTITHROMBIN III INJECTION
J7198 $0.00 HCPCS / CPT® ANTI-INHIBITOR
J7199 $0.00 HCPCS / CPT® HEMOPHILIA CLOT FACTOR NOC
J7200 $0.00 HCPCS / CPT® FACTOR IX RECOMBINAN RIXUBIS
J7201 $0.00 HCPCS / CPT® FACTOR IX ALPROLIX RECOMB
J7202 $0.00 HCPCS / CPT® FACTOR IX IDELVION INJ
J7205 $0.00 HCPCS / CPT® FACTOR VIII FC FUSION RECOMB
J7207 $0.00 HCPCS / CPT® FACTOR VIII PEGYLATED RECOMB
J7209 $0.00 HCPCS / CPT® FACTOR VIII NUWIQ RECOMB 1IU
J7297 $0.00 HCPCS / CPT® LILETTA, 52 MG
J7298 $0.00 HCPCS / CPT® MIRENA, 52 MG
J7300 $0.00 HCPCS / CPT® INTRAUT COPPER CONTRACEPTIVE
J7301 $0.00 HCPCS / CPT® SKYLA, 13.5 MG
J7303 $0.00 HCPCS / CPT® CONTRACEPTIVE VAGINAL RING
J7304 $0.00 HCPCS / CPT® CONTRACEPTIVE HORMONE PATCH
J7306 $0.00 HCPCS / CPT® LEVONORGESTREL IMPLANT SYS
J7307 $0.00 HCPCS / CPT® ETONOGESTREL IMPLANT SYSTEM
J7308 $0.00 HCPCS / CPT® AMINOLEVULINIC ACID HCL TOP
J7309 $0.00 HCPCS / CPT® METHYL AMINOLEVULINATE, TOP
J7310 $0.00 HCPCS / CPT® GANCICLOVIR LONG ACT IMPLANT
J7311 $0.00 HCPCS / CPT® FLUOCINOLONE ACETONIDE IMPLT
J7312 $0.00 HCPCS / CPT® DEXAMETHASONE INTRA IMPLANT
J7313 $0.00 HCPCS / CPT® FLUOCINOL ACET INTRAVIT IMP
J7315 $0.00 HCPCS / CPT® OPHTHALMIC MITOMYCIN
J7316 $0.00 HCPCS / CPT® INJ, OCRIPLASMIN, 0.125 MG
J7320 $0.00 HCPCS / CPT® GENVISC 850, INJ, 1MG
J7321 $0.00 HCPCS / CPT® HYALGAN/SUPARTZ INJ PER DOSE
J7322 $0.00 HCPCS / CPT® HYMOVIS INJECTION 1 MG
J7323 $0.00 HCPCS / CPT® EUFLEXXA INJ PER DOSE
J7324 $0.00 HCPCS / CPT® ORTHOVISC INJ PER DOSE
J7325 $0.00 HCPCS / CPT® SYNVISC OR SYNVISC-ONE
J7326 $0.00 HCPCS / CPT® GEL-ONE
J7327 $0.00 HCPCS / CPT® MONOVISC INJ PER DOSE
J7328 $0.00 HCPCS / CPT® GEL-SYN INJECTION 0.1 MG
J7330 $0.00 HCPCS / CPT® CULTURED CHONDROCYTES IMPLNT
J7336 $0.00 HCPCS / CPT® CAPSAICIN 8% PATCH
J7340 $0.00 HCPCS / CPT® CARBIDOPA LEVODOPA ENT 100ML
J7342 $0.00 HCPCS / CPT® CIPROFLOXACIN OTIC SUSP 6 MG
J7460 $33.66 HCPCS / CPT® HYPERTONIC SALINE SOLUTION
J7500 $0.00 HCPCS / CPT® AZATHIOPRINE ORAL 50MG
J7501 $0.00 HCPCS / CPT® AZATHIOPRINE PARENTERAL
J7502 $0.00 HCPCS / CPT® CYCLOSPORINE ORAL 100 MG
J7503 $0.00 HCPCS / CPT® TACROL ENVARSUS EX REL ORAL
J7504 $0.00 HCPCS / CPT® LYMPHOCYTE IMMUNE GLOBULIN
J7505 $0.00 HCPCS / CPT® MONOCLONAL ANTIBODIES
J7506 $9.73 HCPCS / CPT® PREDNISONE ORAL PER 5MG
J7507 $0.00 HCPCS / CPT® TACROLIMUS IMME REL ORAL 1MG
J7508 $0.00 HCPCS / CPT® TACROL ASTAGRAF EX REL ORAL
J7509 $0.00 HCPCS / CPT® METHYLPREDNISOLONE ORAL
J7510 $9.73 HCPCS / CPT® PRELONE – ORAL PREDNISOLONE PER 5 MG
J7510 O $9.73 HCPCS / CPT® ORAPRED – ORAL PREDNISOLONE PER 5 MG
J7511 $0.00 HCPCS / CPT® ANTITHYMOCYTE GLOBULN RABBIT
J7512 $2.83 HCPCS / CPT® PREDNISONE; 1MG TAB PO
J7513 $0.00 HCPCS / CPT® DACLIZUMAB, PARENTERAL
J7515 $0.00 HCPCS / CPT® CYCLOSPORINE ORAL 25 MG
J7516 $0.00 HCPCS / CPT® CYCLOSPORIN PARENTERAL 250MG
J7517 $0.00 HCPCS / CPT® MYCOPHENOLATE MOFETIL ORAL
J7518 $0.00 HCPCS / CPT® MYCOPHENOLIC ACID
J7520 $0.00 HCPCS / CPT® SIROLIMUS, ORAL
J7525 $0.00 HCPCS / CPT® TACROLIMUS INJECTION
J7527 $0.00 HCPCS / CPT® ORAL EVEROLIMUS
J7599 $0.00 HCPCS / CPT® IMMUNOSUPPRESSIVE DRUG NOC
J7604 $0.00 HCPCS / CPT® ACETYLCYSTEINE COMP UNIT
J7605 $15.97 HCPCS / CPT® ARFORMOTEROL NON-COMP UNIT
J7606 $0.00 HCPCS / CPT® FORMOTEROL FUMARATE, INH
J7607 $24.64 HCPCS / CPT® LEVALBUTEROL COMP CON
J7608 $0.00 HCPCS / CPT® ACETYLCYSTEINE NON-COMP UNIT
J7609 $191.34 HCPCS / CPT® ALBUTEROL COMP UNIT
J7610 $18.52 HCPCS / CPT® ALBUTEROL COMP CON
J7611 $18.52 HCPCS / CPT® ALBUTEROL NON-COMP CON
J7612 $18.68 HCPCS / CPT® LEVALBUTEROL NON-COMP CON
J7613 $75.00 HCPCS / CPT® ALBUTEROL NON-COMP UNIT
J7614 $124.64 HCPCS / CPT® XOPENEX – LEVALBUTEROL NON-COMP UNIT
J7615 $24.64 HCPCS / CPT® LEVALBUTEROL COMP UNIT
J7620 $100.00 HCPCS / CPT® ALBUTEROL IPRATROP NON-COMP
J7622 $0.00 HCPCS / CPT® BECLOMETHASONE COMP UNIT
J7624 $0.00 HCPCS / CPT® BETAMETHASONE COMP UNIT
J7626 $0.00 HCPCS / CPT® BUDESONIDE NON-COMP UNIT
J7627 $0.00 HCPCS / CPT® BUDESONIDE COMP UNIT
J7628 $0.00 HCPCS / CPT® BITOLTEROL MESYLATE COMP CON
J7629 $0.00 HCPCS / CPT® BITOLTEROL MESYLATE COMP UNT
J7631 $0.00 HCPCS / CPT® CROMOLYN SODIUM NONCOMP UNIT
J7632 $0.00 HCPCS / CPT® CROMOLYN SODIUM COMP UNIT
J7633 $0.00 HCPCS / CPT® BUDESONIDE NON-COMP CON
J7634 $0.00 HCPCS / CPT® BUDESONIDE COMP CON
J7635 $0.00 HCPCS / CPT® ATROPINE COMP CON
J7636 $0.00 HCPCS / CPT® ATROPINE COMP UNIT
J7637 $35.14 HCPCS / CPT® DEXAMETHASONE COMP CON
J7638 $35.14 HCPCS / CPT® DEXAMETHASONE COMP UNIT
J7639 $0.00 HCPCS / CPT® DORNASE ALFA NON-COMP UNIT
J7640 $34.95 HCPCS / CPT® FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 12 MICROGRAMS
J7641 $0.00 HCPCS / CPT® FLUNISOLIDE COMP UNIT
J7642 $0.00 HCPCS / CPT® GLYCOPYRROLATE COMP CON
J7643 $59.66 HCPCS / CPT® GLYCOPYRROLATE COMP UNIT
J7644 $80.00 HCPCS / CPT® ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP
J7645 $0.00 HCPCS / CPT® IPRATROPIUM BROMIDE COMP
J7647 $0.00 HCPCS / CPT® ISOETHARINE COMP CON
J7648 $0.00 HCPCS / CPT® ISOETHARINE NON-COMP CON
J7649 $0.00 HCPCS / CPT® ISOETHARINE NON-COMP UNIT
J7650 $0.00 HCPCS / CPT® ISOETHARINE COMP UNIT
J7657 $0.00 HCPCS / CPT® ISOPROTERENOL COMP CON
J7658 $0.00 HCPCS / CPT® ISOPROTERENOL NON-COMP CON
J7659 $0.00 HCPCS / CPT® ISOPROTERENOL NON-COMP UNIT
J7660 $0.00 HCPCS / CPT® ISOPROTERENOL COMP UNIT
J7665 $0.00 HCPCS / CPT® MANNITOL FOR INHALER
J7667 $0.00 HCPCS / CPT® METAPROTERENOL COMP CON
J7668 $0.00 HCPCS / CPT® METAPROTERENOL NON-COMP CON
J7669 $0.00 HCPCS / CPT® METAPROTERENOL NON-COMP UNIT
J7670 $0.00 HCPCS / CPT® METAPROTERENOL COMP UNIT
J7674 $0.00 HCPCS / CPT® METHACHOLINE CHLORIDE, NEB
J7676 $0.00 HCPCS / CPT® PENTAMIDINE COMP UNIT DOSE
J7680 $0.00 HCPCS / CPT® TERBUTALINE SULF COMP CON
J7681 $0.00 HCPCS / CPT® TERBUTALINE SULF COMP UNIT
J7682 $25.00 HCPCS / CPT® TOBRAMYCIN NON-COMP UNIT
J7683 $0.00 HCPCS / CPT® TRIAMCINOLONE COMP CON
J7684 $0.00 HCPCS / CPT® TRIAMCINOLONE COMP UNIT
J7685 $0.00 HCPCS / CPT® TOBRAMYCIN COMP UNIT
J7686 $0.00 HCPCS / CPT® TREPROSTINIL, NON-COMP UNIT
J7699 $10.76 HCPCS / CPT® INHALATION SOLUTION FOR DME
J7799 $0.00 HCPCS / CPT® NON-INHALATION DRUG FOR DME
J7999 $0.00 HCPCS / CPT® COMPOUNDED DRUG, NOC
J8498 $40.49 HCPCS / CPT® ENEMA – SUPPOSITORY, ANTIEMETIC RECTAL/SUPP NOS
J8499 $25.00 HCPCS / CPT® ORAL PRESCRIP DRUG NON CHEMO
J8499ACET5 $15.00 HCPCS / CPT® TYLENOL/ACETAMINOPHEN; 500MG TAB PO
J8499ACETC $25.00 HCPCS / CPT® ACETAMINOPHEN – TYLENOL W/ CODEINE; 120MG/5ML SUSP/ELIXIR PO
J8499ACYC $65.00 HCPCS / CPT® ACYCLOVIR; 400MG TAB PO
J8499ACYC8 $115.00 HCPCS / CPT® ACYCLOVIR; 800MG TAB PO
J8499AMB $50.00 HCPCS / CPT® AMBIEN-ZOLPIDEM; 10MG TAB PO
J8499AMLO $65.00 HCPCS / CPT® AMLODIPINE; 5 MG PO
J8499AMOX $75.00 HCPCS / CPT® AMOXICILLIN; 500MG TAB PO
J8499ATAR $25.00 HCPCS / CPT® ATARAX – HYDROXYZINE HCI; 25MG TAB PO
J8499ATIVA $50.00 HCPCS / CPT® ATIVAN-LORAZEPAM; 0.5 MG TAB PO
J8499AUG $105.00 HCPCS / CPT® AUGMENTIN – AMOXICILLIN CLAVULANATE; 875/125MG TAB PO
J8499AUGS $35.00 HCPCS / CPT® AUGMENTIN – AMOXICILLIN CLAVULANATE; 250MG-5ML SUSP ELIXIR PO
J8499BACT $40.00 HCPCS / CPT® BACTRIM DS; TABLET PO
J8499BEN50 $65.00 HCPCS / CPT® BENADRYL – DIPHENHYDRAMINE HCI; 50MG PO
J8499BENTY $50.00 HCPCS / CPT® BENTYL; 20MG TAB PO
J8499CAPTO $25.00 HCPCS / CPT® CAPTOPRIL – CAPOTEN; 12.5MG TAB PO
J8499CARDI $65.00 HCPCS / CPT® CARDIZEM-DILTIAZEM HCI; 120MG CAP PO
J8499CIP5 $20.00 HCPCS / CPT® Ciproflaxin; 500mg PO
J8499CLIN3 $50.00 HCPCS / CPT® CLINDAMYCIN – CLEOCIN; 300MG CAP PO
J8499CLON $45.00 HCPCS / CPT® CLONIDINE HYDROCHLORIDE; 0.1MG TAB PO
J8499COU $25.00 HCPCS / CPT® COUMADIN – WARFARIN; 5MG TAB PO
J8499DIFLU $30.00 HCPCS / CPT® DIFLUCAN-FLUCONAZOLE; 150MG TAB PO
J8499DOXY $15.00 HCPCS / CPT® DOXYCYCLINE; 100MG PO
J8499FLAG $50.00 HCPCS / CPT® FLAGYL/METRONIDAZOLE; 500MG PO
J8499FLEX1 $45.00 HCPCS / CPT® FLEXERIL; 10MG PO
J8499FLO $20.00 HCPCS / CPT® FLOMAX – TAMSULOSIN HCI; 0.4 MG CAP PO
