hospital_name,last_updated_on,,,version,,hospital_location,hospital_address,license_number|IN,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,,,
Northwest Indiana ER,9/30/2025,,,2.0.0,,Northwest Indiana ER,"7904 Cabela Dr Hammond, IN 46324",24-014609-1,TRUE,,,,,,,,,,,,,,,
Description,Charge Number,code|1,code | 1 | type,REV,code | 2,code|2|type,drug_unit_of_measurement,drug_type_of_measurement,code|3,code|3|type,payer_name,plan_name,modifiers, standard_charge | gross , standard_charge | discounted_cash ,standard_charge | min,standard_charge | max,standard_charge | negotiated_dollar,standard_charge | negotiated_percentage,standard_charge | negotiated_algorithm,standard_charge | methodology,estimated_amount,Setting,additional_generic_notes
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,AETNA,AETNA,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,BCBS Federal,BCBS Federal,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,BCBS,BCBS,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,CIGNA,CIGNA,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,HUMANA,HUMANA,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,UHC,UHC,,692,311.4,,,,,,,,outpatient,
"Removal, non-biodegradable drug delivery implant",5000011982,11982,CPT,174,,,,,,,VA,VA,,692,311.4,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,AETNA,AETNA,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,BCBS,BCBS,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,CIGNA,CIGNA,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,HUMANA,HUMANA,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,UHC,UHC,,4198,1889.1,,,,,,,,outpatient,
CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,5000073206,73206,CPT,359,,,,,,,VA,VA,,4198,1889.1,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
"Arterial puncture, withdrawl of blood for dx",500036600,36600,CPT,231,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,AETNA,AETNA,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,BCBS,BCBS,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,CIGNA,CIGNA,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,HUMANA,HUMANA,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,UHC,UHC,,234,105.3,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),500086141,86141,CPT,301,,,,,,,VA,VA,,234,105.3,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,AETNA,AETNA,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,BCBS,BCBS,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,CIGNA,CIGNA,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,HUMANA,HUMANA,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,UHC,UHC,,223,100.35,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,500090715,90715,CPT,636,,,,,,,VA,VA,,223,100.35,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,AETNA,AETNA,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,BCBS,BCBS,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,CIGNA,CIGNA,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,HUMANA,HUMANA,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,UHC,UHC,,286,128.7,,,,,,,,outpatient,
FLAGYL 500MG,5000S0030,S0030,CPT,250,,,,,,,VA,VA,,286,128.7,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
"INJECTION, SULFAMETHOXAZOLE",5000S0039,S0039,CPT,250,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
"INJECTION, PIPERACILLIN SODI",5000S0081,S0081,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
DONNATAL ELIXIR GRAPE 16OZ,6000001196,J8499,CPT,250,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Bactrim DS (Sulfamethoxazole and Trimethoprim),6000DB002,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Benadryl 25mg cap,6000DB003,A9150,CPT,257,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
benadryl liquid susp,6000DB004,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,AETNA,AETNA,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,BCBS,BCBS,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,UHC,UHC,,731,328.95,,,,,,,,outpatient,
Cardene 20mg/200ml,6000DC001,J3490,CPT,250,,,,,,,VA,VA,,731,328.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Clindamycin 300mg tab,5000J8499CLIN,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Diazepam 5mg tab,6000DD008,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
digoxin 0.5mg vial,6000DD009,J1160,CPT,250,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Flexeril (cyclobenzaprine) 10mg Tab,6000DF001,J8499,CPT,636,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,AETNA,AETNA,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,BCBS,BCBS,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,CIGNA,CIGNA,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,HUMANA,HUMANA,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,UHC,UHC,,331,148.95,,,,,,,,outpatient,
Gastrografin 30ML,6000DG001,Q9963,CPT,250,,,,,,,VA,VA,,331,148.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,AETNA,AETNA,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,BCBS,BCBS,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,UHC,UHC,,591,265.95,,,,,,,,outpatient,
Haldol 50mg Vial,6000DH001,J3490,CPT,250,,,,,,,VA,VA,,591,265.95,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 5/325 tab,6000DH002,J8499,CPT,250,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
Hydrocodone/apap 7.5/325 tab,6000DH003,J8499,CPT,259,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
Lidocaine 2g in 250ml,6000DL001,J3490,CPT,250,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Lorazepam 1mg tab,6000DL002,J8499,CPT,250,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,AETNA,AETNA,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,BCBS,BCBS,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,UHC,UHC,,261,117.45,,,,,,,,outpatient,
Nitroglycerin Paste,6000DN004,A6250,CPT,250,,,,,,,VA,VA,,261,117.45,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
Tamsulosin (Flomax) 0.4mg Tab,6000DT001,J8499,CPT,250,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Zofran 4MG Tab,6000DZ002,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Amoxicillin 500mg tab,60000011417,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
Tamiflu (Oseltamivir) 75mg Tab,6000002001,J8499,CPT,250,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Tamiflu 6mg/ml PER ML,6000002002,J3490,CPT,250,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Loperamide Tab; 2 mg,6000002004,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
DULCOLAX- BISACODYL supp 10MG,60000DULCO,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,AETNA,AETNA,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,BCBS,BCBS,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,UHC,UHC,,669,301.05,,,,,,,,outpatient,
CORTISPORIN OTIC SOLUTION - EAR DROPS,60000CORTIS,J8499,CPT,250,,,,,,,VA,VA,,669,301.05,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL 10MG TABLET,5000J8499BENTYL,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
TESSALON-BENZONATATE 200mg tablet,60000TESBEN,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,AETNA,AETNA,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,BCBS,BCBS,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,UHC,UHC,,145,65.25,,,,,,,,outpatient,
Robitussin W/CODEINE 10 ML SUPP ,60000ROBI,J8499,CPT,250,,,,,,,VA,VA,,145,65.25,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
FIORICET-BUTALBITAL  TABLET,60000FIOR,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
Diflucan (Fluconazole) 150 mg; tab,5000J8499DIFLU,J8499,CPT,250,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,AETNA,AETNA,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,BCBS,BCBS,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,UHC,UHC,,29,13.05,,,,,,,,outpatient,
Bentyl 10 MG/mL cap,5000J8499BENT10,J8499,CPT,250,,,,,,,VA,VA,,29,13.05,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,AETNA,AETNA,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,BCBS,BCBS,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,CIGNA,CIGNA,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,HUMANA,HUMANA,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,UHC,UHC,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,500096360,96360,CPT,269,,,,,,,VA,VA,,380,171,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,AETNA,AETNA,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,BCBS,BCBS,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,CIGNA,CIGNA,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,HUMANA,HUMANA,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,UHC,UHC,,354,159.3,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,500096361,96361,CPT,269,,,,,,,VA,VA,,354,159.3,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,AETNA,AETNA,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,BCBS,BCBS,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,CIGNA,CIGNA,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,HUMANA,HUMANA,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,UHC,UHC,,557,250.65,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,500096365,96365,CPT,260,,,,,,,VA,VA,,557,250.65,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,AETNA,AETNA,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,BCBS,BCBS,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,CIGNA,CIGNA,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,HUMANA,HUMANA,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,UHC,UHC,,280,126,,,,,,,,outpatient,
Subcutaneous infusion for therapy or prophylaxis,500096371,96371,CPT,269,,,,,,,VA,VA,,280,126,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,AETNA,AETNA,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,BCBS,BCBS,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,CIGNA,CIGNA,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,HUMANA,HUMANA,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,UHC,UHC,,345,155.25,,,,,,,,outpatient,
"INJECTION, INTRA-ARTERIAL",500096373,96373,CPT,269,,,,,,,VA,VA,,345,155.25,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,AETNA,AETNA,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,BCBS Federal,BCBS Federal,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,BCBS,BCBS,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,CIGNA,CIGNA,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,HUMANA,HUMANA,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,UHC,UHC,,454,204.3,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,500096374,96374,CPT,262,,,,,,,VA,VA,,454,204.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,AETNA,AETNA,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,BCBS,BCBS,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,CIGNA,CIGNA,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,HUMANA,HUMANA,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,UHC,UHC,,308,138.6,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,500096375,96375,CPT,269,,,,,,,VA,VA,,308,138.6,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,AETNA,AETNA,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,BCBS Federal,BCBS Federal,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,BCBS,BCBS,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,CIGNA,CIGNA,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,HUMANA,HUMANA,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,UHC,UHC,,334,150.3,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL IV PUSH,500096376,96376,CPT,262,,,,,,,VA,VA,,334,150.3,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,AETNA,AETNA,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,BCBS,BCBS,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,CIGNA,CIGNA,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,HUMANA,HUMANA,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,UHC,UHC,,322,144.9,,,,,,,,outpatient,
INJECTION - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,500096379,96379,CPT,269,,,,,,,VA,VA,,322,144.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,500099000,99000,CPT,263,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
IV EXTENSION SET,6000IV0003,S1015,CPT,243,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
ALS IV DRUG THERAPY SUPPLIES,5000A0394,A0394,CPT,270,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
ALS ESOPHAGEAL INTUB SUPPLS,5000A0396,A0396,CPT,270,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
3 CC STERILE SYRINGE&NEEDLE,5000A4208,A4208,CPT,270,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
5+ CC STERILE SYRINGE&NEEDLE,5000A4209,A4209,CPT,270,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
20+ CC SYRINGE ONLY,5000A4213,A4213,CPT,270,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
"NEEDLE STERILE, ANY SIZE, EACH",5000A4215,A4215,CPT,270,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 10 ML",5000A4216,A4216,CPT,272,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
"STERILE WATER/SALINE, 500 ML",5000A4217,A4217,CPT,272,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,AETNA,AETNA,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,BCBS,BCBS,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,CIGNA,CIGNA,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,HUMANA,HUMANA,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,UHC,UHC,,214,96.3,,,,,,,,outpatient,
Maint Drug Infus Cath Per Wk,5000A4221,A4221,CPT,270,,,,,,,VA,VA,,214,96.3,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
ALCOHOL OR PEROXIDE PER PINT,5000A4244,A4244,CPT,272,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,AETNA,AETNA,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,BCBS,BCBS,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,CIGNA,CIGNA,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,HUMANA,HUMANA,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,UHC,UHC,,38,17.1,,,,,,,,outpatient,
BETADINE/PHISOHEX SOLUTION,5000A4246,A4246,CPT,272,,,,,,,VA,VA,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,AETNA,AETNA,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,BCBS,BCBS,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,CIGNA,CIGNA,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,HUMANA,HUMANA,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,UHC,UHC,,38,17.1,,,,,,,,outpatient,
BETADINE/IODINE SWABS/WIPES,5000A4247,A4247,CPT,270,,,,,,,VA,VA,,38,17.1,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
CHLORHEXIDINE ANTISEPT,5000A4248,A4248,CPT,272,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
GLUCOSE TEST STRIP - BLOOD KETONE TEST OR STRIP,5000A4252,A4252,CPT,272,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
CATHETER W/O BAG 2-WAY LATEX,5000A4311,A4311,CPT,270,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,AETNA,AETNA,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,BCBS,BCBS,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,CIGNA,CIGNA,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,HUMANA,HUMANA,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,UHC,UHC,,42,18.9,,,,,,,,outpatient,
CATHETER W/BAG 3-WAY,5000A4313,A4313,CPT,270,,,,,,,VA,VA,,42,18.9,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
IRRIGATION TRAY,5000A4320,A4320,CPT,270,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
IRRIGATION SYRINGE,5000A4322,A4322,CPT,270,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
URINE CUP FEMALE COLLECT DEV CUP,5000A4327,A4327,CPT,270,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
"FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH",5000A4328,A4328,CPT,270,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
INCONTINENCE SUPPLY MISCELLANEOUS,5000A4335,A4335,CPT,270,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
INDWELLING CATHETER LATEX,5000A4338,A4338,CPT,270,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
STRAIGHT TIP URINE CATHETER,5000A4351,A4351,CPT,270,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,AETNA,AETNA,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,BCBS,BCBS,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,CIGNA,CIGNA,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,HUMANA,HUMANA,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,UHC,UHC,,36,16.2,,,,,,,,outpatient,
COUDE TIP URINARY CATHETER,5000A4352,A4352,CPT,270,,,,,,,VA,VA,,36,16.2,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
INTERMITTENT URINARY CATH,5000A4353,A4353,CPT,270,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,AETNA,AETNA,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,BCBS,BCBS,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,CIGNA,CIGNA,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,HUMANA,HUMANA,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,UHC,UHC,,413,185.85,,,,,,,,outpatient,
EXT URETH CLMP OR COMPR DVC,5000A4356,A4356,CPT,270,,,,,,,VA,VA,,413,185.85,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
BAG - URINARY LEG OR ABDOMEN BAG,5000A4358,A4358,CPT,270,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
"DERMABOND - ADHESIVE, LIQUID OR EQUAL PER OZ.",5000A4364,A4364,CPT,270,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
TAPE NON-WATERPROOF,5000A4450,A4450,CPT,272,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
TAPE WATERPROOF,5000A4452,A4452,CPT,272,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
DISPOSABLE UNDERPADS - CHUCKS PAD - CHUX,5000A4554,A4554,CPT,270,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,AETNA,AETNA,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,BCBS,BCBS,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,CIGNA,CIGNA,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,HUMANA,HUMANA,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,UHC,UHC,,113,50.85,,,,,,,,outpatient,
"ELECTRODES, PAIR",5000A4556,A4556,CPT,270,,,,,,,VA,VA,,113,50.85,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