J8499GINOD $60.00 HCPCS / CPT® GI COCKTAIL (LIDOCAINE & MAALOX); PO
J8499GIWD $75.00 HCPCS / CPT® GI COCKTAIL (Donnatal, Lidocaine, Maalox); 60 ml PO
J8499GUAIC $30.00 HCPCS / CPT® GUAIFENESIN W/ CODEINE; 100MG/5ML PO
J8499GUAIF $30.00 HCPCS / CPT® GUAIFENESIN W/ CODEINE; 100MG/5ML PO
J8499HYDRO $15.00 HCPCS / CPT® HYDROCHLOROTHIAZIDE; 12.5MG TAB PO
J8499KAYEX $75.00 HCPCS / CPT® KAYEXALATE/SODIUM POLYSTYRENE SULFONATE; PO
J8499KDUR $40.00 HCPCS / CPT® POTASSIUM CHLORIDE/KDUR; 20MEQ PO
J8499KEF5 $40.00 HCPCS / CPT® KEFLEX – CEPHALEXIN; 500MG PO
J8499LAMIC $25.00 HCPCS / CPT® LAMICTAL/LAMOTRIGINE; 100MG TAB PO
J8499LASIX $45.00 HCPCS / CPT® LASIX-FUROSEMIDE; 20MG Tab PO
J8499LET $75.00 HCPCS / CPT® LET – LIDOCAINE, EPINEPHRINE, TETRACAINE; TOPICAL SOLUTION
J8499LEV $40.00 HCPCS / CPT® LEVSIN – HYOSCYAMINE SULFATE USP; 0.125MG SL TAB PO
J8499LIDOV $50.00 HCPCS / CPT® LIDOCAINE; VISCOUS 10ML PO
J8499LISIN $30.00 HCPCS / CPT® LISINOPRIL; 10MG TAB PO
J8499LOR10 $25.00 HCPCS / CPT® LORTAB; 10MG TAB PO
J8499LOR5 $25.00 HCPCS / CPT® LORTAB; 5MG TAB PO
J8499MACRO $40.00 HCPCS / CPT® MACROBID; 100MG CAP PO
J8499MEC25 $15.00 HCPCS / CPT® MECLIZINE/ANTIVERT; 25MG TAB PO
J8499MEC50 $35.00 HCPCS / CPT® MECLIZINE/ANTIVERT; 50MG TAB PO
J8499MET25 $50.00 HCPCS / CPT® METOPROLOL TARTRATE; 25MG TAB PO
J8499MET50 $75.00 HCPCS / CPT® METOPROLOL TARTRATE; 50MG TAB PO
J8499MOM $15.00 HCPCS / CPT® MILK OF MAGNESIA
J8499MOT6 $30.00 HCPCS / CPT® MOTRIN-IBUPROFEN; 600MG TAB PO
J8499MOT8 $20.00 HCPCS / CPT® MOTRIN – IBUPROFEN; 800 MG TAB PO
J8499NAP5 $50.00 HCPCS / CPT® NAPROXEN; 500MG TAB PO
J8499NIT4 $75.00 HCPCS / CPT® NITROGLYCERIN STAT; 0.4MG TAB PO
J8499NITP $60.00 HCPCS / CPT® NITROGLYCERIN 2% PASTE; 0.5 IN. TOPICAL
J8499PLAV $125.00 HCPCS / CPT® Plavix – Clopidogrel, 300mg Tab PO
J8499PROT $120.00 HCPCS / CPT® PROTONIX – PANTOPRAZOLE; 40 MG TAB PO
J8499PYRID $50.00 HCPCS / CPT® PYRIDIUM/PHENAZOPYRIDINE; 200MG PO
J8499ROBA5 $30.00 HCPCS / CPT® ROBAXIN – METHOCARBAMOL; 500MG TAB PO
J8499ROBA7 $40.00 HCPCS / CPT® ROBAXIN – METHOCARBAMOL; 750MG TAB PO
J8499SIM40 $15.00 HCPCS / CPT® SIMETHICONE; 40 MG SUSP PO
J8499SIMET $20.00 HCPCS / CPT® SIMETHICONE – 0.3 ML SUSP PO
J8499TAM $25.00 HCPCS / CPT® TAMIFLU; 75MG CAP PO
J8499TRAM $50.00 HCPCS / CPT® TRAMADOL; 50MG TAB PO
J8499VAL5 $25.00 HCPCS / CPT® VALIUM – DIAZEPAM; 5MG TAB PO
J8499VIC10 $190.00 HCPCS / CPT® VICODIN/NORCO/HYDROCODONE; 10-325MG PO
J8499VICO $75.00 HCPCS / CPT® HYDROCODONE/NORCO, TAB 5-325MG, PO
J8499VICO7 $75.00 HCPCS / CPT® HYDROCODONE/NORCO, TAB 7.5-325MG, PO
J8499ZAN $15.51 HCPCS / CPT® ZANTAC TAB 300mg PO
J8499ZSUSP $45.00 HCPCS / CPT® ZITHROMAX/AZITHROMYCIN; 100MG/5ML SUSP PO
J8501 $0.00 HCPCS / CPT® ORAL APREPITANT
J8510 $0.00 HCPCS / CPT® ORAL BUSULFAN
J8515 $0.00 HCPCS / CPT® CABERGOLINE, ORAL 0.25MG
J8520 $0.00 HCPCS / CPT® CAPECITABINE, ORAL, 150 MG
J8521 $0.00 HCPCS / CPT® CAPECITABINE, ORAL, 500 MG
J8530 $0.00 HCPCS / CPT® CYCLOPHOSPHAMIDE ORAL 25 MG
J8540 $24.89 HCPCS / CPT® DECADRON/DEXAMETHASONE; 0.25MG PO
J8560 $0.00 HCPCS / CPT® ETOPOSIDE ORAL 50 MG
J8562 $0.00 HCPCS / CPT® ORAL FLUDARABINE PHOSPHATE
J8565 $0.00 HCPCS / CPT® GEFITINIB ORAL
J8597 $0.00 HCPCS / CPT® ANTIEMETIC DRUG ORAL NOS
J8600 $0.00 HCPCS / CPT® MELPHALAN ORAL 2 MG
J8610 $0.00 HCPCS / CPT® METHOTREXATE ORAL 2.5 MG
J8650 $0.00 HCPCS / CPT® NABILONE ORAL
J8655 $0.00 HCPCS / CPT® NETUPITANT PALONOSETRON ORAL
J8670 $0.00 HCPCS / CPT® ROLAPITANT, ORAL, 1MG
J8700 $0.00 HCPCS / CPT® TEMOZOLOMIDE
J8705 $0.00 HCPCS / CPT® TOPOTECAN ORAL
J8999 $0.00 HCPCS / CPT® ORAL PRESCRIPTION DRUG CHEMO
J9000 $0.00 HCPCS / CPT® DOXORUBICIN HCL INJECTION
J9015 $0.00 HCPCS / CPT® ALDESLEUKIN INJECTION
J9017 $0.00 HCPCS / CPT® ARSENIC TRIOXIDE INJECTION
J9019 $0.00 HCPCS / CPT® ERWINAZE INJECTION
J9020 $0.00 HCPCS / CPT® ASPARAGINASE, NOS
J9025 $0.00 HCPCS / CPT® AZACITIDINE INJECTION
J9027 $183.68 HCPCS / CPT® CLOFARALINE INJECTION
J9031 $0.00 HCPCS / CPT® BCG LIVE INTRAVESICAL VAC
J9032 $0.00 HCPCS / CPT® INJECTION, BELINOSTAT, 10MG
J9033 $0.00 HCPCS / CPT® INJ., TREANDA 1 MG
J9034 $0.00 HCPCS / CPT® INJ., BENDEKA 1 MG
J9035 $0.00 HCPCS / CPT® BEVACIZUMAB INJECTION
J9039 $0.00 HCPCS / CPT® INJECTION, BLINATUMOMAB
J9040 $0.00 HCPCS / CPT® BLEOMYCIN SULFATE INJECTION
J9041 $0.00 HCPCS / CPT® BORTEZOMIB INJECTION
J9042 $0.00 HCPCS / CPT® BRENTUXIMAB VEDOTIN INJ
J9043 $0.00 HCPCS / CPT® CABAZITAXEL INJECTION
J9045 $0.00 HCPCS / CPT® CARBOPLATIN INJECTION
J9047 $0.00 HCPCS / CPT® INJECTION, CARFILZOMIB, 1 MG
J9050 $0.00 HCPCS / CPT® CARMUSTINE INJECTION
J9055 $0.00 HCPCS / CPT® CETUXIMAB INJECTION
J9060 $0.00 HCPCS / CPT® CISPLATIN 10 MG INJECTION
J9065 $0.00 HCPCS / CPT® INJ CLADRIBINE PER 1 MG
J9070 $0.00 HCPCS / CPT® CYCLOPHOSPHAMIDE 100 MG INJ
J9098 $0.00 HCPCS / CPT® CYTARABINE LIPOSOME INJ
J9100 $0.00 HCPCS / CPT® CYTARABINE HCL 100 MG INJ
J9120 $0.00 HCPCS / CPT® DACTINOMYCIN INJECTION
J9130 $0.00 HCPCS / CPT® DACARBAZINE 100 MG INJ
J9145 $0.00 HCPCS / CPT® INJECTION, DARATUMUMAB 10 MG
J9150 $0.00 HCPCS / CPT® DAUNORUBICIN INJECTION
J9151 $0.00 HCPCS / CPT® DAUNORUBICIN CITRATE INJ
J9155 $0.00 HCPCS / CPT® DEGARELIX INJECTION
J9160 $0.00 HCPCS / CPT® DENILEUKIN DIFTITOX INJ
J9165 $0.00 HCPCS / CPT® DIETHYLSTILBESTROL INJECTION
J9171 $0.00 HCPCS / CPT® DOCETAXEL INJECTION
J9175 $0.00 HCPCS / CPT® ELLIOTTS B SOLUTION PER ML
J9176 $0.00 HCPCS / CPT® INJECTION, ELOTUZUMAB, 1MG
J9178 $0.00 HCPCS / CPT® INJ, EPIRUBICIN HCL, 2 MG
J9179 $0.00 HCPCS / CPT® ERIBULIN MESYLATE INJECTION
J9181 $0.00 HCPCS / CPT® ETOPOSIDE INJECTION
J9185 $0.00 HCPCS / CPT® FLUDARABINE PHOSPHATE INJ
J9190 $0.00 HCPCS / CPT® FLUOROURACIL INJECTION
J9200 $0.00 HCPCS / CPT® FLOXURIDINE INJECTION
J9201 $0.00 HCPCS / CPT® GEMCITABINE HCL INJECTION
J9202 $0.00 HCPCS / CPT® GOSERELIN ACETATE IMPLANT
J9205 $0.00 HCPCS / CPT® INJ IRINOTECAN LIPOSOME 1 MG
J9206 $0.00 HCPCS / CPT® IRINOTECAN INJECTION
J9207 $0.00 HCPCS / CPT® IXABEPILONE INJECTION
J9208 $0.00 HCPCS / CPT® IFOSFAMIDE INJECTION
J9209 $0.00 HCPCS / CPT® MESNA INJECTION
J9211 $0.00 HCPCS / CPT® IDARUBICIN HCL INJECTION
J9212 $0.00 HCPCS / CPT® INTERFERON ALFACON-1 INJ
J9213 $0.00 HCPCS / CPT® INTERFERON ALFA-2A INJ
J9214 $0.00 HCPCS / CPT® INTERFERON ALFA-2B INJ
J9215 $0.00 HCPCS / CPT® INTERFERON ALFA-N3 INJ
J9216 $0.00 HCPCS / CPT® INTERFERON GAMMA 1-B INJ
J9217 $0.00 HCPCS / CPT® LEUPROLIDE ACETATE SUSPNSION
J9218 $0.00 HCPCS / CPT® LEUPROLIDE ACETATE INJECITON
J9219 $0.00 HCPCS / CPT® LEUPROLIDE ACETATE IMPLANT
J9225 $0.00 HCPCS / CPT® VANTAS IMPLANT
J9226 $0.00 HCPCS / CPT® SUPPRELIN LA IMPLANT
J9228 $0.00 HCPCS / CPT® IPILIMUMAB INJECTION
J9230 $0.00 HCPCS / CPT® MECHLORETHAMINE HCL INJ
J9245 $0.00 HCPCS / CPT® INJ MELPHALAN HYDROCHL 50 MG
J9250 $0.00 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9260 $0.00 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9261 $0.00 HCPCS / CPT® NELARABINE INJECTION
J9262 $0.00 HCPCS / CPT® INJ, OMACETAXINE MEP, 0.01MG
J9263 $0.00 HCPCS / CPT® OXALIPLATIN
J9264 $0.00 HCPCS / CPT® PACLITAXEL PROTEIN BOUND
J9266 $0.00 HCPCS / CPT® PEGASPARGASE INJECTION
J9267 $0.00 HCPCS / CPT® PACLITAXEL INJECTION
J9268 $0.00 HCPCS / CPT® PENTOSTATIN INJECTION
J9270 $0.00 HCPCS / CPT® PLICAMYCIN (MITHRAMYCIN) INJ
J9271 $0.00 HCPCS / CPT® INJ PEMBROLIZUMAB
J9280 $0.00 HCPCS / CPT® MITOMYCIN INJECTION
J9293 $0.00 HCPCS / CPT® MITOXANTRONE HYDROCHL / 5 MG
J9295 $0.00 HCPCS / CPT® INJECTION, NECITUMUMAB, 1 MG
J9299 $0.00 HCPCS / CPT® INJECTION, NIVOLUMAB
J9300 $0.00 HCPCS / CPT® GEMTUZUMAB OZOGAMICIN INJ
J9301 $0.00 HCPCS / CPT® OBINUTUZUMAB INJ
J9302 $0.00 HCPCS / CPT® OFATUMUMAB INJECTION
J9303 $0.00 HCPCS / CPT® PANITUMUMAB INJECTION
J9305 $0.00 HCPCS / CPT® PEMETREXED INJECTION
J9306 $0.00 HCPCS / CPT® INJECTION, PERTUZUMAB, 1 MG
J9307 $0.00 HCPCS / CPT® PRALATREXATE INJECTION
J9308 $0.00 HCPCS / CPT® INJECTION, RAMUCIRUMAB
J9310 $0.00 HCPCS / CPT® RITUXIMAB INJECTION
J9315 $0.00 HCPCS / CPT® ROMIDEPSIN INJECTION
J9320 $0.00 HCPCS / CPT® STREPTOZOCIN INJECTION
J9325 $0.00 HCPCS / CPT® INJ TALIMOGENE LAHERPAREPVEC
J9328 $0.00 HCPCS / CPT® TEMOZOLOMIDE INJECTION
J9330 $0.00 HCPCS / CPT® TEMSIROLIMUS INJECTION
J9340 $0.00 HCPCS / CPT® THIOTEPA INJECTION
J9351 $0.00 HCPCS / CPT® TOPOTECAN INJECTION
J9352 $0.00 HCPCS / CPT® INJECTION TRABECTEDIN 0.1MG
J9354 $0.00 HCPCS / CPT® INJ, ADO-TRASTUZUMAB EMT 1MG
J9355 $0.00 HCPCS / CPT® TRASTUZUMAB INJECTION
J9357 $0.00 HCPCS / CPT® VALRUBICIN INJECTION
J9360 $0.00 HCPCS / CPT® VINBLASTINE SULFATE INJ
J9370 $0.00 HCPCS / CPT® VINCRISTINE SULFATE 1 MG INJ
J9371 $0.00 HCPCS / CPT® INJ, VINCRISTINE SUL LIP 1MG
J9390 $0.00 HCPCS / CPT® VINORELBINE TARTRATE INJ
J9395 $0.00 HCPCS / CPT® INJECTION, FULVESTRANT
J9400 $0.00 HCPCS / CPT® INJ, ZIV-AFLIBERCEPT, 1MG
J9600 $0.00 HCPCS / CPT® PORFIMER SODIUM INJECTION
J9999 $0.00 HCPCS / CPT® CHEMOTHERAPY DRUG
K0001 $0.00 HCPCS / CPT® STANDARD WHEELCHAIR
K0002 $0.00 HCPCS / CPT® STND HEMI (LOW SEAT) WHLCHR
K0003 $0.00 HCPCS / CPT® LIGHTWEIGHT WHEELCHAIR
K0004 $0.00 HCPCS / CPT® HIGH STRENGTH LTWT WHLCHR
K0005 $0.00 HCPCS / CPT® ULTRALIGHTWEIGHT WHEELCHAIR
K0006 $0.00 HCPCS / CPT® HEAVY DUTY WHEELCHAIR
K0007 $0.00 HCPCS / CPT® EXTRA HEAVY DUTY WHEELCHAIR
K0008 $0.00 HCPCS / CPT® CSTM MANUAL WHEELCHAIR/BASE
K0009 $0.00 HCPCS / CPT® OTHER MANUAL WHEELCHAIR/BASE
K0010 $0.00 HCPCS / CPT® STND WT FRAME POWER WHLCHR
K0011 $0.00 HCPCS / CPT® STND WT PWR WHLCHR W CONTROL
K0012 $0.00 HCPCS / CPT® LTWT PORTBL POWER WHLCHR
K0013 $0.00 HCPCS / CPT® CUSTOM POWER WHLCHR BASE
K0014 $0.00 HCPCS / CPT® OTHER POWER WHLCHR BASE
K0015 $0.00 HCPCS / CPT® DETACH NON-ADJ HT ARMRST REP
K0017 $0.00 HCPCS / CPT® DETACH ADJUST ARMREST BASE
K0018 $0.00 HCPCS / CPT® DETACH ADJUST ARMRST UPPER
K0019 $0.00 HCPCS / CPT® ARM PAD REPL, EACH
K0020 $0.00 HCPCS / CPT® FIXED ADJUST ARMREST PAIR
K0037 $0.00 HCPCS / CPT® HI MOUNT FLIP-UP FTREST REPL
K0038 $0.00 HCPCS / CPT® LEG STRAP EACH
K0039 $0.00 HCPCS / CPT® LEG STRAP H STYLE EACH
K0040 $0.00 HCPCS / CPT® ADJUSTABLE ANGLE FOOTPLATE
K0041 $0.00 HCPCS / CPT® LARGE SIZE FOOTPLATE EACH
K0042 $0.00 HCPCS / CPT® STANDARD SIZE FTPLATE REP EA
K0043 $0.00 HCPCS / CPT® FTRST LOWR EXTEN TUBE REP EA
K0044 $0.00 HCPCS / CPT® FTRST UPR HANGER BRAC REP EA
K0045 $0.00 HCPCS / CPT® FTRST COMPL ASSEMBLY REPL EA
K0046 $0.00 HCPCS / CPT® ELEV LGRST LWR EXTEN REPL EA
K0047 $0.00 HCPCS / CPT® ELEV LEGRST UPR HANGR REP EA
K0050 $0.00 HCPCS / CPT® RATCHET ASSEMBLY REPLACEMENT
K0051 $0.00 HCPCS / CPT® CAM REL ASM FT/LEGRST REP EA
K0052 $0.00 HCPCS / CPT® SWINGAWAY DETACH FTREST REPL
K0053 $0.00 HCPCS / CPT® ELEVATE FOOTREST ARTICULATE
K0056 $0.00 HCPCS / CPT® SEAT HT <17 OR >=21 LTWT WC
K0065 $0.00 HCPCS / CPT® SPOKE PROTECTORS
K0069 $0.00 HCPCS / CPT® RR WHL COMPL SOL TIRE REP EA
K0070 $0.00 HCPCS / CPT® RR WHL COMPL PNE TIRE REP EA
K0071 $0.00 HCPCS / CPT® FR CSTR COMP PNE TIRE REP EA
K0072 $0.00 HCPCS / CPT® FR CSTR SEMI-PNE TIRE REP EA
K0073 $0.00 HCPCS / CPT® CASTER PIN LOCK EACH
K0077 $0.00 HCPCS / CPT® FR CSTR ASMB SOL TIRE REP EA
K0098 $0.00 HCPCS / CPT® DRIVE BELT FOR PWC, REPL
K0105 $0.00 HCPCS / CPT® IV HANGER
K0108 $0.00 HCPCS / CPT® W/C COMPONENT-ACCESSORY NOS
K0195 $0.00 HCPCS / CPT® ELEVATING WHLCHAIR LEG RESTS
K0455 $0.00 HCPCS / CPT® PUMP UNINTERRUPTED INFUSION
K0462 $0.00 HCPCS / CPT® TEMPORARY REPLACEMENT EQPMNT
K0552 $0.00 HCPCS / CPT® SUP/EXT NON-INS INF PUMP SYR
K0601 $0.00 HCPCS / CPT® REPL BATT SILVER OXIDE 1.5 V
K0602 $0.00 HCPCS / CPT® REPL BATT SILVER OXIDE 3 V
K0603 $0.00 HCPCS / CPT® REPL BATT ALKALINE 1.5 V
K0604 $0.00 HCPCS / CPT® REPL BATT LITHIUM 3.6 V
K0605 $0.00 HCPCS / CPT® REPL BATT LITHIUM 4.5 V
K0606 $0.00 HCPCS / CPT® AED GARMENT W ELEC ANALYSIS
K0607 $0.00 HCPCS / CPT® REPL BATT FOR AED
K0608 $0.00 HCPCS / CPT® REPL GARMENT FOR AED
K0609 $0.00 HCPCS / CPT® REPL ELECTRODE FOR AED
K0669 $0.00 HCPCS / CPT® SEAT/BACK CUS NO DMEPDAC VER
K0672 $0.00 HCPCS / CPT® REMOVABLE SOFT INTERFACE LE
K0730 $0.00 HCPCS / CPT® CTRL DOSE INH DRUG DELIV SYS
K0733 $0.00 HCPCS / CPT® 12-24HR SEALED LEAD ACID
K0738 $0.00 HCPCS / CPT® PORTABLE GAS OXYGEN SYSTEM
K0739 $0.00 HCPCS / CPT® REPAIR/SVC DME NON-OXYGEN EQ
K0740 $0.00 HCPCS / CPT® REPAIR/SVC OXYGEN EQUIPMENT
K0743 $0.00 HCPCS / CPT® PORTABLE HOME SUCTION PUMP
K0744 $0.00 HCPCS / CPT® ABSORP DRG <= 16 SUC PUMP
K0745 $0.00 HCPCS / CPT® ABSORP DRG >16<=48 SUC PUMP
K0746 $0.00 HCPCS / CPT® ABSORP DRG >48 SUC PUMP
K0800 $0.00 HCPCS / CPT® POV GROUP 1 STD UP TO 300LBS
K0801 $0.00 HCPCS / CPT® POV GROUP 1 HD 301-450 LBS
K0802 $0.00 HCPCS / CPT® POV GROUP 1 VHD 451-600 LBS
K0806 $0.00 HCPCS / CPT® POV GROUP 2 STD UP TO 300LBS
K0807 $0.00 HCPCS / CPT® POV GROUP 2 HD 301-450 LBS
K0808 $0.00 HCPCS / CPT® POV GROUP 2 VHD 451-600 LBS
K0812 $0.00 HCPCS / CPT® POWER OPERATED VEHICLE NOC
K0813 $0.00 HCPCS / CPT® PWC GP 1 STD PORT SEAT/BACK
K0814 $0.00 HCPCS / CPT® PWC GP 1 STD PORT CAP CHAIR
K0815 $0.00 HCPCS / CPT® PWC GP 1 STD SEAT/BACK
K0816 $0.00 HCPCS / CPT® PWC GP 1 STD CAP CHAIR
K0820 $0.00 HCPCS / CPT® PWC GP 2 STD PORT SEAT/BACK
K0821 $0.00 HCPCS / CPT® PWC GP 2 STD PORT CAP CHAIR
K0822 $0.00 HCPCS / CPT® PWC GP 2 STD SEAT/BACK
K0823 $0.00 HCPCS / CPT® PWC GP 2 STD CAP CHAIR
K0824 $0.00 HCPCS / CPT® PWC GP 2 HD SEAT/BACK
K0825 $0.00 HCPCS / CPT® PWC GP 2 HD CAP CHAIR
K0826 $0.00 HCPCS / CPT® PWC GP 2 VHD SEAT/BACK
K0827 $0.00 HCPCS / CPT® PWC GP VHD CAP CHAIR
K0828 $0.00 HCPCS / CPT® PWC GP 2 XTRA HD SEAT/BACK
K0829 $0.00 HCPCS / CPT® PWC GP 2 XTRA HD CAP CHAIR
K0830 $0.00 HCPCS / CPT® PWC GP2 STD SEAT ELEVATE S/B
K0831 $0.00 HCPCS / CPT® PWC GP2 STD SEAT ELEVATE CAP
K0835 $0.00 HCPCS / CPT® PWC GP2 STD SING POW OPT S/B
K0836 $0.00 HCPCS / CPT® PWC GP2 STD SING POW OPT CAP
K0837 $0.00 HCPCS / CPT® PWC GP 2 HD SING POW OPT S/B
K0838 $0.00 HCPCS / CPT® PWC GP 2 HD SING POW OPT CAP
K0839 $0.00 HCPCS / CPT® PWC GP2 VHD SING POW OPT S/B
K0840 $0.00 HCPCS / CPT® PWC GP2 XHD SING POW OPT S/B
K0841 $0.00 HCPCS / CPT® PWC GP2 STD MULT POW OPT S/B
K0842 $0.00 HCPCS / CPT® PWC GP2 STD MULT POW OPT CAP
K0843 $0.00 HCPCS / CPT® PWC GP2 HD MULT POW OPT S/B
K0848 $0.00 HCPCS / CPT® PWC GP 3 STD SEAT/BACK
K0849 $0.00 HCPCS / CPT® PWC GP 3 STD CAP CHAIR
K0850 $0.00 HCPCS / CPT® PWC GP 3 HD SEAT/BACK
K0851 $0.00 HCPCS / CPT® PWC GP 3 HD CAP CHAIR
K0852 $0.00 HCPCS / CPT® PWC GP 3 VHD SEAT/BACK
K0853 $0.00 HCPCS / CPT® PWC GP 3 VHD CAP CHAIR
K0854 $0.00 HCPCS / CPT® PWC GP 3 XHD SEAT/BACK
K0855 $0.00 HCPCS / CPT® PWC GP 3 XHD CAP CHAIR
K0856 $0.00 HCPCS / CPT® PWC GP3 STD SING POW OPT S/B
K0857 $0.00 HCPCS / CPT® PWC GP3 STD SING POW OPT CAP
K0858 $0.00 HCPCS / CPT® PWC GP3 HD SING POW OPT S/B
K0859 $0.00 HCPCS / CPT® PWC GP3 HD SING POW OPT CAP
K0860 $0.00 HCPCS / CPT® PWC GP3 VHD SING POW OPT S/B
K0861 $0.00 HCPCS / CPT® PWC GP3 STD MULT POW OPT S/B
K0862 $0.00 HCPCS / CPT® PWC GP3 HD MULT POW OPT S/B
K0863 $0.00 HCPCS / CPT® PWC GP3 VHD MULT POW OPT S/B
K0864 $0.00 HCPCS / CPT® PWC GP3 XHD MULT POW OPT S/B
K0868 $0.00 HCPCS / CPT® PWC GP 4 STD SEAT/BACK
K0869 $0.00 HCPCS / CPT® PWC GP 4 STD CAP CHAIR
K0870 $0.00 HCPCS / CPT® PWC GP 4 HD SEAT/BACK
K0871 $0.00 HCPCS / CPT® PWC GP 4 VHD SEAT/BACK
K0877 $0.00 HCPCS / CPT® PWC GP4 STD SING POW OPT S/B
K0878 $0.00 HCPCS / CPT® PWC GP4 STD SING POW OPT CAP
K0879 $0.00 HCPCS / CPT® PWC GP4 HD SING POW OPT S/B
K0880 $0.00 HCPCS / CPT® PWC GP4 VHD SING POW OPT S/B
K0884 $0.00 HCPCS / CPT® PWC GP4 STD MULT POW OPT S/B
K0885 $0.00 HCPCS / CPT® PWC GP4 STD MULT POW OPT CAP
K0886 $0.00 HCPCS / CPT® PWC GP4 HD MULT POW S/B
K0890 $0.00 HCPCS / CPT® PWC GP5 PED SING POW OPT S/B
K0891 $0.00 HCPCS / CPT® PWC GP5 PED MULT POW OPT S/B
K0898 $0.00 HCPCS / CPT® POWER WHEELCHAIR NOC