SLINGS,5000A4565,A4565,CPT,272,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,AETNA,AETNA,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,BCBS,BCBS,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,CIGNA,CIGNA,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,HUMANA,HUMANA,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,UHC,UHC,,183,82.35,,,,,,,,outpatient,
"SHOULDER SLING OR VEST DESIGN, ABDUCTION RESTRAINER, WITH OR...",5000A4566,A4566,CPT,270,,,,,,,VA,VA,,183,82.35,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
TUBING (OXYGEN) PER FOOT,5000A4616,A4616,CPT,270,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,AETNA,AETNA,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,BCBS,BCBS,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,CIGNA,CIGNA,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,HUMANA,HUMANA,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,UHC,UHC,,83,37.35,,,,,,,,outpatient,
MASK - VARIABLE CONCENTRATION MASK - NON-REBREATHER MASK,5000A4620,A4620,CPT,270,,,,,,,VA,VA,,83,37.35,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
BAG -  NORMAL SALINE 100ML BAG,6000DN008,A4649,CPT,270,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
BANDAID,6000S0014,A4649,CPT,270,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
SCAPLEL BLADE #11,6000S0013,A4649,CPT,270,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
HYDROGEN PEROXIDE BOTTLE,5000A4649 BOTT,A4649,CPT,270,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
BUDDY TAPE,5000A4649 BUDD,A4649,CPT,270,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,AETNA,AETNA,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,BCBS,BCBS,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,UHC,UHC,,61,27.45,,,,,,,,outpatient,
ELECTROCAUTERY STICKS,5000A4649 CAU,A4649,CPT,270,,,,,,,VA,VA,,61,27.45,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
URINE SPEC CUP,5000A4649 CUP,A4649,CPT,270,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
CO2 DETECTOR,5000A4649 DEC,A4649,CPT,270,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649 ENEM,A4649,CPT,270,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
ICE PACK,5000A4649 ICE,A4649,CPT,270,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
IRRIGATION BOTTLE,5000A4649 IRR,A4649,CPT,270,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
IV START KIT,5000A4649 IV,A4649,CPT,270,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
WOODS LAMP,5000A4649 LAMP,A4649,CPT,270,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
LIGHT SOURCE,5000A4649 LITE,A4649,CPT,270,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
ABUTER MASK,5000A4649 MASK,A4649,CPT,270,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,AETNA,AETNA,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,BCBS,BCBS,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,UHC,UHC,,438,197.1,,,,,,,,outpatient,
CARDIAC MONITOR,5000A4649 MON,A4649,CPT,270,,,,,,,VA,VA,,438,197.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
SODIUM CHLORIDE BOTTLE 1000 ML,5000A4649 NACL,A4649,CPT,270,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,AETNA,AETNA,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,BCBS,BCBS,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,UHC,UHC,,61,27.45,,,,,,,,outpatient,
SILVER NITRATE STICKS EACH,5000A4649 NIT,A4649,CPT,270,,,,,,,VA,VA,,61,27.45,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
OXYGEN MASK,5000A4649 OXY,A4649,CPT,270,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
SPECULUM,5000A4649 SPEC,A4649,CPT,270,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
STAPLE REMOVAL/REPAIR KIT,6000S0015,A4649,CPT,270,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,AETNA,AETNA,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,BCBS,BCBS,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,UHC,UHC,,315,141.75,,,,,,,,outpatient,
RAPID RHINO NASAL PACKING OR NASAL TAMPON,5000A4649 TAM,A4649,CPT,270,,,,,,,VA,VA,,315,141.75,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
TONGUE DEPRESSOR,5000A4649 TON,A4649,CPT,270,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
VAGINAL SPECULUM,5000A4649 VAG,A4649,CPT,270,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
BASIN - EMESIS BASIN STERILE,5000A4649BASIN,A4649,CPT,270,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,AETNA,AETNA,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,BCBS,BCBS,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,UHC,UHC,,239,107.55,,,,,,,,outpatient,
A4649CAT,5000A4649CAT,A4649,CPT,270,,,,,,,VA,VA,,239,107.55,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,AETNA,AETNA,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,BCBS,BCBS,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,UHC,UHC,,274,123.3,,,,,,,,outpatient,
SKIN STAPLER,5000A4649STAPL,A4649,CPT,270,,,,,,,VA,VA,,274,123.3,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
FLUOR-I-STRIP,5000A4649STR,A4649,CPT,270,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
VOMIT BAG,5000A4649VBAG,A4649,CPT,270,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
SYRINGE WITH OR WITHOUT NEEDLE,5000A4657,A4657,CPT,270,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
"AUTOMATIC BP MONITOR, DIAL",5000A4670,A4670,CPT,270,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
SALINE LOCK,5000A4673,A4673,CPT,270,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
"BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50",5000A4770,A4770,CPT,270,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
"TOURNIQUET FOR DIALYSIS, EACH",5000A4929,A4929,CPT,270,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
SWAB OR WIPE SKIN BARRIER,5000A5120,A5120,CPT,270,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
PERCUTANEOUS CATHETER ANCHOR,5000A5200,A5200,CPT,270,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
COLLAGEN DRESSING <=16 SQ IN,5000A6021,A6021,CPT,272,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
ALGINATE DRESSING >48 SQ IN,5000A6198,A6198,CPT,272,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
COMPOSITE DRSG > 48 SQ IN,5000A6205,A6205,CPT,272,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
FOAM DRG > 48 SQ IN W/O BRDR,5000A6211,A6211,CPT,272,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
FOAM DRG >16<=48 SQ IN W/BDR,5000A6213,A6213,CPT,272,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE<=16 SQ IN,5000A6216,A6216,CPT,272,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE>16 BUT <=48 SQ,5000A6217,A6217,CPT,272,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
GAUZE - NON-STERILE GAUZE > 48 SQ IN,5000A6218,A6218,CPT,272,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
GAUZE - STERILE GAUZE <= 16 SQ IN W/BORDER,5000A6219,A6219,CPT,272,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Gauze > 48 In No W/sal W/o B,5000A6224,A6224,CPT,272,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
GAUZE - KERLIX HYDROGEL DSG<=16 SQ IN,5000A6231,A6231,CPT,272,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
SKIN SEAL PROTECT MOISTURIZER OINTMENT (NEOSPOIN/TRIP ANT),5000A6250,A6250,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
WOUND CLEANSER,5000A6260,A6260,CPT,272,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,AETNA,AETNA,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,BCBS,BCBS,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,CIGNA,CIGNA,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,HUMANA,HUMANA,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,UHC,UHC,,86,38.7,,,,,,,,outpatient,
WOUND FILLER GEL/PASTE /OZ,5000A6261,A6261,CPT,272,,,,,,,VA,VA,,86,38.7,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
IMPREG GAUZE NO H20/SAL/YARD,5000A6266,A6266,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
SELF-ADHER BAND W>=3,5000A6454,A6454,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
TRACH/LARYN TUBE NON-CUFFED,5000A7520,A7520,CPT,270,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
SURGICAL SHOE/BOOT EACH,5000L3260,L3260,CPT,270,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,AETNA,AETNA,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,BCBS,BCBS,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,CIGNA,CIGNA,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,HUMANA,HUMANA,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,UHC,UHC,,380,171,,,,,,,,outpatient,
SHLDER FIG 8 ABDUCT RESTRAIN,5000L3650,L3650,CPT,270,,,,,,,VA,VA,,380,171,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,5000L3908,L3908,CPT,270,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
CAST SUP LNG ARM SPLINT FBRG,5000Q4018,Q4018,CPT,270,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,AETNA,AETNA,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,BCBS,BCBS,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,CIGNA,CIGNA,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,HUMANA,HUMANA,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,UHC,UHC,,159,71.55,,,,,,,,outpatient,
CAST SUP SHT ARM SPLINT FBRG,5000Q4022,Q4022,CPT,270,,,,,,,VA,VA,,159,71.55,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
CAST SUP SHRT LEG FIBERGLASS,5000Q4038,Q4038,CPT,270,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,AETNA,AETNA,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,BCBS,BCBS,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,CIGNA,CIGNA,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,HUMANA,HUMANA,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,UHC,UHC,,376,169.2,,,,,,,,outpatient,
CAST SUP SHT LEG SPLNT FBRGL,5000Q4046,Q4046,CPT,270,,,,,,,VA,VA,,376,169.2,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,AETNA,AETNA,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,BCBS,BCBS,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,CIGNA,CIGNA,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,HUMANA,HUMANA,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,UHC,UHC,,313,140.85,,,,,,,,outpatient,
"FINGER SPLINT, STATIC",5000Q4049,Q4049,CPT,270,,,,,,,VA,VA,,313,140.85,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
SPLINT SUPPLIES MISC,5000Q4051,Q4051,CPT,270,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
CATH W/DRAINAGE 2-WAY LATEX,5000A4314,A4314,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
LUBE STERILE PACKET,5000A4332,A4332,CPT,272,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
CATHETER - FOLEY 2 WAY SILICN,5000A4344,A4344,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
SURGICAL TRAY/LACERATION KIT,5000A4550,A4550,CPT,272,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
SPLINT,5000A4570,A4570,CPT,272,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 4,5000A4590,A4590,CPT,272,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
ORTHO GLASS 3,5000A4590 3,A4590,CPT,272,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
OXYGEN PROBE USED W OXIMETER,5000A4606,A4606,CPT,272,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
CANNULA NASAL O2,5000A4615,A4615,CPT,600,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
SUTURES ALL TYPES,50000A4649,A4649,CPT,272,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
STERILE GAUZE <= 16 SQ IN,5000A6402,A6402,CPT,272,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
"IODOFORM - PACKING STRIPS/GAUZE , NON-IMPREG",5000A6407,A6407,CPT,272,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
STERILE EYE PAD OR STRIP,5000A6410,A6410,CPT,272,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
"ADHESIVE BANDAGE, FIRST-AID",5000A6413,A6413,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
PAD BAND W>=3,5000A6441,A6441,CPT,272,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W<3,5000A6442,A6442,CPT,272,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
CONFORM BAND N/S W>=3,5000A6443,A6443,CPT,272,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
CONFORM BAND S W>=3,5000A6446,A6446,CPT,272,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
LT COMPRES BAND <3Ö/YD,5000A6448,A6448,CPT,272,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
ACE WRAP (LT COMPRES BAND >=3” <5”/YD),5000A6449,A6449,CPT,272,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,5000A6450,A6450,CPT,272,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
BANDAGE - SELF-ADHER BAND W <3Ö/YD,5000A6453,A6453,CPT,272,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
"CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH",5000A7001,A7001,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,AETNA,AETNA,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,BCBS,BCBS,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,CIGNA,CIGNA,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,HUMANA,HUMANA,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,UHC,UHC,,142,63.9,,,,,,,,outpatient,
SUCTION TUBING USED W PUMP,5000A7002,A7002,CPT,272,,,,,,,VA,VA,,142,63.9,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
NEBULIZER ADMINISTRATION SET,5000A7003,A7003,CPT,270,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
FILTERED NEBULIZER ADMIN SET,5000A7006,A7006,CPT,272,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
NONDISPOS CORRUGATED TUBING,5000A7011,A7011,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK USED W NEBULIZER,5000A7015,A7015,CPT,272,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
NEBULIZER DOME & MOUTHPIECE,5000A7016,A7016,CPT,272,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
NEBULIZER MASK NOT USED W OXYGEN,5000A7017,A7017,CPT,272,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
MISC/EXPER NON-PRESCRIPT DRU,5000A9150,A9150,CPT,272,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
"Hot water bottle, ice cap or collar, heat and/or cold wrap, any type ",5000A9273,A9273,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
Knee - KO IMMOBILIZER CANVAS LONGIT,5000L1830,L1830,CPT,272,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
LIDOCAINE 2% JELLY TUBE 30ML,400120585,A6250,CPT,272,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,AETNA,AETNA,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,BCBS,BCBS,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,UHC,UHC,,176,79.2,,,,,,,,outpatient,
FOLIC ACID 5MG 10ML,400126193,J3490,CPT,272,,,,,,,VA,VA,,176,79.2,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 1% MDV 10ML,400126213,J3490,CPT,272,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 2% SDV 5ML,400173230,J3490,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
METOPROLOL 1MG/ML 5ML VL,400317332,J3490,CPT,272,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
ACETAMINOPHEN 325MG TAB; 100/EA,400255988,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
IBUPROFEN 200MG TAB 100/BX,400259039,J8499,CPT,257,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
GERI-LANTA LIQ 200MG 12OZ,400255606,J8499,CPT,272,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
MARCAINE .25% SDV PF 10ML,400010909,J3490,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
MARCAINE .5% 50ML MDV,400045843,J3490,CPT,272,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
DEXTROSE 25% ANSYER 10ML,400207378,J3490,CPT,272,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
LABETALOL HCL 5MG/ML MDV 20M,400155504,J3490,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% HCL 10 mg/mL; 20ML vial,400038147,J3490,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 1% W/EPI 50ML,400021499,J3490,CPT,272,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
LIDOCAINE 2% W/EPI 50ML,400253847,J3490,CPT,272,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,AETNA,AETNA,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,BCBS,BCBS,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,UHC,UHC,,78,35.1,,,,,,,,outpatient,
LEVOPHED 1MG/ML 4ML VL,400256984,J3490,CPT,272,,,,,,,VA,VA,,78,35.1,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
CLINDAMYCIN 150MG/ML 4ML,400246687,S0077,CPT,272,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
DEXTROSE 50% 18G SYR L/S 50M,400075767,J3490,CPT,272,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
SODIUM BICARB 8.4% SYR 50ML,400044112,J3490,CPT,270,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
CEFTRIAXONE 1GM VL,400285931,J0696,CPT,272,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
NEO-SYNEPHRINE REG SPY 15ML,400051920,J8499,CPT,272,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
CIPRODEX OTIC SUS 7.5ML,400123713,J8499,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
DOXYCYCLINE 100MG CAP 50/BT,400181696,J8499,CPT,272,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
FLUMAZENIL .1MG/ML MDV 5ML,400233835,J3490,CPT,272,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
PROPRANOLOL 1MG SDV 1ML,400243925,J1800,CPT,272,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
Amiodarone Hydrochloride 50 mg/3 mL; VL 10/bx,400304159,J0282,CPT,272,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,AETNA,AETNA,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,BCBS,BCBS,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,UHC,UHC,,261,117.45,,,,,,,,outpatient,
NITRO-BID 2% OINT 30GM,400236944,A6250,CPT,272,,,,,,,VA,VA,,261,117.45,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,AETNA,AETNA,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,BCBS,BCBS,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,UHC,UHC,,252,113.4,,,,,,,,outpatient,
ACTIDOSE/SORB 25GM LIQ 120ML,400082250,J8499,CPT,272,,,,,,,VA,VA,,252,113.4,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
LIDOCAINE 2% VISCOUS 15 mL,400287885,J8499,CPT,258,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
PROMETHAZINE 25MG TAB 100/BT,400314690,J8499,CPT,272,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
DEXAMETHASONE 10MG/ML VL 1ML,400142561,J8499,CPT,272,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