K0899 $0.00 HCPCS / CPT® POW MOBIL DEV NO DMEPDAC
K0900 $0.00 HCPCS / CPT® CSTM DME OTHER THAN WHEELCHR
L0112 $0.00 HCPCS / CPT® CRANIAL CERVICAL ORTHOSIS
L0113 $0.00 HCPCS / CPT® CRANIAL CERVICAL TORTICOLLIS
L0120 $162.33 HCPCS / CPT® CERV FLEXIBLE NON-ADJUSTABLE
L0130 $0.00 HCPCS / CPT® FLEX THERMOPLASTIC COLLAR MO
L0140 $0.00 HCPCS / CPT® CERVICAL SEMI-RIGID ADJUSTAB
L0150 $716.25 HCPCS / CPT® CERV SEMI-RIG ADJ MOLDED CHN
L0160 $0.00 HCPCS / CPT® CERV SR WIRE OCC/MAN PRE OTS
L0170 $0.00 HCPCS / CPT® CERVICAL COLLAR MOLDED TO PT
L0172 $53.58 HCPCS / CPT® CERV COL THERMPLAS FOAM 2 PI
L0174 $0.00 HCPCS / CPT® CERV SR 2PC THOR EXT PRE OTS
L0180 $0.00 HCPCS / CPT® CER POST COL OCC/MAN SUP ADJ
L0190 $0.00 HCPCS / CPT® CERV COLLAR SUPP ADJ CERV BA
L0200 $0.00 HCPCS / CPT® CERV COL SUPP ADJ BAR & THOR
L0220 $0.00 HCPCS / CPT® THOR RIB BELT CUSTOM FABRICA
L0450 $0.00 HCPCS / CPT® TLSO FLEX TRUNK/THOR PRE OTS
L0452 $0.00 HCPCS / CPT® TLSO FLEX CUSTOM FAB THORACI
L0454 $0.00 HCPCS / CPT® TLSO TRNK SJ-T9 PRE CST
L0455 $0.00 HCPCS / CPT® TLSO FLEX TRNK SJ-T9 PRE OTS
L0456 $0.00 HCPCS / CPT® TLSO FLEX TRNK SJ-SS PRE CST
L0457 $0.00 HCPCS / CPT® TLSO FLEX TRNK SJ-SS PRE OTS
L0458 $0.00 HCPCS / CPT® TLSO 2MOD SYMPHIS-XIPHO PRE
L0460 $0.00 HCPCS / CPT® TLSO 2 SHL SYMPHYS-STERN CST
L0462 $0.00 HCPCS / CPT® TLSO 3MOD SACRO-SCAP PRE
L0464 $0.00 HCPCS / CPT® TLSO 4MOD SACRO-SCAP PRE
L0466 $0.00 HCPCS / CPT® TLSO R FRAM SOFT ANT PRE CST
L0467 $0.00 HCPCS / CPT® TLSO R FRAM SOFT PRE OTS
L0468 $0.00 HCPCS / CPT® TLSO RIG FRAM PELVIC PRE CST
L0469 $0.00 HCPCS / CPT® TLSO RIG FRAM PELVIC PRE OTS
L0470 $0.00 HCPCS / CPT® TLSO RIGID FRAME PRE SUBCLAV
L0472 $0.00 HCPCS / CPT® TLSO RIGID FRAME HYPEREX PRE
L0480 $0.00 HCPCS / CPT® TLSO RIGID PLASTIC CUSTOM FA
L0482 $0.00 HCPCS / CPT® TLSO RIGID LINED CUSTOM FAB
L0484 $0.00 HCPCS / CPT® TLSO RIGID PLASTIC CUST FAB
L0486 $0.00 HCPCS / CPT® TLSO RIGIDLINED CUST FAB TWO
L0488 $0.00 HCPCS / CPT® TLSO RIGID LINED PRE ONE PIE
L0490 $0.00 HCPCS / CPT® TLSO RIGID PLASTIC PRE ONE
L0491 $0.00 HCPCS / CPT® TLSO 2 PIECE RIGID SHELL
L0492 $0.00 HCPCS / CPT® TLSO 3 PIECE RIGID SHELL
L0621 $0.00 HCPCS / CPT® SIO FLEX PELVIC/SACR PRE OTS
L0622 $0.00 HCPCS / CPT® SIO FLEX PELVISACRAL CUSTOM
L0623 $0.00 HCPCS / CPT® SIO RIG PNL PELV/SAC PRE OTS
L0624 $0.00 HCPCS / CPT® SIO PANEL CUSTOM
L0625 $250.00 HCPCS / CPT® LO FLEX L1-BELOW L5 PRE OTS
L0626 $0.00 HCPCS / CPT® LO SAG RIG PNL STAYS PRE CST
L0627 $0.00 HCPCS / CPT® LO SAG RI AN/POS PNL PRE CST
L0628 $0.00 HCPCS / CPT® LSO FLEX NO RI STAYS PRE OTS
L0629 $0.00 HCPCS / CPT® LSO FLEX W/RIGID STAYS CUST
L0630 $0.00 HCPCS / CPT® LSO R POST PNL SJ-T9 PRE CST
L0631 $0.00 HCPCS / CPT® LSO SAG R AN/POS PNL PRE CST
L0632 $0.00 HCPCS / CPT® LSO SAG RIGID FRAME CUST
L0633 $0.00 HCPCS / CPT® LSO SC R POS/LAT PNL PRE CST
L0634 $0.00 HCPCS / CPT® LSO FLEXION CONTROL CUSTOM
L0635 $0.00 HCPCS / CPT® LSO SAGIT RIGID PANEL PREFAB
L0636 $0.00 HCPCS / CPT® LSO SAGITTAL RIGID PANEL CUS
L0637 $0.00 HCPCS / CPT® LSO SC R ANT/POS PNL PRE CST
L0638 $0.00 HCPCS / CPT® LSO SAG-CORONAL PANEL CUSTOM
L0639 $0.00 HCPCS / CPT® LSO S/C SHELL/PANEL PREFAB
L0640 $0.00 HCPCS / CPT® LSO S/C SHELL/PANEL CUSTOM
L0641 $0.00 HCPCS / CPT® LO RIG POS PNL L1-L5 PRE OTS
L0642 $0.00 HCPCS / CPT® LO SAG RI AN/POS PNL PRE OTS
L0643 $0.00 HCPCS / CPT® LSO SAG CTR RIGI POS PRE OTS
L0648 $0.00 HCPCS / CPT® LSO SAG R AN/POS PNL PRE OTS
L0649 $0.00 HCPCS / CPT® LSO SC R POS/LAT PNL PRE OTS
L0650 $0.00 HCPCS / CPT® LSO SC R ANT/POS PNL PRE OTS
L0651 $0.00 HCPCS / CPT® LSO SAG-CO SHELL PNL PRE OTS
L0700 $0.00 HCPCS / CPT® CTLSO A-P-L CONTROL MOLDED
L0710 $0.00 HCPCS / CPT® CTLSO A-P-L CONTROL W/ INTER
L0810 $0.00 HCPCS / CPT® HALO CERVICAL INTO JCKT VEST
L0820 $0.00 HCPCS / CPT® HALO CERVICAL INTO BODY JACK
L0830 $0.00 HCPCS / CPT® HALO CERV INTO MILWAUKEE TYP
L0859 $0.00 HCPCS / CPT® MRI COMPATIBLE SYSTEM
L0861 $0.00 HCPCS / CPT® HALO REPL LINER/INTERFACE
L0970 $0.00 HCPCS / CPT® TLSO CORSET FRONT
L0972 $0.00 HCPCS / CPT® LSO CORSET FRONT
L0974 $0.00 HCPCS / CPT® TLSO FULL CORSET
L0976 $0.00 HCPCS / CPT® LSO FULL CORSET
L0978 $1306.87 HCPCS / CPT® AXILLARY CRUTCH EXTENSION
L0980 $0.00 HCPCS / CPT® PERONEAL STRAPS PAIR PRE OTS
L0982 $0.00 HCPCS / CPT® STOCKING SUP GRIPS 4 PRE OTS
L0984 $0.00 HCPCS / CPT® PROTECT BODY SOCK EA PRE OTS
L0999 $0.00 HCPCS / CPT® ADD TO SPINAL ORTHOSIS NOS
L1000 $0.00 HCPCS / CPT® CTLSO MILWAUKE INITIAL MODEL
L1001 $0.00 HCPCS / CPT® CTLSO INFANT IMMOBILIZER
L1005 $0.00 HCPCS / CPT® TENSION BASED SCOLIOSIS ORTH
L1010 $0.00 HCPCS / CPT® CTLSO AXILLA SLING
L1020 $0.00 HCPCS / CPT® KYPHOSIS PAD
L1025 $0.00 HCPCS / CPT® KYPHOSIS PAD FLOATING
L1030 $0.00 HCPCS / CPT® LUMBAR BOLSTER PAD
L1040 $0.00 HCPCS / CPT® LUMBAR OR LUMBAR RIB PAD
L1050 $0.00 HCPCS / CPT® STERNAL PAD
L1060 $0.00 HCPCS / CPT® THORACIC PAD
L1070 $0.00 HCPCS / CPT® TRAPEZIUS SLING
L1080 $0.00 HCPCS / CPT® OUTRIGGER
L1085 $0.00 HCPCS / CPT® OUTRIGGER BIL W/ VERT EXTENS
L1090 $0.00 HCPCS / CPT® LUMBAR SLING
L1100 $0.00 HCPCS / CPT® RING FLANGE PLASTIC/LEATHER
L1110 $0.00 HCPCS / CPT® RING FLANGE PLAS/LEATHER MOL
L1120 $0.00 HCPCS / CPT® COVERS FOR UPRIGHT EACH
L1200 $0.00 HCPCS / CPT® FURNSH INITIAL ORTHOSIS ONLY
L1210 $0.00 HCPCS / CPT® LATERAL THORACIC EXTENSION
L1220 $0.00 HCPCS / CPT® ANTERIOR THORACIC EXTENSION
L1230 $0.00 HCPCS / CPT® MILWAUKEE TYPE SUPERSTRUCTUR
L1240 $0.00 HCPCS / CPT® LUMBAR DEROTATION PAD
L1250 $0.00 HCPCS / CPT® ANTERIOR ASIS PAD
L1260 $0.00 HCPCS / CPT® ANTERIOR THORACIC DEROTATION
L1270 $0.00 HCPCS / CPT® ABDOMINAL PAD
L1280 $0.00 HCPCS / CPT® RIB GUSSET (ELASTIC) EACH
L1290 $0.00 HCPCS / CPT® LATERAL TROCHANTERIC PAD
L1300 $0.00 HCPCS / CPT® BODY JACKET MOLD TO PATIENT
L1310 $0.00 HCPCS / CPT® POST-OPERATIVE BODY JACKET
L1499 $0.00 HCPCS / CPT® SPINAL ORTHOSIS NOS
L1600 $0.00 HCPCS / CPT® HO FLEX FREJKA W/COV PRE CST
L1610 $0.00 HCPCS / CPT® HO FREJKA COV ONLY PRE CST
L1620 $0.00 HCPCS / CPT® HO FLEX PAVLIK HARNS PRE CST
L1630 $0.00 HCPCS / CPT® ABDUCT CONTROL HIP SEMI-FLEX
L1640 $0.00 HCPCS / CPT® PELV BAND/SPREAD BAR THIGH C
L1650 $0.00 HCPCS / CPT® HO ABDUCTION HIP ADJUSTABLE
L1652 $0.00 HCPCS / CPT® HO BI THIGHCUFFS W SPRDR BAR
L1660 $0.00 HCPCS / CPT® HO ABDUCTION STATIC PLASTIC
L1680 $0.00 HCPCS / CPT® PELVIC & HIP CONTROL THIGH C
L1685 $0.00 HCPCS / CPT® POST-OP HIP ABDUCT CUSTOM FA
L1686 $0.00 HCPCS / CPT® HO POST-OP HIP ABDUCTION
L1690 $0.00 HCPCS / CPT® COMBINATION BILATERAL HO
L1700 $0.00 HCPCS / CPT® LEG PERTHES ORTH TORONTO TYP
L1710 $0.00 HCPCS / CPT® LEGG PERTHES ORTH NEWINGTON
L1720 $0.00 HCPCS / CPT® LEGG PERTHES ORTHOSIS TRILAT
L1730 $0.00 HCPCS / CPT® LEGG PERTHES ORTH SCOTTISH R
L1755 $0.00 HCPCS / CPT® LEGG PERTHES PATTEN BOTTOM T
L1810 $0.00 HCPCS / CPT® KO ELASTIC WITH JOINTS
L1812 $0.00 HCPCS / CPT® KO ELASTIC W/JOINTS PRE OTS
L1820 $0.00 HCPCS / CPT® KO ELAS W/ CONDYLE PADS & JO
L1830 $31.88 HCPCS / CPT® Knee – KO IMMOBILIZER CANVAS LONGIT
L1831 $0.00 HCPCS / CPT® KNEE ORTH POS LOCKING JOINT
L1832 $0.00 HCPCS / CPT® KO ADJ JNT POS R SUP PRE CST
L1833 $0.00 HCPCS / CPT® KO ADJ JNT POS R SUP PRE OTS
L1834 $0.00 HCPCS / CPT® KO W/0 JOINT RIGID MOLDED TO
L1836 $0.00 HCPCS / CPT® KO RIGID W/O JOINTS PRE OTS
L1840 $0.00 HCPCS / CPT® KO DEROT ANT CRUCIATE CUSTOM
L1843 $0.00 HCPCS / CPT® KO SINGLE UPRIGHT PRE CST
L1844 $0.00 HCPCS / CPT® KO W/ADJ JT ROT CNTRL MOLDED
L1845 $0.00 HCPCS / CPT® KO DOUBLE UPRIGHT PRE CST
L1846 $0.00 HCPCS / CPT® KO W ADJ FLEX/EXT ROTAT MOLD
L1847 $0.00 HCPCS / CPT® KO DBL UPRIGHT W/AIR PRE CST
L1848 $0.00 HCPCS / CPT® KO DBL UPRIGHT W/AIR PRE OTS
L1850 $0.00 HCPCS / CPT® KO SWEDISH TYPE PRE OTS
L1851 $0.00 HCPCS / CPT® KO SINGLE UPRIGHT PREFAB OTS
L1852 $0.00 HCPCS / CPT® KO DOUBLE UPRIGHT PREFAB OTS
L1860 $0.00 HCPCS / CPT® KO SUPRACONDYLAR SOCKET MOLD