POTASSIUM CHL 20MEQTAB 100BT,400217128,J8499,CPT,250,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
Ipratropium Bromide .02% SOL .5 mg/2.5 mL,400260395,J7644,CPT,272,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
MILK OF MAGNESIA SUS 480ML,400160719,J8499,CPT,272,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,AETNA,AETNA,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,BCBS,BCBS,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,UHC,UHC,,83,37.35,,,,,,,,outpatient,
CLONIDINE HCL .1MG TAB 100,400314403,J8499,CPT,250,,,,,,,VA,VA,,83,37.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,400289485,J8499,CPT,272,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
ERYTHROMYCIN 0.5% 3.5GM OINT,400226075,A6250,CPT,272,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
LACTULOSE 10GM/15ML SOL 16OZ,400295736,J8499,CPT,272,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
METRONIDAZOLE 500MG 100/EA,400083126,J8499,CPT,636,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
LEVAQUIN 500MG TABS 50/BT,400246948,J8499,CPT,272,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
CLOPIDOGREL 75MG TABS 30/BT,400272217,J8499,CPT,272,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
METOPROLOL 25MG TABS 100/BT,400246623,J8499,CPT,272,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
AZITHROMYCIN 200MG/5ML 15ML,400177491,J0456,CPT,272,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
TIMOLOL .5% O/S 5ML,400072279,J8499,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
CIPROFLOXACIN .3% O/S 5ML,400182950,J7342,CPT,272,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
FUROSEMIDE 20MG TABS 100/BT,400306277,J8499,CPT,272,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,AETNA,AETNA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,BCBS,BCBS,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,CIGNA,CIGNA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,HUMANA,HUMANA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,UHC,UHC,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,400230462,J8499,CPT,251,,,,,,,VA,VA,,370,166.5,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
CEPHALEXIN 500MG CAPS 100/BT,400316673,J8499,CPT,251,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,AETNA,AETNA,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,BCBS,BCBS,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,UHC,UHC,,84,37.8,,,,,,,,outpatient,
BACITRACIN ZINC OINT .9GM,400218964,A6250,CPT,272,,,,,,,VA,VA,,84,37.8,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,400304583,J8499,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
NITROSTAT .4MG TABS 25/BT,400047217,J8499,CPT,272,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
IBUPROFEN 100MG/5ML SUS (5 mL UD cup),400193826,J8499,CPT,257,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
INFLUENZA A,400126228,87804,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,AETNA,AETNA,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,BCBS,BCBS,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,CIGNA,CIGNA,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,HUMANA,HUMANA,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,UHC,UHC,,459,206.55,,,,,,,,outpatient,
AZITHROMYCIN 500MG 10X10ML,400263735,J0456,CPT,272,,,,,,,VA,VA,,459,206.55,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Steri Strip All Sizes,6000S0012,A4649,CPT,272,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
DermaBond Mini,5001A4364,A4364,CPT,272,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
L0114,5000L0114,L0114,CPT,274,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,AETNA,AETNA,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,BCBS,BCBS,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,CIGNA,CIGNA,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,HUMANA,HUMANA,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,UHC,UHC,,486,218.7,,,,,,,,outpatient,
CERV FLEXIBLE NON-ADJUSTABLE,5000L0120,L0120,CPT,274,,,,,,,VA,VA,,486,218.7,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,AETNA,AETNA,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,BCBS,BCBS,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,CIGNA,CIGNA,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,HUMANA,HUMANA,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,UHC,UHC,,827,372.15,,,,,,,,outpatient,
CERV SEMI-RIG ADJ MOLDED CHN,5000L0150,L0150,CPT,274,,,,,,,VA,VA,,827,372.15,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
CERV COL THERMPLAS FOAM 2 PI,5000L0172,L0172,CPT,274,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,AETNA,AETNA,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,BCBS,BCBS,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,CIGNA,CIGNA,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,HUMANA,HUMANA,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,UHC,UHC,,1509,679.05,,,,,,,,outpatient,
AXILLARY CRUTCH EXTENSION,5000L0978,L0978,CPT,274,,,,,,,VA,VA,,1509,679.05,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,AETNA,AETNA,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,BCBS,BCBS,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,CIGNA,CIGNA,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,HUMANA,HUMANA,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,UHC,UHC,,679,305.55,,,,,,,,outpatient,
ANKLE FOOT ORTHOSIS,5000L1902,L1902,CPT,274,,,,,,,VA,VA,,679,305.55,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,AETNA,AETNA,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,BCBS,BCBS,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,CIGNA,CIGNA,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,HUMANA,HUMANA,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,UHC,UHC,,201,90.45,,,,,,,,outpatient,
AFO MULTILIGAMENTUS ANKLE SU,5000L1906,L1906,CPT,274,,,,,,,VA,VA,,201,90.45,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,AETNA,AETNA,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,BCBS,BCBS,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,CIGNA,CIGNA,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,HUMANA,HUMANA,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,UHC,UHC,,445,200.25,,,,,,,,outpatient,
"ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE",5000L3580,L3580,CPT,274,,,,,,,VA,VA,,445,200.25,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,AETNA,AETNA,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,BCBS,BCBS,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,CIGNA,CIGNA,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,HUMANA,HUMANA,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,UHC,UHC,,1561,702.45,,,,,,,,outpatient,
"WHFO, NO JOINT, PREFABRICATED",5000L3807,L3807,CPT,274,,,,,,,VA,VA,,1561,702.45,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,AETNA,AETNA,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,BCBS,BCBS,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,CIGNA,CIGNA,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,HUMANA,HUMANA,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,UHC,UHC,,2466,1109.7,,,,,,,,outpatient,
"WRIST HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERF...",5000L3906,L3906,CPT,274,,,,,,,VA,VA,,2466,1109.7,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,AETNA,AETNA,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,BCBS,BCBS,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,CIGNA,CIGNA,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,HUMANA,HUMANA,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,UHC,UHC,,543,244.35,,,,,,,,outpatient,
HFO W/O JOINTS PF,5000L3923,L3923,CPT,274,,,,,,,VA,VA,,543,244.35,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
UPPER LIMB ORTHOSIS NOS,5000L3999,L3999,CPT,274,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,AETNA,AETNA,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,BCBS,BCBS,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,CIGNA,CIGNA,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,HUMANA,HUMANA,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,UHC,UHC,,586,263.7,,,,,,,,outpatient,
ANKLE CONTROL ORTHOSI PREFAB,5000L4350,L4350,CPT,274,,,,,,,VA,VA,,586,263.7,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
PNEUMATIC KNEE SPLINT (DELETED 01/01/2012),5000L4380,L4380,CPT,274,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,AETNA,AETNA,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,BCBS,BCBS,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,CIGNA,CIGNA,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,HUMANA,HUMANA,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,UHC,UHC,,1276,574.2,,,,,,,,outpatient,
NON-PNEUM WALK BOOT PREFAB,5000L4386,L4386,CPT,274,,,,,,,VA,VA,,1276,574.2,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,AETNA,AETNA,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,BCBS,BCBS,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,CIGNA,CIGNA,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,HUMANA,HUMANA,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,UHC,UHC,,735,330.75,,,,,,,,outpatient,
"AFO, WALK BOOT TYPE, CUS FAB",5000L4631,L4631,CPT,274,,,,,,,VA,VA,,735,330.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
CULTURE BACTERIAL URINE,5000P7001,P7001,CPT,274,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,AETNA,AETNA,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,BCBS,BCBS,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,CIGNA,CIGNA,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,HUMANA,HUMANA,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,UHC,UHC,,424,190.8,,,,,,,,outpatient,
Infusion Supplies With Pump,5000A4222,A4222,CPT,290,,,,,,,VA,VA,,424,190.8,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
SUPPLY/ACCESSORY/SERVICE,5000A9900,A9900,CPT,290,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,AETNA,AETNA,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,BCBS,BCBS,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,CIGNA,CIGNA,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,HUMANA,HUMANA,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,UHC,UHC,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR WOOD,5.00E+115,E0112,CPT,290,,,,,,,VA,VA,,262,117.9,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM PAIR NO WOOD,5.00E+117,E0114,CPT,290,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
CRUTCH UNDERARM EACH NO WOOD,5.00E+119,E0116,CPT,290,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,AETNA,AETNA,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,BCBS,BCBS,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,CIGNA,CIGNA,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,HUMANA,HUMANA,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,UHC,UHC,,183,82.35,,,,,,,,outpatient,
UNDERARM SPRINGASSIST CRUTCH,5.00E+120,E0117,CPT,290,,,,,,,VA,VA,,183,82.35,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,AETNA,AETNA,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,BCBS,BCBS,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,CIGNA,CIGNA,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,HUMANA,HUMANA,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,UHC,UHC,,2171,976.95,,,,,,,,outpatient,
"WALKER, ENCLOSED, FOUR SIDED FRAMED, RIGID OR FOLDING, WHEEL...",5.00E+147,E0144,CPT,290,,,,,,,VA,VA,,2171,976.95,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
VENIPUNCTURE,500036415,36415,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,500036416,36416,CPT,300,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,500036591,36591,CPT,300,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,AETNA,AETNA,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,BCBS,BCBS,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,CIGNA,CIGNA,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,HUMANA,HUMANA,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,UHC,UHC,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,500080047,80047,CPT,300,,,,,,,VA,VA,,386,173.7,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,AETNA,AETNA,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,BCBS,BCBS,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,CIGNA,CIGNA,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,HUMANA,HUMANA,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,UHC,UHC,,408,183.6,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,500080048,80048,CPT,300,,,,,,,VA,VA,,408,183.6,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,AETNA,AETNA,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,BCBS,BCBS,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,CIGNA,CIGNA,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,HUMANA,HUMANA,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,UHC,UHC,,414,186.3,,,,,,,,outpatient,
GENERAL HLTH PANEL,500080050,80050,CPT,300,,,,,,,VA,VA,,414,186.3,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,AETNA,AETNA,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,BCBS,BCBS,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,CIGNA,CIGNA,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,HUMANA,HUMANA,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,UHC,UHC,,421,189.45,,,,,,,,outpatient,
ELECTROLYTE PANEL,500080051,80051,CPT,300,,,,,,,VA,VA,,421,189.45,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,AETNA,AETNA,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,BCBS,BCBS,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,CIGNA,CIGNA,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,HUMANA,HUMANA,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,UHC,UHC,,824,370.8,,,,,,,,outpatient,
COMPRE METAB PANEL,500080053,80053,CPT,300,,,,,,,VA,VA,,824,370.8,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,AETNA,AETNA,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,BCBS,BCBS,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,CIGNA,CIGNA,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,HUMANA,HUMANA,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,UHC,UHC,,420,189,,,,,,,,outpatient,
LIPID PANEL,500080061,80061,CPT,300,,,,,,,VA,VA,,420,189,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,AETNA,AETNA,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,BCBS,BCBS,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,CIGNA,CIGNA,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,HUMANA,HUMANA,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,UHC,UHC,,834,375.3,,,,,,,,outpatient,
AQT HEP PANEL,500080074,80074,CPT,300,,,,,,,VA,VA,,834,375.3,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,AETNA,AETNA,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,BCBS,BCBS,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,CIGNA,CIGNA,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,HUMANA,HUMANA,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,UHC,UHC,,430,193.5,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,500080076,80076,CPT,300,,,,,,,VA,VA,,430,193.5,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,AETNA,AETNA,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,BCBS,BCBS,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,CIGNA,CIGNA,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,HUMANA,HUMANA,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,UHC,UHC,,348,156.6,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,500080100,80100,CPT,300,,,,,,,VA,VA,,348,156.6,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
ASSAY OF DIGOXIN,500080162,80162,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,AETNA,AETNA,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,BCBS,BCBS,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,CIGNA,CIGNA,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,HUMANA,HUMANA,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,UHC,UHC,,89,40.05,,,,,,,,outpatient,
LITHIUM,500080178,80178,CPT,300,,,,,,,VA,VA,,89,40.05,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,AETNA,AETNA,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,BCBS,BCBS,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,CIGNA,CIGNA,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,HUMANA,HUMANA,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,UHC,UHC,,530,238.5,,,,,,,,outpatient,
TACROLIMUS,500080197,80197,CPT,300,,,,,,,VA,VA,,530,238.5,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,AETNA,AETNA,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,BCBS,BCBS,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,CIGNA,CIGNA,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,HUMANA,HUMANA,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,UHC,UHC,,347,156.15,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,500080202,80202,CPT,300,,,,,,,VA,VA,,347,156.15,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,500081001,81001,CPT,307,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,500081003,81003,CPT,307,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,AETNA,AETNA,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,BCBS,BCBS,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,CIGNA,CIGNA,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,HUMANA,HUMANA,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,UHC,UHC,,143,64.35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,500081025,81025,CPT,300,,,,,,,VA,VA,,143,64.35,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
ACETALDEHYDE BLD,500082000,82000,CPT,300,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,500082010,82010,CPT,300,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,AETNA,AETNA,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,BCBS,BCBS,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,CIGNA,CIGNA,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,HUMANA,HUMANA,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,UHC,UHC,,50,22.5,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,500082040,82040,CPT,300,,,,,,,VA,VA,,50,22.5,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
ALCOHOL BRTH,500082075,82075,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,AETNA,AETNA,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,BCBS,BCBS,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,CIGNA,CIGNA,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,HUMANA,HUMANA,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,UHC,UHC,,318,143.1,,,,,,,,outpatient,
AMYLASE,500082150,82150,CPT,301,,,,,,,VA,VA,,318,143.1,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,AETNA,AETNA,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,BCBS,BCBS,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,CIGNA,CIGNA,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,HUMANA,HUMANA,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,UHC,UHC,,187,84.15,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,500082190,82190,CPT,300,,,,,,,VA,VA,,187,84.15,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
BILIRUBIN TOT,500082247,82247,CPT,301,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,AETNA,AETNA,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,BCBS,BCBS,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,CIGNA,CIGNA,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,HUMANA,HUMANA,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,UHC,UHC,,230,103.5,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,500082270,82270,CPT,300,,,,,,,VA,VA,,230,103.5,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",500082271,82271,CPT,300,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,500082272,82272,CPT,300,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,500082274,82274,CPT,300,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
CALCIUM TOT,500082310,82310,CPT,301,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
CARBON DIOXIDE,500082374,82374,CPT,301,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
CHLORIDE BLD,500082435,82435,CPT,301,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,AETNA,AETNA,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,BCBS,BCBS,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,CIGNA,CIGNA,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,HUMANA,HUMANA,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,UHC,UHC,,161,72.45,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,500082465,82465,CPT,301,,,,,,,VA,VA,,161,72.45,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,500082491,82491,CPT,300,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,AETNA,AETNA,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,BCBS,BCBS,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,CIGNA,CIGNA,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,HUMANA,HUMANA,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,UHC,UHC,,103,46.35,,,,,,,,outpatient,
CREATINE,500082540,82540,CPT,300,,,,,,,VA,VA,,103,46.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,AETNA,AETNA,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,BCBS,BCBS,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,CIGNA,CIGNA,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,HUMANA,HUMANA,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,UHC,UHC,,183,82.35,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,500082541,82541,CPT,300,,,,,,,VA,VA,,183,82.35,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE TOT,500082550,82550,CPT,301,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,AETNA,AETNA,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,BCBS,BCBS,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,CIGNA,CIGNA,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,HUMANA,HUMANA,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,UHC,UHC,,264,118.8,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,500082552,82552,CPT,300,,,,,,,VA,VA,,264,118.8,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,500082553,82553,CPT,300,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,AETNA,AETNA,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,BCBS,BCBS,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,CIGNA,CIGNA,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,HUMANA,HUMANA,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,UHC,UHC,,309,139.05,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,500082554,82554,CPT,300,,,,,,,VA,VA,,309,139.05,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
CREATININE BLD,500082565,82565,CPT,301,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,AETNA,AETNA,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,BCBS,BCBS,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,CIGNA,CIGNA,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,HUMANA,HUMANA,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,UHC,UHC,,111,49.95,,,,,,,,outpatient,
CYANOCOBALAMIN,500082607,82607,CPT,300,,,,,,,VA,VA,,111,49.95,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,AETNA,AETNA,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,BCBS,BCBS,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,CIGNA,CIGNA,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,HUMANA,HUMANA,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,UHC,UHC,,225,101.25,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,500082657,82657,CPT,300,,,,,,,VA,VA,,225,101.25,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
GASES BLD PH ONLY,500082800,82800,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,AETNA,AETNA,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,BCBS,BCBS,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,CIGNA,CIGNA,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,HUMANA,HUMANA,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,UHC,UHC,,579,260.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,500082803,82803,CPT,300,,,,,,,VA,VA,,579,260.55,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,AETNA,AETNA,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,BCBS,BCBS,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,CIGNA,CIGNA,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,HUMANA,HUMANA,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,UHC,UHC,,167,75.15,,,,,,,,outpatient,
GLUC QUAN BLD,500082947,82947,CPT,301,,,,,,,VA,VA,,167,75.15,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,500082962,82962,CPT,300,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,500082977,82977,CPT,301,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),500083036,83036,CPT,300,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,500083520,83520,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
IRON BNDNG CAP,500083550,83550,CPT,300,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
LIPASE,500083690,83690,CPT,301,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,AETNA,AETNA,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,BCBS,BCBS,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,CIGNA,CIGNA,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,HUMANA,HUMANA,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,UHC,UHC,,239,107.55,,,,,,,,outpatient,
MAGNESIUM,500083735,83735,CPT,301,,,,,,,VA,VA,,239,107.55,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,AETNA,AETNA,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,BCBS,BCBS,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,CIGNA,CIGNA,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,HUMANA,HUMANA,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,UHC,UHC,,260,117,,,,,,,,outpatient,
MYOGLOBIN,500083874,83874,CPT,300,,,,,,,VA,VA,,260,117,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,AETNA,AETNA,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,BCBS,BCBS,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,CIGNA,CIGNA,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,HUMANA,HUMANA,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,UHC,UHC,,486,218.7,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,500083880,83880,CPT,300,,,,,,,VA,VA,,486,218.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,AETNA,AETNA,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,BCBS,BCBS,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,CIGNA,CIGNA,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,HUMANA,HUMANA,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,UHC,UHC,,52,23.4,,,,,,,,outpatient,
"Phosphatase, alkaline;",500084075,84075,CPT,301,,,,,,,VA,VA,,52,23.4,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,500084132,84132,CPT,301,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,500084155,84155,CPT,301,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,500084157,84157,CPT,300,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,500084166,84166,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,500084295,84295,CPT,301,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
THYROXINE FR t4,500084439,84439,CPT,300,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,500084443,84443,CPT,300,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,500084450,84450,CPT,301,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,AETNA,AETNA,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,BCBS,BCBS,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,CIGNA,CIGNA,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,HUMANA,HUMANA,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,UHC,UHC,,202,90.9,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,500084460,84460,CPT,301,,,,,,,VA,VA,,202,90.9,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,AETNA,AETNA,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,BCBS,BCBS,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,CIGNA,CIGNA,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,HUMANA,HUMANA,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,UHC,UHC,,330,148.5,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,500084479,84479,CPT,300,,,,,,,VA,VA,,330,148.5,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,AETNA,AETNA,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,BCBS,BCBS,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,CIGNA,CIGNA,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,HUMANA,HUMANA,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,UHC,UHC,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,500084480,84480,CPT,300,,,,,,,VA,VA,,240,108,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,AETNA,AETNA,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,BCBS,BCBS,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,CIGNA,CIGNA,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,HUMANA,HUMANA,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,UHC,UHC,,309,139.05,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,500084481,84481,CPT,300,,,,,,,VA,VA,,309,139.05,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAN,500084484,84484,CPT,300,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,AETNA,AETNA,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,BCBS,BCBS,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,CIGNA,CIGNA,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,HUMANA,HUMANA,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,UHC,UHC,,234,105.3,,,,,,,,outpatient,
TROPONIN QUAL,500084512,84512,CPT,300,,,,,,,VA,VA,,234,105.3,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
UREA N QUAN,500084520,84520,CPT,301,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,AETNA,AETNA,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,BCBS,BCBS,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,CIGNA,CIGNA,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,HUMANA,HUMANA,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,UHC,UHC,,228,102.6,,,,,,,,outpatient,
URIC ACID BLD,500084550,84550,CPT,301,,,,,,,VA,VA,,228,102.6,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,AETNA,AETNA,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,BCBS,BCBS,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,CIGNA,CIGNA,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,HUMANA,HUMANA,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,UHC,UHC,,207,93.15,,,,,,,,outpatient,
URIC ACID OTH SRC,500084560,84560,CPT,300,,,,,,,VA,VA,,207,93.15,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,AETNA,AETNA,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,BCBS,BCBS,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,CIGNA,CIGNA,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,HUMANA,HUMANA,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,UHC,UHC,,316,142.2,,,,,,,,outpatient,
GONAD CHORNC QUAN,500084702,84702,CPT,300,,,,,,,VA,VA,,316,142.2,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,AETNA,AETNA,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,BCBS,BCBS,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,CIGNA,CIGNA,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,HUMANA,HUMANA,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,UHC,UHC,,322,144.9,,,,,,,,outpatient,
Blood pregnancy test  HCG,500084703,84703,CPT,300,,,,,,,VA,VA,,322,144.9,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
BLD# HEMATOCRIT,500085014,85014,CPT,305,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
BLD# HGB,500085018,85018,CPT,305,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,AETNA,AETNA,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,BCBS,BCBS,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,CIGNA,CIGNA,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,HUMANA,HUMANA,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,UHC,UHC,,309,139.05,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,500085025,85025,CPT,305,,,,,,,VA,VA,,309,139.05,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,AETNA,AETNA,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,BCBS,BCBS,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,CIGNA,CIGNA,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,HUMANA,HUMANA,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,UHC,UHC,,225,101.25,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,500085027,85027,CPT,305,,,,,,,VA,VA,,225,101.25,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,AETNA,AETNA,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,BCBS,BCBS,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,CIGNA,CIGNA,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,HUMANA,HUMANA,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,UHC,UHC,,231,103.95,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,500085032,85032,CPT,305,,,,,,,VA,VA,,231,103.95,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,AETNA,AETNA,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,BCBS,BCBS,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,CIGNA,CIGNA,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,HUMANA,HUMANA,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,UHC,UHC,,152,68.4,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,500085044,85044,CPT,305,,,,,,,VA,VA,,152,68.4,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