L1900 $0.00 HCPCS / CPT® AFO SPRNG WIR DRSFLX CALF BD
L1902 $587.72 HCPCS / CPT® ANKLE FOOT ORTHOSIS
L1904 $0.00 HCPCS / CPT® AFO MOLDED ANKLE GAUNTLET
L1906 $174.27 HCPCS / CPT® AFO MULTILIGAMENTUS ANKLE SU
L1907 $0.00 HCPCS / CPT® AFO SUPRAMALLEOLAR CUSTOM
L1910 $0.00 HCPCS / CPT® AFO SING BAR CLASP ATTACH SH
L1920 $0.00 HCPCS / CPT® AFO SING UPRIGHT W/ ADJUST S
L1930 $1802.99 HCPCS / CPT® ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
L1932 $0.00 HCPCS / CPT® AFO RIG ANT TIB PREFAB TCF/=
L1940 $0.00 HCPCS / CPT® AFO MOLDED TO PATIENT PLASTI
L1945 $0.00 HCPCS / CPT® AFO MOLDED PLAS RIG ANT TIB
L1950 $0.00 HCPCS / CPT® AFO SPIRAL MOLDED TO PT PLAS
L1951 $0.00 HCPCS / CPT® AFO SPIRAL PREFABRICATED
L1960 $0.00 HCPCS / CPT® AFO POS SOLID ANK PLASTIC MO
L1970 $0.00 HCPCS / CPT® AFO PLASTIC MOLDED W/ANKLE J
L1971 $0.00 HCPCS / CPT® AFO W/ANKLE JOINT, PREFAB
L1980 $0.00 HCPCS / CPT® AFO SING SOLID STIRRUP CALF
L1990 $0.00 HCPCS / CPT® AFO DOUB SOLID STIRRUP CALF
L2000 $0.00 HCPCS / CPT® KAFO SING FRE STIRR THI/CALF
L2005 $0.00 HCPCS / CPT® KAFO SNG/DBL MECHANICAL ACT
L2010 $0.00 HCPCS / CPT® KAFO SNG SOLID STIRRUP W/O J
L2020 $0.00 HCPCS / CPT® KAFO DBL SOLID STIRRUP BAND/
L2030 $0.00 HCPCS / CPT® KAFO DBL SOLID STIRRUP W/O J
L2034 $0.00 HCPCS / CPT® KAFO PLA SIN UP W/WO K/A CUS
L2035 $0.00 HCPCS / CPT® KAFO PLASTIC PEDIATRIC SIZE
L2036 $0.00 HCPCS / CPT® KAFO PLAS DOUB FREE KNEE MOL
L2037 $0.00 HCPCS / CPT® KAFO PLAS SING FREE KNEE MOL
L2038 $0.00 HCPCS / CPT® KAFO W/O JOINT MULTI-AXIS AN
L2040 $0.00 HCPCS / CPT® HKAFO TORSION BIL ROT STRAPS
L2050 $0.00 HCPCS / CPT® HKAFO TORSION CABLE HIP PELV
L2060 $0.00 HCPCS / CPT® HKAFO TORSION BALL BEARING J
L2070 $0.00 HCPCS / CPT® HKAFO TORSION UNILAT ROT STR
L2080 $0.00 HCPCS / CPT® HKAFO UNILAT TORSION CABLE
L2090 $0.00 HCPCS / CPT® HKAFO UNILAT TORSION BALL BR
L2106 $0.00 HCPCS / CPT® AFO TIB FX CAST PLASTER MOLD
L2108 $0.00 HCPCS / CPT® AFO TIB FX CAST MOLDED TO PT
L2112 $0.00 HCPCS / CPT® AFO TIBIAL FRACTURE SOFT
L2114 $0.00 HCPCS / CPT® AFO TIB FX SEMI-RIGID
L2116 $0.00 HCPCS / CPT® AFO TIBIAL FRACTURE RIGID
L2126 $0.00 HCPCS / CPT® KAFO FEM FX CAST THERMOPLAS
L2128 $0.00 HCPCS / CPT® KAFO FEM FX CAST MOLDED TO P
L2132 $0.00 HCPCS / CPT® KAFO FEMORAL FX CAST SOFT
L2134 $0.00 HCPCS / CPT® KAFO FEM FX CAST SEMI-RIGID
L2136 $0.00 HCPCS / CPT® KAFO FEMORAL FX CAST RIGID
L2180 $0.00 HCPCS / CPT® PLAS SHOE INSERT W ANK JOINT
L2182 $0.00 HCPCS / CPT® DROP LOCK KNEE
L2184 $0.00 HCPCS / CPT® LIMITED MOTION KNEE JOINT
L2186 $0.00 HCPCS / CPT® ADJ MOTION KNEE JNT LERMAN T
L2188 $0.00 HCPCS / CPT® QUADRILATERAL BRIM
L2190 $0.00 HCPCS / CPT® WAIST BELT
L2192 $0.00 HCPCS / CPT® PELVIC BAND & BELT THIGH FLA
L2200 $0.00 HCPCS / CPT® LIMITED ANKLE MOTION EA JNT
L2210 $0.00 HCPCS / CPT® DORSIFLEXION ASSIST EACH JOI
L2220 $0.00 HCPCS / CPT® DORSI & PLANTAR FLEX ASS/RES
L2230 $0.00 HCPCS / CPT® SPLIT FLAT CALIPER STIRR & P
L2232 $0.00 HCPCS / CPT® ROCKER BOTTOM, CONTACT AFO
L2240 $0.00 HCPCS / CPT® ROUND CALIPER AND PLATE ATTA
L2250 $0.00 HCPCS / CPT® FOOT PLATE MOLDED STIRRUP AT
L2260 $0.00 HCPCS / CPT® REINFORCED SOLID STIRRUP
L2265 $0.00 HCPCS / CPT® LONG TONGUE STIRRUP
L2270 $0.00 HCPCS / CPT® VARUS/VALGUS STRAP PADDED/LI
L2275 $0.00 HCPCS / CPT® PLASTIC MOD LOW EXT PAD/LINE
L2280 $0.00 HCPCS / CPT® MOLDED INNER BOOT
L2300 $0.00 HCPCS / CPT® ABDUCTION BAR JOINTED ADJUST
L2310 $0.00 HCPCS / CPT® ABDUCTION BAR-STRAIGHT
L2320 $0.00 HCPCS / CPT® NON-MOLDED LACER
L2330 $0.00 HCPCS / CPT® LACER MOLDED TO PATIENT MODE
L2335 $0.00 HCPCS / CPT® ANTERIOR SWING BAND
L2340 $0.00 HCPCS / CPT® PRE-TIBIAL SHELL MOLDED TO P
L2350 $0.00 HCPCS / CPT® PROSTHETIC TYPE SOCKET MOLDE
L2360 $0.00 HCPCS / CPT® EXTENDED STEEL SHANK
L2370 $0.00 HCPCS / CPT® PATTEN BOTTOM
L2375 $0.00 HCPCS / CPT® TORSION ANK & HALF SOLID STI
L2380 $0.00 HCPCS / CPT® TORSION STRAIGHT KNEE JOINT
L2385 $0.00 HCPCS / CPT® STRAIGHT KNEE JOINT HEAVY DU
L2387 $0.00 HCPCS / CPT® ADD LE POLY KNEE CUSTOM KAFO
L2390 $0.00 HCPCS / CPT® OFFSET KNEE JOINT EACH
L2395 $0.00 HCPCS / CPT® OFFSET KNEE JOINT HEAVY DUTY
L2397 $0.00 HCPCS / CPT® SUSPENSION SLEEVE LOWER EXT
L2405 $0.00 HCPCS / CPT® KNEE JOINT DROP LOCK EA JNT
L2415 $0.00 HCPCS / CPT® KNEE JOINT CAM LOCK EACH JOI
L2425 $0.00 HCPCS / CPT® KNEE DISC/DIAL LOCK/ADJ FLEX
L2430 $0.00 HCPCS / CPT® KNEE JNT RATCHET LOCK EA JNT
L2492 $0.00 HCPCS / CPT® KNEE LIFT LOOP DROP LOCK RIN
L2500 $0.00 HCPCS / CPT® THI/GLUT/ISCHIA WGT BEARING
L2510 $0.00 HCPCS / CPT® TH/WGHT BEAR QUAD-LAT BRIM M
L2520 $0.00 HCPCS / CPT® TH/WGHT BEAR QUAD-LAT BRIM C
L2525 $0.00 HCPCS / CPT® TH/WGHT BEAR NAR M-L BRIM MO
L2526 $0.00 HCPCS / CPT® TH/WGHT BEAR NAR M-L BRIM CU
L2530 $0.00 HCPCS / CPT® THIGH/WGHT BEAR LACER NON-MO
L2540 $0.00 HCPCS / CPT® THIGH/WGHT BEAR LACER MOLDED
L2550 $0.00 HCPCS / CPT® THIGH/WGHT BEAR HIGH ROLL CU
L2570 $0.00 HCPCS / CPT® HIP CLEVIS TYPE 2 POSIT JNT
L2580 $0.00 HCPCS / CPT® PELVIC CONTROL PELVIC SLING
L2600 $0.00 HCPCS / CPT® HIP CLEVIS/THRUST BEARING FR
L2610 $0.00 HCPCS / CPT® HIP CLEVIS/THRUST BEARING LO
L2620 $0.00 HCPCS / CPT® PELVIC CONTROL HIP HEAVY DUT
L2622 $0.00 HCPCS / CPT® HIP JOINT ADJUSTABLE FLEXION
L2624 $0.00 HCPCS / CPT® HIP ADJ FLEX EXT ABDUCT CONT
L2627 $0.00 HCPCS / CPT® PLASTIC MOLD RECIPRO HIP & C
L2628 $0.00 HCPCS / CPT® METAL FRAME RECIPRO HIP & CA
L2630 $0.00 HCPCS / CPT® PELVIC CONTROL BAND & BELT U
L2640 $0.00 HCPCS / CPT® PELVIC CONTROL BAND & BELT B
L2650 $0.00 HCPCS / CPT® PELV & THOR CONTROL GLUTEAL
L2660 $0.00 HCPCS / CPT® THORACIC CONTROL THORACIC BA
L2670 $0.00 HCPCS / CPT® THORAC CONT PARASPINAL UPRIG
L2680 $0.00 HCPCS / CPT® THORAC CONT LAT SUPPORT UPRI
L2750 $0.00 HCPCS / CPT® PLATING CHROME/NICKEL PR BAR
L2755 $0.00 HCPCS / CPT® CARBON GRAPHITE LAMINATION
L2760 $0.00 HCPCS / CPT® EXTENSION PER EXTENSION PER
L2768 $0.00 HCPCS / CPT® ORTHO SIDEBAR DISCONNECT
L2780 $0.00 HCPCS / CPT® NON-CORROSIVE FINISH
L2785 $0.00 HCPCS / CPT® DROP LOCK RETAINER EACH
L2795 $0.00 HCPCS / CPT® KNEE CONTROL FULL KNEECAP
L2800 $0.00 HCPCS / CPT® KNEE CAP MEDIAL OR LATERAL P
L2810 $0.00 HCPCS / CPT® KNEE CONTROL CONDYLAR PAD
L2820 $0.00 HCPCS / CPT® SOFT INTERFACE BELOW KNEE SE
L2830 $0.00 HCPCS / CPT® SOFT INTERFACE ABOVE KNEE SE
L2840 $0.00 HCPCS / CPT® TIBIAL LENGTH SOCK FX OR EQU
L2850 $0.00 HCPCS / CPT® FEMORAL LGTH SOCK FX OR EQUA
L2861 $0.00 HCPCS / CPT® TORSION MECHANISM KNEE/ANKLE
L2999 $0.00 HCPCS / CPT® LOWER EXTREMITY ORTHOSIS NOS
L3000 $0.00 HCPCS / CPT® FT INSERT UCB BERKELEY SHELL
L3001 $0.00 HCPCS / CPT® FOOT INSERT REMOV MOLDED SPE
L3002 $0.00 HCPCS / CPT® FOOT INSERT PLASTAZOTE OR EQ
L3003 $0.00 HCPCS / CPT® FOOT INSERT SILICONE GEL EAC
L3010 $0.00 HCPCS / CPT® FOOT LONGITUDINAL ARCH SUPPO
L3020 $0.00 HCPCS / CPT® FOOT LONGITUD/METATARSAL SUP
L3030 $0.00 HCPCS / CPT® FOOT ARCH SUPPORT REMOV PREM
L3031 $0.00 HCPCS / CPT® FOOT LAMIN/PREPREG COMPOSITE
L3040 $0.00 HCPCS / CPT® FT ARCH SUPRT PREMOLD LONGIT
L3050 $0.00 HCPCS / CPT® FOOT ARCH SUPP PREMOLD METAT
L3060 $0.00 HCPCS / CPT® FOOT ARCH SUPP LONGITUD/META
L3070 $0.00 HCPCS / CPT® ARCH SUPRT ATT TO SHO LONGIT
L3080 $0.00 HCPCS / CPT® ARCH SUPP ATT TO SHOE METATA
L3090 $0.00 HCPCS / CPT® ARCH SUPP ATT TO SHOE LONG/M
L3100 $0.00 HCPCS / CPT® HALLUS-VALGUS NT DYN PRE OTS
L3140 $0.00 HCPCS / CPT® ABDUCTION ROTATION BAR SHOE
L3150 $0.00 HCPCS / CPT® ABDUCT ROTATION BAR W/O SHOE
L3160 $0.00 HCPCS / CPT® SHOE STYLED POSITIONING DEV
L3170 $0.00 HCPCS / CPT® FOOT PLAS HEEL STABI PRE OTS
L3201 $0.00 HCPCS / CPT® OXFORD W SUPINAT/PRONAT INF
L3202 $0.00 HCPCS / CPT® OXFORD W/ SUPINAT/PRONATOR C
L3203 $0.00 HCPCS / CPT® OXFORD W/ SUPINATOR/PRONATOR
L3204 $0.00 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR INF
L3206 $0.00 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR CHI
L3207 $0.00 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR JUN