COAGJ TM ACTIVATED,500085347,85347,CPT,300,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,AETNA,AETNA,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,BCBS,BCBS,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,CIGNA,CIGNA,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,HUMANA,HUMANA,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,UHC,UHC,,228,102.6,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,500085378,85378,CPT,300,,,,,,,VA,VA,,228,102.6,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,AETNA,AETNA,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,BCBS,BCBS,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,CIGNA,CIGNA,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,HUMANA,HUMANA,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,UHC,UHC,,494,222.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,500085380,85380,CPT,300,,,,,,,VA,VA,,494,222.3,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,AETNA,AETNA,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,BCBS,BCBS,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,CIGNA,CIGNA,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,HUMANA,HUMANA,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,UHC,UHC,,260,117,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,500085610,85610,CPT,300,,,,,,,VA,VA,,260,117,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,500085651,85651,CPT,300,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,AETNA,AETNA,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,BCBS,BCBS,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,CIGNA,CIGNA,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,HUMANA,HUMANA,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,UHC,UHC,,141,63.45,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,500085652,85652,CPT,300,,,,,,,VA,VA,,141,63.45,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,AETNA,AETNA,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,BCBS,BCBS,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,CIGNA,CIGNA,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,HUMANA,HUMANA,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,UHC,UHC,,245,110.25,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,500085730,85730,CPT,300,,,,,,,VA,VA,,245,110.25,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,AETNA,AETNA,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,BCBS,BCBS,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,CIGNA,CIGNA,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,HUMANA,HUMANA,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,UHC,UHC,,87,39.15,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,500086000,86000,CPT,300,,,,,,,VA,VA,,87,39.15,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,AETNA,AETNA,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,BCBS,BCBS,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,CIGNA,CIGNA,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,HUMANA,HUMANA,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,UHC,UHC,,161,72.45,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,500086308,86308,CPT,300,,,,,,,VA,VA,,161,72.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,AETNA,AETNA,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,BCBS,BCBS,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,CIGNA,CIGNA,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,HUMANA,HUMANA,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,UHC,UHC,,283,127.35,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,500086325,86325,CPT,300,,,,,,,VA,VA,,283,127.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,AETNA,AETNA,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,BCBS,BCBS,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,CIGNA,CIGNA,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,HUMANA,HUMANA,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,UHC,UHC,,243,109.35,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,500086356,86356,CPT,300,,,,,,,VA,VA,,243,109.35,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,AETNA,AETNA,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,BCBS,BCBS,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,CIGNA,CIGNA,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,HUMANA,HUMANA,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,UHC,UHC,,202,90.9,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,500086403,86403,CPT,300,,,,,,,VA,VA,,202,90.9,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,500086430,86430,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,AETNA,AETNA,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,BCBS,BCBS,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,CIGNA,CIGNA,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,HUMANA,HUMANA,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,UHC,UHC,,240,108,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,500086480,86480,CPT,300,,,,,,,VA,VA,,240,108,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,500086592,86592,CPT,300,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",500086593,86593,CPT,300,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
ANTB CHLAMYDIA,500086631,86631,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,AETNA,AETNA,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,BCBS,BCBS,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,CIGNA,CIGNA,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,HUMANA,HUMANA,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,UHC,UHC,,372,167.4,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,500086663,86663,CPT,300,,,,,,,VA,VA,,372,167.4,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,AETNA,AETNA,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,BCBS,BCBS,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,CIGNA,CIGNA,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,HUMANA,HUMANA,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,UHC,UHC,,325,146.25,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,500086689,86689,CPT,300,,,,,,,VA,VA,,325,146.25,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,AETNA,AETNA,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,BCBS,BCBS,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,CIGNA,CIGNA,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,HUMANA,HUMANA,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,UHC,UHC,,219,98.55,,,,,,,,outpatient,
ANTB HIV-1,500086701,86701,CPT,300,,,,,,,VA,VA,,219,98.55,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
ANTB INF VIRUS,500086710,86710,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
Antibody; rotavirus,500086759,86759,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,500086787,86787,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,AETNA,AETNA,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,BCBS,BCBS,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,CIGNA,CIGNA,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,HUMANA,HUMANA,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,UHC,UHC,,287,129.15,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,500086850,86850,CPT,300,,,,,,,VA,VA,,287,129.15,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,AETNA,AETNA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,BCBS,BCBS,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,CIGNA,CIGNA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,HUMANA,HUMANA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,UHC,UHC,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH D,500086901,86901,CPT,300,,,,,,,VA,VA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,AETNA,AETNA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,BCBS,BCBS,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,CIGNA,CIGNA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,HUMANA,HUMANA,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,UHC,UHC,,130,58.5,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,500086906,86906,CPT,300,,,,,,,VA,VA,,130,58.5,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,500087040,87040,CPT,306,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,AETNA,AETNA,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,BCBS,BCBS,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,CIGNA,CIGNA,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,HUMANA,HUMANA,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,UHC,UHC,,389,175.05,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,500087045,87045,CPT,300,,,,,,,VA,VA,,389,175.05,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,500087046,87046,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,AETNA,AETNA,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,BCBS,BCBS,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,CIGNA,CIGNA,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,HUMANA,HUMANA,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,UHC,UHC,,289,130.05,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,500087070,87070,CPT,300,,,,,,,VA,VA,,289,130.05,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,AETNA,AETNA,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,BCBS,BCBS,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,CIGNA,CIGNA,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,HUMANA,HUMANA,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,UHC,UHC,,433,194.85,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,500087075,87075,CPT,300,,,,,,,VA,VA,,433,194.85,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,500087076,87076,CPT,300,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
Culture Aerobic Identify,500087077,87077,CPT,300,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,AETNA,AETNA,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,BCBS,BCBS,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,CIGNA,CIGNA,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,HUMANA,HUMANA,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,UHC,UHC,,306,137.7,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,500087081,87081,CPT,300,,,,,,,VA,VA,,306,137.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,AETNA,AETNA,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,BCBS,BCBS,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,CIGNA,CIGNA,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,HUMANA,HUMANA,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,UHC,UHC,,292,131.4,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,500087086,87086,CPT,300,,,,,,,VA,VA,,292,131.4,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,500087088,87088,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,AETNA,AETNA,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,BCBS,BCBS,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,CIGNA,CIGNA,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,HUMANA,HUMANA,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,UHC,UHC,,392,176.4,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,500087110,87110,CPT,300,,,,,,,VA,VA,,392,176.4,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,AETNA,AETNA,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,BCBS,BCBS,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,CIGNA,CIGNA,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,HUMANA,HUMANA,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,UHC,UHC,,111,49.95,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",500087205,87205,CPT,300,,,,,,,VA,VA,,111,49.95,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,AETNA,AETNA,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,BCBS,BCBS,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,CIGNA,CIGNA,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,HUMANA,HUMANA,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,UHC,UHC,,139,62.55,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,500087210,87210,CPT,300,,,,,,,VA,VA,,139,62.55,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,500087274,87274,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,500087280,87280,CPT,300,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389,87389,CPT,300,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,AETNA,AETNA,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,BCBS,BCBS,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,CIGNA,CIGNA,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,HUMANA,HUMANA,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,UHC,UHC,,263,118.35,,,,,,,,outpatient,
INFLUENZA B,500087400,87804,CPT,300,,,,,,,VA,VA,,263,118.35,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,AETNA,AETNA,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,BCBS,BCBS,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,CIGNA,CIGNA,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,HUMANA,HUMANA,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,UHC,UHC,,149,67.05,,,,,,,,outpatient,
IAAD EIA RSV,500087420,87420,CPT,300,,,,,,,VA,VA,,149,67.05,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,AETNA,AETNA,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,BCBS,BCBS,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,CIGNA,CIGNA,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,HUMANA,HUMANA,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,UHC,UHC,,355,159.75,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,500087430,87430,CPT,300,,,,,,,VA,VA,,355,159.75,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,AETNA,AETNA,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,BCBS,BCBS,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,CIGNA,CIGNA,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,HUMANA,HUMANA,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,UHC,UHC,,299,134.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,500087493,87493,CPT,300,,,,,,,VA,VA,,299,134.55,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,AETNA,AETNA,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,BCBS,BCBS,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,CIGNA,CIGNA,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,HUMANA,HUMANA,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,UHC,UHC,,364,163.8,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,500087528,87528,CPT,300,,,,,,,VA,VA,,364,163.8,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,AETNA,AETNA,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,BCBS,BCBS,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,CIGNA,CIGNA,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,HUMANA,HUMANA,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,UHC,UHC,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,500087591,87591,CPT,300,,,,,,,VA,VA,,314,141.3,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,500087592,87592,CPT,300,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,AETNA,AETNA,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,BCBS,BCBS,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,CIGNA,CIGNA,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,HUMANA,HUMANA,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,UHC,UHC,,262,117.9,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,500087621,87621,CPT,300,,,,,,,VA,VA,,262,117.9,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,AETNA,AETNA,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,BCBS,BCBS,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,CIGNA,CIGNA,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,HUMANA,HUMANA,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,UHC,UHC,,256,115.2,,,,,,,,outpatient,
IAADIADOO INF,500087804,87400,CPT,300,,,,,,,VA,VA,,256,115.2,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
IAADIADOO RSV,500087807,87807,CPT,300,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,500087850,87850,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,500087880,87880,CPT,306,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,500089051,89051,CPT,300,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
Leukocyte assessment,500089055,89055,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,500089220,89220,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,AETNA,AETNA,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,BCBS,BCBS,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,CIGNA,CIGNA,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,HUMANA,HUMANA,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,UHC,UHC,,187,84.15,,,,,,,,outpatient,
Immunization administration through 18 yts of age via any ro...,500090460,90460,CPT,300,,,,,,,VA,VA,,187,84.15,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,500099001,99001,CPT,300,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,5000P9612,P9612,CPT,300,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,AETNA,AETNA,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,BCBS,BCBS,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,CIGNA,CIGNA,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,HUMANA,HUMANA,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,UHC,UHC,,639,287.55,,,,,,,,outpatient,
PIC PANEL BASIC METABOLIC,400284826,80048,CPT,300,,,,,,,VA,VA,,639,287.55,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
Blood Culture Pedi,6000L0001,87040,CPT,306,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
Blood Culture Adult,6000L0002,87040,CPT,306,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,AETNA,AETNA,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,BCBS,BCBS,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,CIGNA,CIGNA,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,HUMANA,HUMANA,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,UHC,UHC,,248,111.6,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,6000L0003,87070,CPT,300,,,,,,,VA,VA,,248,111.6,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,500082948,82948,CPT,301,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,500086580,86580,CPT,302,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,AETNA,AETNA,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,BCBS,BCBS,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,CIGNA,CIGNA,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,HUMANA,HUMANA,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,UHC,UHC,,478,215.1,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,500085379,85379,CPT,305,,,,,,,VA,VA,,478,215.1,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,500081000,81000,CPT,307,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,500081002,81002,CPT,307,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,AETNA,AETNA,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,BCBS Federal,BCBS Federal,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,BCBS,BCBS,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,CIGNA,CIGNA,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,HUMANA,HUMANA,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,UHC,UHC,,341,153.45,,,,,,,,outpatient,
"Cytopathology, cervical or vaginal",500088141,88141,CPT,311,,,,,,,VA,VA,,341,153.45,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,AETNA,AETNA,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,BCBS,BCBS,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,CIGNA,CIGNA,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,HUMANA,HUMANA,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,UHC,UHC,,1278,575.1,,,,,,,,outpatient,