L3208 $0.00 HCPCS / CPT® SURGICAL BOOT EACH INFANT
L3209 $0.00 HCPCS / CPT® SURGICAL BOOT EACH CHILD
L3211 $0.00 HCPCS / CPT® SURGICAL BOOT EACH JUNIOR
L3212 $0.00 HCPCS / CPT® BENESCH BOOT PAIR INFANT
L3213 $0.00 HCPCS / CPT® BENESCH BOOT PAIR CHILD
L3214 $0.00 HCPCS / CPT® BENESCH BOOT PAIR JUNIOR
L3215 $171.35 HCPCS / CPT® ORTHOPEDIC FTWEAR LADIES OXF
L3216 $0.00 HCPCS / CPT® ORTHOPED LADIES SHOES DPTH I
L3217 $0.00 HCPCS / CPT® LADIES SHOES HIGHTOP DEPTH I
L3219 $52.80 HCPCS / CPT® ORTHOPEDIC FOOTWEAR, MENS SHOE, OXFORD, EACH
L3221 $0.00 HCPCS / CPT® ORTHOPEDIC MENS SHOES DPTH I
L3222 $0.00 HCPCS / CPT® MENS SHOES HIGHTOP DEPTH INL
L3224 $0.00 HCPCS / CPT® WOMAN’S SHOE OXFORD BRACE
L3225 $0.00 HCPCS / CPT® MAN’S SHOE OXFORD BRACE
L3230 $0.00 HCPCS / CPT® CUSTOM SHOES DEPTH INLAY
L3250 $0.00 HCPCS / CPT® CUSTOM MOLD SHOE REMOV PROST
L3251 $0.00 HCPCS / CPT® SHOE MOLDED TO PT SILICONE S
L3252 $0.00 HCPCS / CPT® SHOE MOLDED PLASTAZOTE CUST
L3253 $0.00 HCPCS / CPT® SHOE MOLDED PLASTAZOTE CUST
L3254 $0.00 HCPCS / CPT® ORTH FOOT NON-STNDARD SIZE/W
L3255 $0.00 HCPCS / CPT® ORTH FOOT NON-STANDARD SIZE/
L3257 $0.00 HCPCS / CPT® ORTH FOOT ADD CHARGE SPLIT S
L3260 $155.00 HCPCS / CPT® SURGICAL SHOE/BOOT EACH
L3265 $0.00 HCPCS / CPT® PLASTAZOTE SANDAL EACH
L3300 $0.00 HCPCS / CPT® SHO LIFT TAPER TO METATARSAL
L3310 $0.00 HCPCS / CPT® SHOE LIFT ELEV HEEL/SOLE NEO
L3320 $0.00 HCPCS / CPT® SHOE LIFT ELEV HEEL/SOLE COR
L3330 $0.00 HCPCS / CPT® LIFTS ELEVATION METAL EXTENS
L3332 $0.00 HCPCS / CPT® SHOE LIFTS TAPERED TO ONE-HA
L3334 $0.00 HCPCS / CPT® SHOE LIFTS ELEVATION HEEL /I
L3340 $0.00 HCPCS / CPT® SHOE WEDGE SACH
L3350 $0.00 HCPCS / CPT® SHOE HEEL WEDGE
L3360 $0.00 HCPCS / CPT® SHOE SOLE WEDGE OUTSIDE SOLE
L3370 $0.00 HCPCS / CPT® SHOE SOLE WEDGE BETWEEN SOLE
L3380 $0.00 HCPCS / CPT® SHOE CLUBFOOT WEDGE
L3390 $0.00 HCPCS / CPT® SHOE OUTFLARE WEDGE
L3400 $0.00 HCPCS / CPT® SHOE METATARSAL BAR WEDGE RO
L3410 $0.00 HCPCS / CPT® SHOE METATARSAL BAR BETWEEN
L3420 $0.00 HCPCS / CPT® FULL SOLE/HEEL WEDGE BTWEEN
L3430 $0.00 HCPCS / CPT® SHO HEEL COUNT PLAST REINFOR
L3440 $0.00 HCPCS / CPT® HEEL LEATHER REINFORCED
L3450 $0.00 HCPCS / CPT® SHOE HEEL SACH CUSHION TYPE
L3455 $0.00 HCPCS / CPT® SHOE HEEL NEW LEATHER STANDA
L3460 $0.00 HCPCS / CPT® SHOE HEEL NEW RUBBER STANDAR
L3465 $0.00 HCPCS / CPT® SHOE HEEL THOMAS WITH WEDGE
L3470 $0.00 HCPCS / CPT® SHOE HEEL THOMAS EXTEND TO B
L3480 $0.00 HCPCS / CPT® SHOE HEEL PAD & DEPRESS FOR
L3485 $0.00 HCPCS / CPT® SHOE HEEL PAD REMOVABLE FOR
L3500 $0.00 HCPCS / CPT® ORTHO SHOE ADD LEATHER INSOL
L3510 $0.00 HCPCS / CPT® ORTHOPEDIC SHOE ADD RUB INSL
L3520 $0.00 HCPCS / CPT® O SHOE ADD FELT W LEATH INSL
L3530 $0.00 HCPCS / CPT® ORTHO SHOE ADD HALF SOLE
L3540 $0.00 HCPCS / CPT® ORTHO SHOE ADD FULL SOLE
L3550 $0.00 HCPCS / CPT® O SHOE ADD STANDARD TOE TAP
L3560 $0.00 HCPCS / CPT® O SHOE ADD HORSESHOE TOE TAP
L3570 $0.00 HCPCS / CPT® O SHOE ADD INSTEP EXTENSION
L3580 $385.07 HCPCS / CPT® ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE
L3590 $0.00 HCPCS / CPT® O SHOE CONVERT TO SOF COUNTE
L3595 $0.00 HCPCS / CPT® ORTHO SHOE ADD MARCH BAR
L3600 $0.00 HCPCS / CPT® TRANS SHOE CALIP PLATE EXIST
L3610 $0.00 HCPCS / CPT® TRANS SHOE CALIPER PLATE NEW
L3620 $0.00 HCPCS / CPT® TRANS SHOE SOLID STIRRUP EXI
L3630 $0.00 HCPCS / CPT® TRANS SHOE SOLID STIRRUP NEW
L3640 $0.00 HCPCS / CPT® SHOE DENNIS BROWNE SPLINT BO
L3649 $0.00 HCPCS / CPT® ORTHOPEDIC SHOE MODIFICA NOS
L3650 $329.10 HCPCS / CPT® SHLDER FIG 8 ABDUCT RESTRAIN
L3660 $344.96 HCPCS / CPT® SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
L3670 $429.00 HCPCS / CPT® ACROMIO/CLAVICULAR CANVAS&WE
L3671 $0.00 HCPCS / CPT® SO CAP DESIGN W/O JNTS CF
L3674 $0.00 HCPCS / CPT® SO AIRPLANE W/WO JOINT CF
L3675 $0.00 HCPCS / CPT® SO VEST CANVAS/WEB PRE OTS
L3677 $0.00 HCPCS / CPT® SO HARD PLAS STABILI PRE CST
L3678 $0.00 HCPCS / CPT® SO HARD PLAS STABILI PRE OTS
L3702 $0.00 HCPCS / CPT® EO W/O JOINTS CF
L3710 $0.00 HCPCS / CPT® EO ELAS W/METAL JNTS PRE OTS
L3720 $0.00 HCPCS / CPT® FOREARM/ARM CUFFS FREE MOTIO
L3730 $0.00 HCPCS / CPT® FOREARM/ARM CUFFS EXT/FLEX A
L3740 $0.00 HCPCS / CPT® CUFFS ADJ LOCK W/ ACTIVE CON
L3760 $0.00 HCPCS / CPT® EO WITHJOINT, PREFABRICATED
L3762 $0.00 HCPCS / CPT® EO RIGID W/O JOINTS PRE OTS
L3763 $0.00 HCPCS / CPT® EWHO RIGID W/O JNTS CF
L3764 $0.00 HCPCS / CPT® EWHO W/JOINT(S) CF
L3765 $0.00 HCPCS / CPT® EWHFO RIGID W/O JNTS CF
L3766 $0.00 HCPCS / CPT® EWHFO W/JOINT(S) CF
L3806 $0.00 HCPCS / CPT® WHFO W/JOINT(S) CUSTOM FAB
L3807 $1351.09 HCPCS / CPT® WHFO,NO JOINT, PREFABRICATED
L3808 $0.00 HCPCS / CPT® WHFO, RIGID W/O JOINTS
L3809 $0.00 HCPCS / CPT® WHFO W/O JOINTS PRE OTS
L3891 $0.00 HCPCS / CPT® TORSION MECHANISM WRIST/ELBO
L3900 $0.00 HCPCS / CPT® HINGE EXTENSION/FLEX WRIST/F
L3901 $0.00 HCPCS / CPT® HINGE EXT/FLEX WRIST FINGER
L3904 $0.00 HCPCS / CPT® WHFO ELECTRIC CUSTOM FITTED
L3905 $0.00 HCPCS / CPT® WHO W/NONTORSION JNT(S) CF
L3906 $2135.14 HCPCS / CPT® WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE, STRAPS, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENT
L3908 $114.80 HCPCS / CPT® WRIST COCK-UP NON-MOLDED
L3912 $0.00 HCPCS / CPT® HFO FLEXION GLOVE PRE OTS
L3913 $0.00 HCPCS / CPT® HFO W/O JOINTS CF
L3915 $0.00 HCPCS / CPT® WHO NONTORSION JNTS PRE CST
L3916 $0.00 HCPCS / CPT® WHO NONTORSION JNTS PRE OTS
L3917 $0.00 HCPCS / CPT® METACARP FX ORTHOSIS PRE CST
L3918 $0.00 HCPCS / CPT® METACARP FX ORTHOSIS PRE OTS
L3919 $1480.84 HCPCS / CPT® HO W/O JOINTS CF
L3921 $0.00 HCPCS / CPT® HFO W/JOINT(S) CF
L3923 $0.00 HCPCS / CPT® HFO WITHOUT JOINTS PRE CST
L3924 $0.00 HCPCS / CPT® HFO WITHOUT JOINTS PRE OTS
L3925 $0.00 HCPCS / CPT® FO PIP DIP JNT/SPRNG PRE OTS
L3927 $0.00 HCPCS / CPT® FO PIP DIP NO JT SPR PRE OTS
L3929 $0.00 HCPCS / CPT® HFO NONTORSION JNTS PRE CST
L3930 $0.00 HCPCS / CPT® HFO NONTORSION JNTS PRE OTS
L3931 $0.00 HCPCS / CPT® WHFO NONTORSION JOINT PREFAB
L3933 $0.00 HCPCS / CPT® FO W/O JOINTS CF
L3935 $0.00 HCPCS / CPT® FO NONTORSION JOINT CF
L3956 $0.00 HCPCS / CPT® ADD JOINT UPPER EXT ORTHOSIS
L3960 $0.00 HCPCS / CPT® SEWHO AIRPLAN DESIG ABDU POS
L3961 $0.00 HCPCS / CPT® SEWHO CAP DESIGN W/O JNTS CF
L3962 $0.00 HCPCS / CPT® SEWHO ERBS PALSEY DESIGN ABD
L3967 $0.00 HCPCS / CPT® SEWHO AIRPLANE W/O JNTS CF
L3971 $0.00 HCPCS / CPT® SEWHO CAP DESIGN W/JNT(S) CF
L3973 $0.00 HCPCS / CPT® SEWHO AIRPLANE W/JNT(S) CF
L3975 $0.00 HCPCS / CPT® SEWHFO CAP DESIGN W/O JNT CF
L3976 $0.00 HCPCS / CPT® SEWHFO AIRPLANE W/O JNTS CF
L3977 $0.00 HCPCS / CPT® SEWHFO CAP DESGN W/JNT(S) CF
L3978 $0.00 HCPCS / CPT® SEWHFO AIRPLANE W/JNT(S) CF
L3980 $0.00 HCPCS / CPT® UP EXT FX ORTHOS HUMERAL NOS
L3981 $0.00 HCPCS / CPT® UE FX ORTH SHOUL CAP FOREARM
L3982 $0.00 HCPCS / CPT® UPPER EXT FX ORTHOSIS RAD/UL
L3984 $0.00 HCPCS / CPT® UPPER EXT FX ORTHOSIS WRIST
L3995 $0.00 HCPCS / CPT® SOCK FRACTURE OR EQUAL EACH
L3999 $229.60 HCPCS / CPT® UPPER LIMB ORTHOSIS NOS
L4000 $0.00 HCPCS / CPT® REPL GIRDLE MILWAUKEE ORTH
L4002 $0.00 HCPCS / CPT® REPLACE STRAP, ANY ORTHOSIS
L4010 $0.00 HCPCS / CPT® REPLACE TRILATERAL SOCKET BR
L4020 $0.00 HCPCS / CPT® REPLACE QUADLAT SOCKET BRIM
L4030 $0.00 HCPCS / CPT® REPLACE SOCKET BRIM CUST FIT
L4040 $0.00 HCPCS / CPT® REPLACE MOLDED THIGH LACER
L4045 $0.00 HCPCS / CPT® REPLACE NON-MOLDED THIGH LAC
L4050 $0.00 HCPCS / CPT® REPLACE MOLDED CALF LACER
L4055 $0.00 HCPCS / CPT® REPLACE NON-MOLDED CALF LACE
L4060 $0.00 HCPCS / CPT® REPLACE HIGH ROLL CUFF
L4070 $0.00 HCPCS / CPT® REPLACE PROX & DIST UPRIGHT
L4080 $0.00 HCPCS / CPT® REPL MET BAND KAFO-AFO PROX
L4090 $0.00 HCPCS / CPT® REPL MET BAND KAFO-AFO CALF/
L4100 $0.00 HCPCS / CPT® REPL LEATH CUFF KAFO PROX TH
L4110 $0.00 HCPCS / CPT® REPL LEATH CUFF KAFO-AFO CAL
L4130 $0.00 HCPCS / CPT® REPLACE PRETIBIAL SHELL
L4205 $0.00 HCPCS / CPT® ORTHO DVC REPAIR PER 15 MIN
L4210 $0.00 HCPCS / CPT® ORTH DEV REPAIR/REPL MINOR P