SPINAL TAP FLUID,500062270,62270,CPT,450,,,,,,,VA,VA,,1278,575.1,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,AETNA,AETNA,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,BCBS,BCBS,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,CIGNA,CIGNA,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,HUMANA,HUMANA,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,UHC,UHC,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,500070100,70100,CPT,320,,,,,,,VA,VA,,809,364.05,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,AETNA,AETNA,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,BCBS,BCBS,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,CIGNA,CIGNA,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,HUMANA,HUMANA,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,UHC,UHC,,1618,728.1,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,500070110,70110,CPT,320,,,,,,,VA,VA,,1618,728.1,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,AETNA,AETNA,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,BCBS,BCBS,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,CIGNA,CIGNA,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,HUMANA,HUMANA,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,UHC,UHC,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,500070140,70140,CPT,320,,,,,,,VA,VA,,1088,489.6,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,AETNA,AETNA,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,BCBS,BCBS,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,CIGNA,CIGNA,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,HUMANA,HUMANA,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,UHC,UHC,,1324,595.8,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,500070150,70150,CPT,320,,,,,,,VA,VA,,1324,595.8,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,AETNA,AETNA,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,BCBS,BCBS,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,CIGNA,CIGNA,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,HUMANA,HUMANA,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,UHC,UHC,,1080,486,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,500070160,70160,CPT,320,,,,,,,VA,VA,,1080,486,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,AETNA,AETNA,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,BCBS,BCBS,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,CIGNA,CIGNA,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,HUMANA,HUMANA,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,UHC,UHC,,1035,465.75,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,500070200,70200,CPT,320,,,,,,,VA,VA,,1035,465.75,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,AETNA,AETNA,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,BCBS,BCBS,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,CIGNA,CIGNA,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,HUMANA,HUMANA,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,UHC,UHC,,1419,638.55,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,500070220,70220,CPT,320,,,,,,,VA,VA,,1419,638.55,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,AETNA,AETNA,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,BCBS,BCBS,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,CIGNA,CIGNA,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,HUMANA,HUMANA,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,UHC,UHC,,1091,490.95,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,500070250,70250,CPT,320,,,,,,,VA,VA,,1091,490.95,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,AETNA,AETNA,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,BCBS,BCBS,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,CIGNA,CIGNA,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,HUMANA,HUMANA,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,UHC,UHC,,1445,650.25,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,500070260,70260,CPT,320,,,,,,,VA,VA,,1445,650.25,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,AETNA,AETNA,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,BCBS,BCBS,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,CIGNA,CIGNA,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,HUMANA,HUMANA,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,UHC,UHC,,1011,454.95,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,500070328,70328,CPT,320,,,,,,,VA,VA,,1011,454.95,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,AETNA,AETNA,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,BCBS,BCBS,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,CIGNA,CIGNA,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,HUMANA,HUMANA,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,UHC,UHC,,1184,532.8,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,500070350,70350,CPT,320,,,,,,,VA,VA,,1184,532.8,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,AETNA,AETNA,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,BCBS,BCBS,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,CIGNA,CIGNA,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,HUMANA,HUMANA,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,UHC,UHC,,1573,707.85,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,500070360,70360,CPT,320,,,,,,,VA,VA,,1573,707.85,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,AETNA,AETNA,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,BCBS,BCBS,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,CIGNA,CIGNA,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,HUMANA,HUMANA,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,UHC,UHC,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,500071100,71100,CPT,320,,,,,,,VA,VA,,1215,546.75,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,AETNA,AETNA,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,BCBS,BCBS,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,CIGNA,CIGNA,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,HUMANA,HUMANA,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,UHC,UHC,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT; Min of 3 views,500071101,71101,CPT,320,,,,,,,VA,VA,,1486,668.7,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,AETNA,AETNA,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,BCBS,BCBS,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,CIGNA,CIGNA,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,HUMANA,HUMANA,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,UHC,UHC,,1767,795.15,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,500071111,71111,CPT,320,,,,,,,VA,VA,,1767,795.15,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,AETNA,AETNA,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,BCBS,BCBS,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,CIGNA,CIGNA,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,HUMANA,HUMANA,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,UHC,UHC,,1176,529.2,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,500071120,71120,CPT,320,,,,,,,VA,VA,,1176,529.2,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,AETNA,AETNA,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,BCBS,BCBS,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,CIGNA,CIGNA,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,HUMANA,HUMANA,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,UHC,UHC,,906,407.7,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,500072020,72020,CPT,320,,,,,,,VA,VA,,906,407.7,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,AETNA,AETNA,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,BCBS,BCBS,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,CIGNA,CIGNA,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,HUMANA,HUMANA,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,UHC,UHC,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,500072040,72040,CPT,320,,,,,,,VA,VA,,1184,532.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,AETNA,AETNA,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,BCBS,BCBS,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,CIGNA,CIGNA,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,HUMANA,HUMANA,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,UHC,UHC,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,500072050,72050,CPT,320,,,,,,,VA,VA,,2260,1017,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,AETNA,AETNA,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,BCBS,BCBS,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,CIGNA,CIGNA,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,HUMANA,HUMANA,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,UHC,UHC,,1937,871.65,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,500072052,72052,CPT,320,,,,,,,VA,VA,,1937,871.65,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,AETNA,AETNA,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,BCBS,BCBS,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,CIGNA,CIGNA,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,HUMANA,HUMANA,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,UHC,UHC,,566,254.7,,,,,,,,outpatient,
RADEX SPI THORACOLMBR STANDING SCOLIOSIS,500072069,72069,CPT,320,,,,,,,VA,VA,,566,254.7,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,AETNA,AETNA,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,BCBS,BCBS,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,CIGNA,CIGNA,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,HUMANA,HUMANA,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,UHC,UHC,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,500072070,72070,CPT,320,,,,,,,VA,VA,,1250,562.5,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,AETNA,AETNA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,BCBS,BCBS,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,CIGNA,CIGNA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,HUMANA,HUMANA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,UHC,UHC,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,500072072,72072,CPT,320,,,,,,,VA,VA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,AETNA,AETNA,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,BCBS,BCBS,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,CIGNA,CIGNA,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,HUMANA,HUMANA,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,UHC,UHC,,1233,554.85,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,500072074,72074,CPT,320,,,,,,,VA,VA,,1233,554.85,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,AETNA,AETNA,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,BCBS,BCBS,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,CIGNA,CIGNA,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,HUMANA,HUMANA,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,UHC,UHC,,639,287.55,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,500072080,72080,CPT,320,,,,,,,VA,VA,,639,287.55,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,AETNA,AETNA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,BCBS,BCBS,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,CIGNA,CIGNA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,HUMANA,HUMANA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,UHC,UHC,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,500072100,72100,CPT,320,,,,,,,VA,VA,,1345,605.25,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,AETNA,AETNA,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,BCBS,BCBS,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,CIGNA,CIGNA,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,HUMANA,HUMANA,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,UHC,UHC,,2287,1029.15,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,500072110,72110,CPT,320,,,,,,,VA,VA,,2287,1029.15,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,AETNA,AETNA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,BCBS,BCBS,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,CIGNA,CIGNA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,HUMANA,HUMANA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,UHC,UHC,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,500072114,72114,CPT,320,,,,,,,VA,VA,,1345,605.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,AETNA,AETNA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,BCBS,BCBS,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,CIGNA,CIGNA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,HUMANA,HUMANA,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,UHC,UHC,,1278,575.1,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,500072120,72120,CPT,320,,,,,,,VA,VA,,1278,575.1,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,AETNA,AETNA,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,BCBS,BCBS,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,CIGNA,CIGNA,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,HUMANA,HUMANA,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,UHC,UHC,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,500072170,72170,CPT,320,,,,,,,VA,VA,,1093,491.85,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,AETNA,AETNA,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,BCBS,BCBS,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,CIGNA,CIGNA,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,HUMANA,HUMANA,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,UHC,UHC,,1001,450.45,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,500072190,72190,CPT,320,,,,,,,VA,VA,,1001,450.45,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,AETNA,AETNA,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,BCBS,BCBS,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,CIGNA,CIGNA,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,HUMANA,HUMANA,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,UHC,UHC,,818,368.1,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,500072220,72220,CPT,320,,,,,,,VA,VA,,818,368.1,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,AETNA,AETNA,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,BCBS,BCBS,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,CIGNA,CIGNA,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,HUMANA,HUMANA,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,UHC,UHC,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,500072255,72255,CPT,320,,,,,,,VA,VA,,6052,2723.4,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,AETNA,AETNA,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,BCBS,BCBS,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,CIGNA,CIGNA,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,HUMANA,HUMANA,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,UHC,UHC,,6724,3025.8,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,500072265,72265,CPT,320,,,,,,,VA,VA,,6724,3025.8,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,AETNA,AETNA,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,BCBS,BCBS,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,CIGNA,CIGNA,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,HUMANA,HUMANA,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,UHC,UHC,,1287,579.15,,,,,,,,outpatient,
RADEX CLAV COMPL,500073000,73000,CPT,320,,,,,,,VA,VA,,1287,579.15,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,AETNA,AETNA,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,BCBS,BCBS,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,CIGNA,CIGNA,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,HUMANA,HUMANA,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,UHC,UHC,,929,418.05,,,,,,,,outpatient,
RADEX SCAPULA COMPL,500073010,73010,CPT,320,,,,,,,VA,VA,,929,418.05,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,AETNA,AETNA,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,BCBS,BCBS,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,CIGNA,CIGNA,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,HUMANA,HUMANA,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,UHC,UHC,,666,299.7,,,,,,,,outpatient,
RADEX SHO 1 VIEW,500073020,73020,CPT,320,,,,,,,VA,VA,,666,299.7,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,AETNA,AETNA,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,BCBS,BCBS,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,CIGNA,CIGNA,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,HUMANA,HUMANA,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,UHC,UHC,,1125,506.25,,,,,,,,outpatient,
RADEX SHO COMPL MINIMUM 2 VIEWS,500073030,73030,CPT,320,,,,,,,VA,VA,,1125,506.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,AETNA,AETNA,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,BCBS,BCBS,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,CIGNA,CIGNA,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,HUMANA,HUMANA,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,UHC,UHC,,856,385.2,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,500073050,73050,CPT,320,,,,,,,VA,VA,,856,385.2,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,AETNA,AETNA,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,BCBS,BCBS,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,CIGNA,CIGNA,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,HUMANA,HUMANA,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,UHC,UHC,,1059,476.55,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,500073060,73060,CPT,320,,,,,,,VA,VA,,1059,476.55,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,AETNA,AETNA,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,BCBS,BCBS,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,CIGNA,CIGNA,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,HUMANA,HUMANA,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,UHC,UHC,,1080,486,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,500073070,73070,CPT,320,,,,,,,VA,VA,,1080,486,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,AETNA,AETNA,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,BCBS,BCBS,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,CIGNA,CIGNA,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,HUMANA,HUMANA,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,UHC,UHC,,778,350.1,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,500073080,73080,CPT,320,,,,,,,VA,VA,,778,350.1,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,AETNA,AETNA,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,BCBS,BCBS,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,CIGNA,CIGNA,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,HUMANA,HUMANA,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,UHC,UHC,,807,363.15,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,500073090,73090,CPT,320,,,,,,,VA,VA,,807,363.15,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,AETNA,AETNA,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,BCBS,BCBS,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,CIGNA,CIGNA,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,HUMANA,HUMANA,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,UHC,UHC,,581,261.45,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,500073092,73092,CPT,320,,,,,,,VA,VA,,581,261.45,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,AETNA,AETNA,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,BCBS,BCBS,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,CIGNA,CIGNA,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,HUMANA,HUMANA,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,UHC,UHC,,871,391.95,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,500073100,73100,CPT,320,,,,,,,VA,VA,,871,391.95,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,AETNA,AETNA,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,BCBS,BCBS,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,CIGNA,CIGNA,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,HUMANA,HUMANA,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,UHC,UHC,,1057,475.65,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,500073110,73110,CPT,320,,,,,,,VA,VA,,1057,475.65,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,AETNA,AETNA,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,BCBS,BCBS,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,CIGNA,CIGNA,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,HUMANA,HUMANA,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,UHC,UHC,,927,417.15,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,500073120,73120,CPT,320,,,,,,,VA,VA,,927,417.15,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,AETNA,AETNA,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,BCBS,BCBS,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,CIGNA,CIGNA,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,HUMANA,HUMANA,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,UHC,UHC,,958,431.1,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,500073130,73130,CPT,320,,,,,,,VA,VA,,958,431.1,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,AETNA,AETNA,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,BCBS,BCBS,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,CIGNA,CIGNA,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,HUMANA,HUMANA,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,UHC,UHC,,821,369.45,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,500073140,73140,CPT,320,,,,,,,VA,VA,,821,369.45,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,AETNA,AETNA,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,BCBS,BCBS,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,CIGNA,CIGNA,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,HUMANA,HUMANA,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,UHC,UHC,,695,312.75,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",500073540,73540,CPT,320,,,,,,,VA,VA,,695,312.75,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,AETNA,AETNA,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,BCBS,BCBS,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,CIGNA,CIGNA,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,HUMANA,HUMANA,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,UHC,UHC,,901,405.45,,,,,,,,outpatient,
RADEX KNE 1/2 VIEWS,500073560,73560,CPT,320,,,,,,,VA,VA,,901,405.45,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,AETNA,AETNA,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,BCBS,BCBS,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,CIGNA,CIGNA,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,HUMANA,HUMANA,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,UHC,UHC,,1200,540,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,500073562,73562,CPT,320,,,,,,,VA,VA,,1200,540,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,AETNA,AETNA,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,BCBS,BCBS,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,CIGNA,CIGNA,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,HUMANA,HUMANA,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,UHC,UHC,,907,408.15,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,500073564,73564,CPT,320,,,,,,,VA,VA,,907,408.15,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,AETNA,AETNA,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,BCBS,BCBS,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,CIGNA,CIGNA,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,HUMANA,HUMANA,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,UHC,UHC,,1096,493.2,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,500073590,73590,CPT,320,,,,,,,VA,VA,,1096,493.2,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,AETNA,AETNA,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,BCBS,BCBS,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,CIGNA,CIGNA,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,HUMANA,HUMANA,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,UHC,UHC,,688,309.6,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,500073592,73592,CPT,320,,,,,,,VA,VA,,688,309.6,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,AETNA,AETNA,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,BCBS,BCBS,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,CIGNA,CIGNA,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,HUMANA,HUMANA,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,UHC,UHC,,1080,486,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,500073600,73600,CPT,320,,,,,,,VA,VA,,1080,486,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,AETNA,AETNA,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,BCBS,BCBS,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,CIGNA,CIGNA,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,HUMANA,HUMANA,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,UHC,UHC,,1117,502.65,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,500073610,73610,CPT,320,,,,,,,VA,VA,,1117,502.65,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,AETNA,AETNA,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,BCBS,BCBS,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,CIGNA,CIGNA,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,HUMANA,HUMANA,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,UHC,UHC,,881,396.45,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,500073620,73620,CPT,320,,,,,,,VA,VA,,881,396.45,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,AETNA,AETNA,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,BCBS,BCBS,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,CIGNA,CIGNA,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,HUMANA,HUMANA,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,UHC,UHC,,1238,557.1,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,500073630,73630,CPT,320,,,,,,,VA,VA,,1238,557.1,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,AETNA,AETNA,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,BCBS,BCBS,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,CIGNA,CIGNA,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,HUMANA,HUMANA,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,UHC,UHC,,925,416.25,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,500073650,73650,CPT,320,,,,,,,VA,VA,,925,416.25,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,AETNA,AETNA,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,BCBS,BCBS,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,CIGNA,CIGNA,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,HUMANA,HUMANA,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,UHC,UHC,,673,302.85,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,500073660,73660,CPT,320,,,,,,,VA,VA,,673,302.85,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,AETNA,AETNA,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,BCBS,BCBS,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,CIGNA,CIGNA,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,HUMANA,HUMANA,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,UHC,UHC,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,500074000,74000,CPT,320,,,,,,,VA,VA,,3497,1573.65,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,AETNA,AETNA,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,BCBS,BCBS,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,CIGNA,CIGNA,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,HUMANA,HUMANA,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,UHC,UHC,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,500074020,74020,CPT,320,,,,,,,VA,VA,,1308,588.6,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,AETNA,AETNA,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,BCBS,BCBS,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,CIGNA,CIGNA,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,HUMANA,HUMANA,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,UHC,UHC,,1314,591.3,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,500074022,74022,CPT,320,,,,,,,VA,VA,,1314,591.3,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,AETNA,AETNA,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,BCBS,BCBS,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,CIGNA,CIGNA,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,HUMANA,HUMANA,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,UHC,UHC,,2327,1047.15,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,500074247,74247,CPT,320,,,,,,,VA,VA,,2327,1047.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,AETNA,AETNA,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,BCBS,BCBS,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,CIGNA,CIGNA,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,HUMANA,HUMANA,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,UHC,UHC,,2795,1257.75,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",500074400,74400,CPT,320,,,,,,,VA,VA,,2795,1257.75,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,AETNA,AETNA,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,BCBS,BCBS,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,CIGNA,CIGNA,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,HUMANA,HUMANA,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,UHC,UHC,,603,271.35,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,500076010,76010,CPT,320,,,,,,,VA,VA,,603,271.35,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",5000Q9966,Q9966,CPT,320,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,AETNA,AETNA,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,BCBS,BCBS,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,CIGNA,CIGNA,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,HUMANA,HUMANA,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,UHC,UHC,,2016,907.2,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,500074220,74220,CPT,320,,,,,,,VA,VA,,2016,907.2,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,AETNA,AETNA,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,BCBS,BCBS,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,CIGNA,CIGNA,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,HUMANA,HUMANA,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,UHC,UHC,,913,410.85,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",500070210,70210,CPT,320,,,,,,,VA,VA,,913,410.85,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,AETNA,AETNA,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,BCBS,BCBS,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,CIGNA,CIGNA,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,HUMANA,HUMANA,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,UHC,UHC,,1377,619.65,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,500071010,71010,CPT,324,,,,,,,VA,VA,,1377,619.65,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,AETNA,AETNA,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,BCBS,BCBS,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,CIGNA,CIGNA,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,HUMANA,HUMANA,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,UHC,UHC,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,500071020,71020,CPT,324,,,,,,,VA,VA,,2143,964.35,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,AETNA,AETNA,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,BCBS,BCBS,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,CIGNA,CIGNA,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,HUMANA,HUMANA,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,UHC,UHC,,2011,904.95,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,500071022,71022,CPT,324,,,,,,,VA,VA,,2011,904.95,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,AETNA,AETNA,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,BCBS,BCBS,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,CIGNA,CIGNA,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,HUMANA,HUMANA,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,UHC,UHC,,2416,1087.2,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,500071030,71030,CPT,324,,,,,,,VA,VA,,2416,1087.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,AETNA,AETNA,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,BCBS,BCBS,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,CIGNA,CIGNA,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,HUMANA,HUMANA,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,UHC,UHC,,1176,529.2,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,500071110,71110,CPT,324,,,,,,,VA,VA,,1176,529.2,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,AETNA,AETNA,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,BCBS Federal,BCBS Federal,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,BCBS,BCBS,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,CIGNA,CIGNA,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,HUMANA,HUMANA,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,UHC,UHC,,3409,1534.05,,,,,,,,outpatient,
TUBE THORACOSTOMY INCLUDES WATER SEAL,500032551,32551,CPT,339,,,,,,,VA,VA,,3409,1534.05,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,AETNA,AETNA,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,BCBS,BCBS,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,CIGNA,CIGNA,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,HUMANA,HUMANA,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,UHC,UHC,,5481,2466.45,,,,,,,,outpatient,
ADRNL IMG CORTEX&/MEDULLA,500078075,78075,CPT,341,,,,,,,VA,VA,,5481,2466.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,AETNA,AETNA,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,BCBS,BCBS,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,CIGNA,CIGNA,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,HUMANA,HUMANA,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,UHC,UHC,,3801,1710.45,,,,,,,,outpatient,
HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,500078223,78223,CPT,341,,,,,,,VA,VA,,3801,1710.45,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,AETNA,AETNA,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,BCBS,BCBS,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,CIGNA,CIGNA,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,HUMANA,HUMANA,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,UHC,UHC,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG WHBDY,500078306,78306,CPT,341,,,,,,,VA,VA,,3731,1678.95,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,AETNA,AETNA,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,BCBS,BCBS,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,CIGNA,CIGNA,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,HUMANA,HUMANA,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,UHC,UHC,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,500078315,78315,CPT,341,,,,,,,VA,VA,,4368,1965.6,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,AETNA,AETNA,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,BCBS,BCBS,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,CIGNA,CIGNA,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,HUMANA,HUMANA,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,UHC,UHC,,1399,629.55,,,,,,,,outpatient,
B1&/JT IMG TOMOG SPECT,500078320,78320,CPT,341,,,,,,,VA,VA,,1399,629.55,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,AETNA,AETNA,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,BCBS,BCBS,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,CIGNA,CIGNA,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,HUMANA,HUMANA,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,UHC,UHC,,2883,1297.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,500078472,78472,CPT,341,,,,,,,VA,VA,,2883,1297.35,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,AETNA,AETNA,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,BCBS,BCBS,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,CIGNA,CIGNA,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,HUMANA,HUMANA,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,UHC,UHC,,1591,715.95,,,,,,,,outpatient,
NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,500078808,78808,CPT,341,,,,,,,VA,VA,,1591,715.95,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,AETNA,AETNA,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,BCBS Federal,BCBS Federal,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,BCBS,BCBS,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,CIGNA,CIGNA,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,HUMANA,HUMANA,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,UHC,UHC,,249.1,112.1,,,,,,,,outpatient,