L4350 $507.64 HCPCS / CPT® ANKLE CONTROL ORTHOSI PREFAB
L4360 $1101.19 HCPCS / CPT® PNEUMATI WALKING BOOT PREFAB
L4361 $0.00 HCPCS / CPT® PNEUMA/VAC WALK BOOT PRE OTS
L4370 $0.00 HCPCS / CPT® PNEUM FULL LEG SPLNT PRE OTS
L4380 $164.55 HCPCS / CPT® PNEUMATIC KNEE SPLINT
L4386 $1104.60 HCPCS / CPT® NON-PNEUM WALK BOOT PREFAB
L4387 $0.00 HCPCS / CPT® NON-PNEUM WALK BOOT PRE OTS
L4392 $0.00 HCPCS / CPT® REPLACE AFO SOFT INTERFACE
L4394 $0.00 HCPCS / CPT® REPLACE FOOT DROP SPINT
L4396 $0.00 HCPCS / CPT® STATIC OR DYNAMI AFO PRE CST
L4397 $0.00 HCPCS / CPT® STATIC OR DYNAMI AFO PRE OTS
L4398 $0.00 HCPCS / CPT® FOOT DROP SPLINT PRE OTS
L4631 $10538.11 HCPCS / CPT® AFO, WALK BOOT TYPE, CUS FAB
L5000 $0.00 HCPCS / CPT® SHO INSERT W ARCH TOE FILLER
L5010 $0.00 HCPCS / CPT® MOLD SOCKET ANK HGT W/ TOE F
L5020 $0.00 HCPCS / CPT® TIBIAL TUBERCLE HGT W/ TOE F
L5050 $0.00 HCPCS / CPT® ANK SYMES MOLD SCKT SACH FT
L5060 $0.00 HCPCS / CPT® SYMES MET FR LEATH SOCKET AR
L5100 $0.00 HCPCS / CPT® MOLDED SOCKET SHIN SACH FOOT
L5105 $0.00 HCPCS / CPT® PLAST SOCKET JTS/THGH LACER
L5150 $0.00 HCPCS / CPT® MOLD SCKT EXT KNEE SHIN SACH
L5160 $0.00 HCPCS / CPT® MOLD SOCKET BENT KNEE SHIN S
L5200 $0.00 HCPCS / CPT® KNE SING AXIS FRIC SHIN SACH
L5210 $0.00 HCPCS / CPT® NO KNEE/ANKLE JOINTS W/ FT B
L5220 $0.00 HCPCS / CPT® NO KNEE JOINT WITH ARTIC ALI
L5230 $0.00 HCPCS / CPT® FEM FOCAL DEFIC CONSTANT FRI
L5250 $0.00 HCPCS / CPT® HIP CANAD SING AXI CONS FRIC
L5270 $0.00 HCPCS / CPT® TILT TABLE LOCKING HIP SING
L5280 $0.00 HCPCS / CPT® HEMIPELVECT CANAD SING AXIS
L5301 $0.00 HCPCS / CPT® BK MOLD SOCKET SACH FT ENDO
L5312 $0.00 HCPCS / CPT® KNEE DISART, SACH FT, ENDO
L5321 $0.00 HCPCS / CPT® AK OPEN END SACH
L5331 $0.00 HCPCS / CPT® HIP DISART CANADIAN SACH FT
L5341 $0.00 HCPCS / CPT® HEMIPELVECTOMY CANADIAN SACH
L5400 $0.00 HCPCS / CPT® POSTOP DRESS & 1 CAST CHG BK
L5410 $0.00 HCPCS / CPT® POSTOP DSG BK EA ADD CAST CH
L5420 $0.00 HCPCS / CPT® POSTOP DSG & 1 CAST CHG AK/D
L5430 $0.00 HCPCS / CPT® POSTOP DSG AK EA ADD CAST CH
L5450 $0.00 HCPCS / CPT® POSTOP APP NON-WGT BEAR DSG
L5460 $0.00 HCPCS / CPT® POSTOP APP NON-WGT BEAR DSG
L5500 $0.00 HCPCS / CPT® INIT BK PTB PLASTER DIRECT
L5505 $0.00 HCPCS / CPT® INIT AK ISCHAL PLSTR DIRECT
L5510 $0.00 HCPCS / CPT® PREP BK PTB PLASTER MOLDED
L5520 $0.00 HCPCS / CPT® PERP BK PTB THERMOPLS DIRECT
L5530 $0.00 HCPCS / CPT® PREP BK PTB THERMOPLS MOLDED
L5535 $0.00 HCPCS / CPT® PREP BK PTB OPEN END SOCKET
L5540 $0.00 HCPCS / CPT® PREP BK PTB LAMINATED SOCKET
L5560 $0.00 HCPCS / CPT® PREP AK ISCHIAL PLAST MOLDED
L5570 $0.00 HCPCS / CPT® PREP AK ISCHIAL DIRECT FORM
L5580 $0.00 HCPCS / CPT® PREP AK ISCHIAL THERMO MOLD
L5585 $0.00 HCPCS / CPT® PREP AK ISCHIAL OPEN END
L5590 $0.00 HCPCS / CPT® PREP AK ISCHIAL LAMINATED
L5595 $0.00 HCPCS / CPT® HIP DISARTIC SACH THERMOPLS
L5600 $0.00 HCPCS / CPT® HIP DISART SACH LAMINAT MOLD
L5610 $0.00 HCPCS / CPT® ABOVE KNEE HYDRACADENCE
L5611 $0.00 HCPCS / CPT® AK 4 BAR LINK W/FRIC SWING
L5613 $0.00 HCPCS / CPT® AK 4 BAR LING W/HYDRAUL SWIG
L5614 $0.00 HCPCS / CPT® 4-BAR LINK ABOVE KNEE W/SWNG
L5616 $0.00 HCPCS / CPT® AK UNIV MULTIPLEX SYS FRICT
L5617 $0.00 HCPCS / CPT® AK/BK SELF-ALIGNING UNIT EA
L5618 $0.00 HCPCS / CPT® TEST SOCKET SYMES
L5620 $0.00 HCPCS / CPT® TEST SOCKET BELOW KNEE
L5622 $0.00 HCPCS / CPT® TEST SOCKET KNEE DISARTICULA
L5624 $0.00 HCPCS / CPT® TEST SOCKET ABOVE KNEE
L5626 $0.00 HCPCS / CPT® TEST SOCKET HIP DISARTICULAT
L5628 $0.00 HCPCS / CPT® TEST SOCKET HEMIPELVECTOMY
L5629 $0.00 HCPCS / CPT® BELOW KNEE ACRYLIC SOCKET
L5630 $0.00 HCPCS / CPT® SYME TYP EXPANDABL WALL SCKT
L5631 $0.00 HCPCS / CPT® AK/KNEE DISARTIC ACRYLIC SOC
L5632 $0.00 HCPCS / CPT® SYMES TYPE PTB BRIM DESIGN S
L5634 $0.00 HCPCS / CPT® SYMES TYPE POSTER OPENING SO
L5636 $0.00 HCPCS / CPT® SYMES TYPE MEDIAL OPENING SO
L5637 $0.00 HCPCS / CPT® BELOW KNEE TOTAL CONTACT
L5638 $0.00 HCPCS / CPT® BELOW KNEE LEATHER SOCKET
L5639 $0.00 HCPCS / CPT® BELOW KNEE WOOD SOCKET
L5640 $0.00 HCPCS / CPT® KNEE DISARTICULAT LEATHER SO
L5642 $0.00 HCPCS / CPT® ABOVE KNEE LEATHER SOCKET
L5643 $0.00 HCPCS / CPT® HIP FLEX INNER SOCKET EXT FR
L5644 $0.00 HCPCS / CPT® ABOVE KNEE WOOD SOCKET
L5645 $0.00 HCPCS / CPT® BK FLEX INNER SOCKET EXT FRA
L5646 $0.00 HCPCS / CPT® BELOW KNEE CUSHION SOCKET
L5647 $0.00 HCPCS / CPT® BELOW KNEE SUCTION SOCKET
L5648 $0.00 HCPCS / CPT® ABOVE KNEE CUSHION SOCKET
L5649 $0.00 HCPCS / CPT® ISCH CONTAINMT/NARROW M-L SO
L5650 $0.00 HCPCS / CPT® TOT CONTACT AK/KNEE DISART S
L5651 $0.00 HCPCS / CPT® AK FLEX INNER SOCKET EXT FRA
L5652 $0.00 HCPCS / CPT® SUCTION SUSP AK/KNEE DISART
L5653 $0.00 HCPCS / CPT® KNEE DISART EXPAND WALL SOCK
L5654 $0.00 HCPCS / CPT® SOCKET INSERT SYMES
L5655 $0.00 HCPCS / CPT® SOCKET INSERT BELOW KNEE
L5656 $0.00 HCPCS / CPT® SOCKET INSERT KNEE ARTICULAT
L5658 $0.00 HCPCS / CPT® SOCKET INSERT ABOVE KNEE
L5661 $0.00 HCPCS / CPT® MULTI-DUROMETER SYMES
L5665 $0.00 HCPCS / CPT® MULTI-DUROMETER BELOW KNEE
L5666 $0.00 HCPCS / CPT® BELOW KNEE CUFF SUSPENSION
L5668 $0.00 HCPCS / CPT® BK MOLDED DISTAL CUSHION
L5670 $0.00 HCPCS / CPT® BK MOLDED SUPRACONDYLAR SUSP
L5671 $0.00 HCPCS / CPT® BK/AK LOCKING MECHANISM
L5672 $0.00 HCPCS / CPT® BK REMOVABLE MEDIAL BRIM SUS
L5673 $0.00 HCPCS / CPT® SOCKET INSERT W LOCK MECH
L5676 $0.00 HCPCS / CPT® BK KNEE JOINTS SINGLE AXIS P
L5677 $0.00 HCPCS / CPT® BK KNEE JOINTS POLYCENTRIC P
L5678 $0.00 HCPCS / CPT® BK JOINT COVERS PAIR
L5679 $0.00 HCPCS / CPT® SOCKET INSERT W/O LOCK MECH
L5680 $0.00 HCPCS / CPT® BK THIGH LACER NON-MOLDED
L5681 $0.00 HCPCS / CPT® INTL CUSTM CONG/LATYP INSERT
L5682 $0.00 HCPCS / CPT® BK THIGH LACER GLUT/ISCHIA M
L5683 $0.00 HCPCS / CPT® INITIAL CUSTOM SOCKET INSERT
L5684 $0.00 HCPCS / CPT® BK FORK STRAP
L5685 $0.00 HCPCS / CPT® BELOW KNEE SUS/SEAL SLEEVE
L5686 $0.00 HCPCS / CPT® BK BACK CHECK
L5688 $0.00 HCPCS / CPT® BK WAIST BELT WEBBING
L5690 $0.00 HCPCS / CPT® BK WAIST BELT PADDED AND LIN
L5692 $0.00 HCPCS / CPT® AK PELVIC CONTROL BELT LIGHT
L5694 $0.00 HCPCS / CPT® AK PELVIC CONTROL BELT PAD/L
L5695 $0.00 HCPCS / CPT® AK SLEEVE SUSP NEOPRENE/EQUA
L5696 $0.00 HCPCS / CPT® AK/KNEE DISARTIC PELVIC JOIN
L5697 $0.00 HCPCS / CPT® AK/KNEE DISARTIC PELVIC BAND
L5698 $0.00 HCPCS / CPT® AK/KNEE DISARTIC SILESIAN BA
L5699 $0.00 HCPCS / CPT® SHOULDER HARNESS
L5700 $0.00 HCPCS / CPT® REPLACE SOCKET BELOW KNEE
L5701 $0.00 HCPCS / CPT® REPLACE SOCKET ABOVE KNEE
L5702 $0.00 HCPCS / CPT® REPLACE SOCKET HIP
L5703 $0.00 HCPCS / CPT® SYMES ANKLE W/O (SACH) FOOT
L5704 $0.00 HCPCS / CPT® CUSTOM SHAPE COVER BK
L5705 $0.00 HCPCS / CPT® CUSTOM SHAPE COVER AK
L5706 $0.00 HCPCS / CPT® CUSTOM SHAPE CVR KNEE DISART
L5707 $0.00 HCPCS / CPT® CUSTOM SHAPE CVR HIP DISART
L5710 $0.00 HCPCS / CPT® KNE-SHIN EXO SNG AXI MNL LOC
L5711 $0.00 HCPCS / CPT® KNEE-SHIN EXO MNL LOCK ULTRA
L5712 $0.00 HCPCS / CPT® KNEE-SHIN EXO FRICT SWG & ST
L5714 $0.00 HCPCS / CPT® KNEE-SHIN EXO VARIABLE FRICT
L5716 $0.00 HCPCS / CPT® KNEE-SHIN EXO MECH STANCE PH
L5718 $0.00 HCPCS / CPT® KNEE-SHIN EXO FRCT SWG & STA
L5722 $0.00 HCPCS / CPT® KNEE-SHIN PNEUM SWG FRCT EXO
L5724 $0.00 HCPCS / CPT® KNEE-SHIN EXO FLUID SWING PH
L5726 $0.00 HCPCS / CPT® KNEE-SHIN EXT JNTS FLD SWG E
L5728 $0.00 HCPCS / CPT® KNEE-SHIN FLUID SWG & STANCE
L5780 $0.00 HCPCS / CPT® KNEE-SHIN PNEUM/HYDRA PNEUM
L5781 $0.00 HCPCS / CPT® LOWER LIMB PROS VACUUM PUMP
L5782 $0.00 HCPCS / CPT® HD LOW LIMB PROS VACUUM PUMP
L5785 $0.00 HCPCS / CPT® EXOSKELETAL BK ULTRALT MATER
L5790 $0.00 HCPCS / CPT® EXOSKELETAL AK ULTRA-LIGHT M
L5795 $0.00 HCPCS / CPT® EXOSKEL HIP ULTRA-LIGHT MATE
L5810 $0.00 HCPCS / CPT® ENDOSKEL KNEE-SHIN MNL LOCK
L5811 $0.00 HCPCS / CPT® ENDO KNEE-SHIN MNL LCK ULTRA
L5812 $0.00 HCPCS / CPT® ENDO KNEE-SHIN FRCT SWG & ST
L5814 $0.00 HCPCS / CPT® ENDO KNEE-SHIN HYDRAL SWG PH
L5816 $0.00 HCPCS / CPT® ENDO KNEE-SHIN POLYC MCH STA
L5818 $0.00 HCPCS / CPT® ENDO KNEE-SHIN FRCT SWG & ST
L5822 $0.00 HCPCS / CPT® ENDO KNEE-SHIN PNEUM SWG FRC
L5824 $0.00 HCPCS / CPT® ENDO KNEE-SHIN FLUID SWING P
L5826 $0.00 HCPCS / CPT® MINIATURE KNEE JOINT
L5828 $0.00 HCPCS / CPT® ENDO KNEE-SHIN FLUID SWG/STA
L5830 $0.00 HCPCS / CPT® ENDO KNEE-SHIN PNEUM/SWG PHA
L5840 $0.00 HCPCS / CPT® MULTI-AXIAL KNEE/SHIN SYSTEM
L5845 $0.00 HCPCS / CPT® KNEE-SHIN SYS STANCE FLEXION
L5848 $0.00 HCPCS / CPT® KNEE-SHIN SYS HYDRAUL STANCE
L5850 $0.00 HCPCS / CPT® ENDO AK/HIP KNEE EXTENS ASSI
L5855 $0.00 HCPCS / CPT® MECH HIP EXTENSION ASSIST
L5856 $0.00 HCPCS / CPT® ELEC KNEE-SHIN SWING/STANCE
L5857 $0.00 HCPCS / CPT® ELEC KNEE-SHIN SWING ONLY
L5858 $0.00 HCPCS / CPT® STANCE PHASE ONLY
L5859 $0.00 HCPCS / CPT® KNEE-SHIN PRO FLEX/EXT CONT
L5910 $0.00 HCPCS / CPT® ENDO BELOW KNEE ALIGNABLE SY
L5920 $0.00 HCPCS / CPT® ENDO AK/HIP ALIGNABLE SYSTEM
L5925 $0.00 HCPCS / CPT® ABOVE KNEE MANUAL LOCK
L5930 $0.00 HCPCS / CPT® HIGH ACTIVITY KNEE FRAME
L5940 $0.00 HCPCS / CPT® ENDO BK ULTRA-LIGHT MATERIAL
L5950 $0.00 HCPCS / CPT® ENDO AK ULTRA-LIGHT MATERIAL
L5960 $0.00 HCPCS / CPT® ENDO HIP ULTRA-LIGHT MATERIA
L5961 $0.00 HCPCS / CPT® ENDO POLY HIP, PNEU/HYD/ROT
L5962 $0.00 HCPCS / CPT® BELOW KNEE FLEX COVER SYSTEM
L5964 $0.00 HCPCS / CPT® ABOVE KNEE FLEX COVER SYSTEM
L5966 $0.00 HCPCS / CPT® HIP FLEXIBLE COVER SYSTEM
L5968 $0.00 HCPCS / CPT® MULTIAXIAL ANKLE W DORSIFLEX
L5969 $0.00 HCPCS / CPT® AK/FT POWER ASST INCL MOTORS
L5970 $0.00 HCPCS / CPT® FOOT EXTERNAL KEEL SACH FOOT
L5971 $0.00 HCPCS / CPT® SACH FOOT, REPLACEMENT
L5972 $0.00 HCPCS / CPT® FLEXIBLE KEEL FOOT
L5973 $0.00 HCPCS / CPT® ANK-FOOT SYS DORS-PLANT FLEX
L5974 $0.00 HCPCS / CPT® FOOT SINGLE AXIS ANKLE/FOOT
L5975 $0.00 HCPCS / CPT® COMBO ANKLE/FOOT PROSTHESIS
L5976 $0.00 HCPCS / CPT® ENERGY STORING FOOT
L5978 $0.00 HCPCS / CPT® FT PROSTH MULTIAXIAL ANKL/FT
L5979 $0.00 HCPCS / CPT® MULTI-AXIAL ANKLE/FT PROSTH
L5980 $0.00 HCPCS / CPT® FLEX FOOT SYSTEM
L5981 $0.00 HCPCS / CPT® FLEX-WALK SYS LOW EXT PROSTH
L5982 $0.00 HCPCS / CPT® EXOSKELETAL AXIAL ROTATION U
L5984 $0.00 HCPCS / CPT® ENDOSKELETAL AXIAL ROTATION
L5985 $0.00 HCPCS / CPT® LWR EXT DYNAMIC PROSTH PYLON
L5986 $0.00 HCPCS / CPT® MULTI-AXIAL ROTATION UNIT
L5987 $0.00 HCPCS / CPT® SHANK FT W VERT LOAD PYLON
L5988 $0.00 HCPCS / CPT® VERTICAL SHOCK REDUCING PYLO
L5990 $0.00 HCPCS / CPT® USER ADJUSTABLE HEEL HEIGHT
L5999 $0.00 HCPCS / CPT® LOWR EXTREMITY PROSTHES NOS
L6000 $0.00 HCPCS / CPT® PART HAND THUMB REM
L6010 $0.00 HCPCS / CPT® PART HAND LITTLE/RING
L6020 $0.00 HCPCS / CPT® PART HAND NO FINGERS
L6026 $0.00 HCPCS / CPT® PART HAND MYO EXCLU TERM DEV
L6050 $0.00 HCPCS / CPT® WRST MLD SCK FLX HNG TRI PAD
L6055 $0.00 HCPCS / CPT® WRST MOLD SOCK W/EXP INTERFA
L6100 $0.00 HCPCS / CPT® ELB MOLD SOCK FLEX HINGE PAD
L6110 $0.00 HCPCS / CPT® ELBOW MOLD SOCK SUSPENSION T
L6120 $0.00 HCPCS / CPT® ELBOW MOLD DOUB SPLT SOC STE
L6130 $0.00 HCPCS / CPT® ELBOW STUMP ACTIVATED LOCK H
L6200 $0.00 HCPCS / CPT® ELBOW MOLD OUTSID LOCK HINGE
L6205 $0.00 HCPCS / CPT® ELBOW MOLDED W/ EXPAND INTER
L6250 $0.00 HCPCS / CPT® ELBOW INTER LOC ELBOW FORARM
L6300 $0.00 HCPCS / CPT® SHLDER DISART INT LOCK ELBOW
L6310 $0.00 HCPCS / CPT® SHOULDER PASSIVE RESTOR COMP
L6320 $0.00 HCPCS / CPT® SHOULDER PASSIVE RESTOR CAP
L6350 $0.00 HCPCS / CPT® THORACIC INTERN LOCK ELBOW
L6360 $0.00 HCPCS / CPT® THORACIC PASSIVE RESTOR COMP
L6370 $0.00 HCPCS / CPT® THORACIC PASSIVE RESTOR CAP
L6380 $0.00 HCPCS / CPT® POSTOP DSG CAST CHG WRST/ELB
L6382 $0.00 HCPCS / CPT® POSTOP DSG CAST CHG ELB DIS/
L6384 $0.00 HCPCS / CPT® POSTOP DSG CAST CHG SHLDER/T
L6386 $0.00 HCPCS / CPT® POSTOP EA CAST CHG & REALIGN
L6388 $0.00 HCPCS / CPT® POSTOP APPLICAT RIGID DSG ON
L6400 $0.00 HCPCS / CPT® BELOW ELBOW PROSTH TISS SHAP
L6450 $0.00 HCPCS / CPT® ELB DISART PROSTH TISS SHAP
L6500 $0.00 HCPCS / CPT® ABOVE ELBOW PROSTH TISS SHAP
L6550 $0.00 HCPCS / CPT® SHLDR DISAR PROSTH TISS SHAP
L6570 $0.00 HCPCS / CPT® SCAP THORAC PROSTH TISS SHAP
L6580 $0.00 HCPCS / CPT® WRIST/ELBOW BOWDEN CABLE MOL
L6582 $0.00 HCPCS / CPT® WRIST/ELBOW BOWDEN CBL DIR F
L6584 $0.00 HCPCS / CPT® ELBOW FAIR LEAD CABLE MOLDED
L6586 $0.00 HCPCS / CPT® ELBOW FAIR LEAD CABLE DIR FO
L6588 $0.00 HCPCS / CPT® SHDR FAIR LEAD CABLE MOLDED
L6590 $0.00 HCPCS / CPT® SHDR FAIR LEAD CABLE DIRECT
L6600 $0.00 HCPCS / CPT® POLYCENTRIC HINGE PAIR
L6605 $0.00 HCPCS / CPT® SINGLE PIVOT HINGE PAIR
L6610 $0.00 HCPCS / CPT® FLEXIBLE METAL HINGE PAIR
L6611 $0.00 HCPCS / CPT® ADDITIONAL SWITCH, EXT POWER
L6615 $0.00 HCPCS / CPT® DISCONNECT LOCKING WRIST UNI
L6616 $0.00 HCPCS / CPT® DISCONNECT INSERT LOCKING WR
L6620 $0.00 HCPCS / CPT® FLEXION/EXTENSION WRIST UNIT
L6621 $0.00 HCPCS / CPT® FLEX/EXT WRIST W/WO FRICTION
L6623 $0.00 HCPCS / CPT® SPRING-ASS ROT WRST W/ LATCH
L6624 $0.00 HCPCS / CPT® FLEX/EXT/ROTATION WRIST UNIT
L6625 $0.00 HCPCS / CPT® ROTATION WRST W/ CABLE LOCK
L6628 $0.00 HCPCS / CPT® QUICK DISCONN HOOK ADAPTER O
L6629 $0.00 HCPCS / CPT® LAMINATION COLLAR W/ COUPLIN
L6630 $0.00 HCPCS / CPT® STAINLESS STEEL ANY WRIST
L6632 $0.00 HCPCS / CPT® LATEX SUSPENSION SLEEVE EACH
L6635 $0.00 HCPCS / CPT® LIFT ASSIST FOR ELBOW
L6637 $0.00 HCPCS / CPT® NUDGE CONTROL ELBOW LOCK
L6638 $0.00 HCPCS / CPT® ELEC LOCK ON MANUAL PW ELBOW
L6640 $0.00 HCPCS / CPT® SHOULDER ABDUCTION JOINT PAI
L6641 $0.00 HCPCS / CPT® EXCURSION AMPLIFIER PULLEY T
L6642 $0.00 HCPCS / CPT® EXCURSION AMPLIFIER LEVER TY
L6645 $0.00 HCPCS / CPT® SHOULDER FLEXION-ABDUCTION J
L6646 $0.00 HCPCS / CPT® MULTIPO LOCKING SHOULDER JNT
L6647 $0.00 HCPCS / CPT® SHOULDER LOCK ACTUATOR
L6648 $0.00 HCPCS / CPT® EXT PWRD SHLDER LOCK/UNLOCK
L6650 $0.00 HCPCS / CPT® SHOULDER UNIVERSAL JOINT
L6655 $0.00 HCPCS / CPT® STANDARD CONTROL CABLE EXTRA
L6660 $0.00 HCPCS / CPT® HEAVY DUTY CONTROL CABLE
L6665 $0.00 HCPCS / CPT® TEFLON OR EQUAL CABLE LINING
L6670 $0.00 HCPCS / CPT® HOOK TO HAND CABLE ADAPTER
L6672 $0.00 HCPCS / CPT® HARNESS CHEST/SHLDER SADDLE
L6675 $0.00 HCPCS / CPT® HARNESS FIGURE OF 8 SING CON
L6676 $0.00 HCPCS / CPT® HARNESS FIGURE OF 8 DUAL CON
L6677 $0.00 HCPCS / CPT® UE TRIPLE CONTROL HARNESS
L6680 $0.00 HCPCS / CPT® TEST SOCK WRIST DISART/BEL E
L6682 $0.00 HCPCS / CPT® TEST SOCK ELBW DISART/ABOVE
L6684 $0.00 HCPCS / CPT® TEST SOCKET SHLDR DISART/THO
L6686 $0.00 HCPCS / CPT® SUCTION SOCKET
L6687 $0.00 HCPCS / CPT® FRAME TYP SOCKET BEL ELBOW/W
L6688 $0.00 HCPCS / CPT® FRAME TYP SOCK ABOVE ELB/DIS
L6689 $0.00 HCPCS / CPT® FRAME TYP SOCKET SHOULDER DI
L6690 $0.00 HCPCS / CPT® FRAME TYP SOCK INTERSCAP-THO
L6691 $0.00 HCPCS / CPT® REMOVABLE INSERT EACH
L6692 $0.00 HCPCS / CPT® SILICONE GEL INSERT OR EQUAL
L6693 $0.00 HCPCS / CPT® LOCKINGELBOW FOREARM CNTRBAL
L6694 $0.00 HCPCS / CPT® ELBOW SOCKET INS USE W/LOCK
L6695 $0.00 HCPCS / CPT® ELBOW SOCKET INS USE W/O LCK
L6696 $0.00 HCPCS / CPT® CUS ELBO SKT IN FOR CON/ATYP
L6697 $0.00 HCPCS / CPT® CUS ELBO SKT IN NOT CON/ATYP
L6698 $0.00 HCPCS / CPT® BELOW/ABOVE ELBOW LOCK MECH
L6703 $0.00 HCPCS / CPT® TERM DEV, PASSIVE HAND MITT
L6704 $0.00 HCPCS / CPT® TERM DEV, SPORT/REC/WORK ATT
L6706 $0.00 HCPCS / CPT® TERM DEV MECH HOOK VOL OPEN
L6707 $0.00 HCPCS / CPT® TERM DEV MECH HOOK VOL CLOSE
L6708 $0.00 HCPCS / CPT® TERM DEV MECH HAND VOL OPEN
L6709 $0.00 HCPCS / CPT® TERM DEV MECH HAND VOL CLOSE
L6711 $0.00 HCPCS / CPT® PED TERM DEV, HOOK, VOL OPEN
L6712 $0.00 HCPCS / CPT® PED TERM DEV, HOOK, VOL CLOS
L6713 $0.00 HCPCS / CPT® PED TERM DEV, HAND, VOL OPEN
L6714 $0.00 HCPCS / CPT® PED TERM DEV, HAND, VOL CLOS
L6715 $0.00 HCPCS / CPT® TERM DEVICE, MULTI ART DIGIT
L6721 $0.00 HCPCS / CPT® HOOK/HAND, HVY DTY, VOL OPEN
L6722 $0.00 HCPCS / CPT® HOOK/HAND, HVY DTY, VOL CLOS
L6805 $0.00 HCPCS / CPT® TERM DEV MODIFIER WRIST UNIT
L6810 $0.00 HCPCS / CPT® TERM DEV PRECISION PINCH DEV
L6880 $0.00 HCPCS / CPT® ELEC HAND IND ART DIGITS