3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,500076376,76376,CPT,350,,,,,,,VA,VA,,249.1,112.1,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,AETNA,AETNA,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,BCBS,BCBS,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,CIGNA,CIGNA,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,HUMANA,HUMANA,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,UHC,UHC,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C-MATRL,500070450,70450,CPT,351,,,,,,,VA,VA,,9416,4237.2,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,AETNA,AETNA,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,BCBS,BCBS,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,CIGNA,CIGNA,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,HUMANA,HUMANA,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,UHC,UHC,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C+ MATRL,500070460,70460,CPT,351,,,,,,,VA,VA,,9131,4108.95,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,AETNA,AETNA,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,BCBS,BCBS,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,CIGNA,CIGNA,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,HUMANA,HUMANA,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,UHC,UHC,,7827,3522.15,,,,,,,,outpatient,
CT HEAD/BRN C-/C+,500070470,70470,CPT,351,,,,,,,VA,VA,,7827,3522.15,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,AETNA,AETNA,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,BCBS,BCBS,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,CIGNA,CIGNA,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,HUMANA,HUMANA,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,UHC,UHC,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,500070480,70480,CPT,351,,,,,,,VA,VA,,5381,2421.45,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,AETNA,AETNA,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,BCBS,BCBS,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,CIGNA,CIGNA,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,HUMANA,HUMANA,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,UHC,UHC,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,500070481,70481,CPT,351,,,,,,,VA,VA,,10955,4929.75,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,AETNA,AETNA,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,BCBS,BCBS,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,CIGNA,CIGNA,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,HUMANA,HUMANA,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,UHC,UHC,,8992,4046.4,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,500070482,70482,CPT,351,,,,,,,VA,VA,,8992,4046.4,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,AETNA,AETNA,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,BCBS,BCBS,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,CIGNA,CIGNA,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,HUMANA,HUMANA,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,UHC,UHC,,8855,3984.75,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,500070486,70486,CPT,351,,,,,,,VA,VA,,8855,3984.75,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,AETNA,AETNA,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,BCBS,BCBS,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,CIGNA,CIGNA,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,HUMANA,HUMANA,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,UHC,UHC,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,500070487,70487,CPT,351,,,,,,,VA,VA,,7533,3389.85,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,AETNA,AETNA,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,BCBS,BCBS,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,CIGNA,CIGNA,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,HUMANA,HUMANA,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,UHC,UHC,,4475,2013.75,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,500070488,70488,CPT,351,,,,,,,VA,VA,,4475,2013.75,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,AETNA,AETNA,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,BCBS,BCBS,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,CIGNA,CIGNA,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,HUMANA,HUMANA,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,UHC,UHC,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,500070490,70490,CPT,351,,,,,,,VA,VA,,4641,2088.45,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,AETNA,AETNA,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,BCBS,BCBS,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,CIGNA,CIGNA,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,HUMANA,HUMANA,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,UHC,UHC,,10764,4843.8,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,500070491,70491,CPT,351,,,,,,,VA,VA,,10764,4843.8,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,AETNA,AETNA,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,BCBS,BCBS,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,CIGNA,CIGNA,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,HUMANA,HUMANA,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,UHC,UHC,,5711,2569.95,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,500070496,70496,CPT,351,,,,,,,VA,VA,,5711,2569.95,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,AETNA,AETNA,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,BCBS,BCBS,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,CIGNA,CIGNA,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,HUMANA,HUMANA,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,UHC,UHC,,8278,3725.1,,,,,,,,outpatient,
"Computed tomographic angiography, neck, with contrast materi...",500070498,70498,CPT,352,,,,,,,VA,VA,,8278,3725.1,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,AETNA,AETNA,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,BCBS,BCBS,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,CIGNA,CIGNA,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,HUMANA,HUMANA,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,UHC,UHC,,9753,4388.85,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,500071250,71250,CPT,352,,,,,,,VA,VA,,9753,4388.85,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,AETNA,AETNA,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,BCBS,BCBS,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,CIGNA,CIGNA,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,HUMANA,HUMANA,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,UHC,UHC,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C+ MATRL,500071260,71260,CPT,352,,,,,,,VA,VA,,7988,3594.6,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,AETNA,AETNA,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,BCBS,BCBS,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,CIGNA,CIGNA,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,HUMANA,HUMANA,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,UHC,UHC,,8326,3746.7,,,,,,,,outpatient,
CT THORAX C-/C+,500071270,71270,CPT,352,,,,,,,VA,VA,,8326,3746.7,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,AETNA,AETNA,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,BCBS,BCBS,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,CIGNA,CIGNA,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,HUMANA,HUMANA,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,UHC,UHC,,7877,3544.65,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,500071275,71275,CPT,352,,,,,,,VA,VA,,7877,3544.65,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,AETNA,AETNA,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,BCBS,BCBS,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,CIGNA,CIGNA,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,HUMANA,HUMANA,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,UHC,UHC,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C-MATRL,500072125,72125,CPT,352,,,,,,,VA,VA,,7072,3182.4,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,AETNA,AETNA,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,BCBS,BCBS,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,CIGNA,CIGNA,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,HUMANA,HUMANA,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,UHC,UHC,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C+ MATRL,500072126,72126,CPT,352,,,,,,,VA,VA,,5478,2465.1,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,AETNA,AETNA,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,BCBS,BCBS,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,CIGNA,CIGNA,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,HUMANA,HUMANA,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,UHC,UHC,,13841,6228.45,,,,,,,,outpatient,
CT CRV SPI C-/C+,500072127,72127,CPT,352,,,,,,,VA,VA,,13841,6228.45,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,AETNA,AETNA,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,BCBS,BCBS,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,CIGNA,CIGNA,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,HUMANA,HUMANA,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,UHC,UHC,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C-MATRL,500072128,72128,CPT,352,,,,,,,VA,VA,,10286,4628.7,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,AETNA,AETNA,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,BCBS,BCBS,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,CIGNA,CIGNA,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,HUMANA,HUMANA,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,UHC,UHC,,10955,4929.75,,,,,,,,outpatient,
CT THRC SPI C+ MATRL,500072129,72129,CPT,352,,,,,,,VA,VA,,10955,4929.75,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,AETNA,AETNA,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,BCBS,BCBS,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,CIGNA,CIGNA,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,HUMANA,HUMANA,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,UHC,UHC,,9936,4471.2,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,500072133,72133,CPT,352,,,,,,,VA,VA,,9936,4471.2,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,AETNA,AETNA,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,BCBS,BCBS,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,CIGNA,CIGNA,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,HUMANA,HUMANA,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,UHC,UHC,,10488,4719.6,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,500072132,72132,CPT,352,,,,,,,VA,VA,,10488,4719.6,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,AETNA,AETNA,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,BCBS,BCBS,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,CIGNA,CIGNA,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,HUMANA,HUMANA,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,UHC,UHC,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C-MATRL,500072192,72192,CPT,352,,,,,,,VA,VA,,12811,5764.95,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,AETNA,AETNA,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,BCBS,BCBS,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,CIGNA,CIGNA,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,HUMANA,HUMANA,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,UHC,UHC,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C+ MATRL,500072193,72193,CPT,352,,,,,,,VA,VA,,8452,3803.4,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,AETNA,AETNA,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,BCBS,BCBS,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,CIGNA,CIGNA,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,HUMANA,HUMANA,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,UHC,UHC,,11639,5237.55,,,,,,,,outpatient,
CT PELVIS C-/C+,500072194,72194,CPT,352,,,,,,,VA,VA,,11639,5237.55,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,AETNA,AETNA,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,BCBS,BCBS,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,CIGNA,CIGNA,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,HUMANA,HUMANA,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,UHC,UHC,,6742,3033.9,,,,,,,,outpatient,
CT UXTR C-MATRL,500073200,73200,CPT,352,,,,,,,VA,VA,,6742,3033.9,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,AETNA,AETNA,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,BCBS,BCBS,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,CIGNA,CIGNA,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,HUMANA,HUMANA,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,UHC,UHC,,4054,1824.3,,,,,,,,outpatient,
CT UPPER EXT W/DYE,500073201,73201,CPT,352,,,,,,,VA,VA,,4054,1824.3,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,AETNA,AETNA,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,BCBS,BCBS,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,CIGNA,CIGNA,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,HUMANA,HUMANA,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,UHC,UHC,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C-MATRL,500073700,73700,CPT,352,,,,,,,VA,VA,,7043,3169.35,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,AETNA,AETNA,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,BCBS,BCBS,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,CIGNA,CIGNA,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,HUMANA,HUMANA,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,UHC,UHC,,11639,5237.55,,,,,,,,outpatient,
CT LXTR C+ MATRL,500073701,73701,CPT,352,,,,,,,VA,VA,,11639,5237.55,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,AETNA,AETNA,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,BCBS,BCBS,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,CIGNA,CIGNA,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,HUMANA,HUMANA,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,UHC,UHC,,6766,3044.7,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,500073702,73702,CPT,352,,,,,,,VA,VA,,6766,3044.7,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,AETNA,AETNA,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,BCBS,BCBS,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,CIGNA,CIGNA,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,HUMANA,HUMANA,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,UHC,UHC,,10038,4517.1,,,,,,,,outpatient,
CT ABD C-MATRL,500074150,74150,CPT,352,,,,,,,VA,VA,,10038,4517.1,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,AETNA,AETNA,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,BCBS,BCBS,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,CIGNA,CIGNA,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,HUMANA,HUMANA,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,UHC,UHC,,11802,5310.9,,,,,,,,outpatient,
CT ABD C+ MATRL,500074160,74160,CPT,352,,,,,,,VA,VA,,11802,5310.9,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,AETNA,AETNA,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,BCBS,BCBS,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,CIGNA,CIGNA,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,HUMANA,HUMANA,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,UHC,UHC,,8691,3910.95,,,,,,,,outpatient,
CT ABD C-/C+,500074170,74170,CPT,352,,,,,,,VA,VA,,8691,3910.95,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,AETNA,AETNA,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,BCBS,BCBS,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,CIGNA,CIGNA,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,HUMANA,HUMANA,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,UHC,UHC,,5126,2306.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,500074174,74174,CPT,352,,,,,,,VA,VA,,5126,2306.7,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,AETNA,AETNA,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,BCBS,BCBS,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,CIGNA,CIGNA,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,HUMANA,HUMANA,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,UHC,UHC,,7452,3353.4,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,500074175,74175,CPT,352,,,,,,,VA,VA,,7452,3353.4,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,AETNA,AETNA,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,BCBS,BCBS,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,CIGNA,CIGNA,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,HUMANA,HUMANA,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,UHC,UHC,,8071,3631.95,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,500074176,74176,CPT,352,,,,,,,VA,VA,,8071,3631.95,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,AETNA,AETNA,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,BCBS,BCBS,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,CIGNA,CIGNA,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,HUMANA,HUMANA,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,UHC,UHC,,11837,5326.65,,,,,,,,outpatient,
Ct Abdomen&pelvis W/contrast,500074177,74177,CPT,352,,,,,,,VA,VA,,11837,5326.65,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,AETNA,AETNA,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,BCBS,BCBS,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,CIGNA,CIGNA,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,HUMANA,HUMANA,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,UHC,UHC,,13925,6266.25,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,500074178,74178,CPT,352,,,,,,,VA,VA,,13925,6266.25,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,AETNA,AETNA,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,BCBS,BCBS,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,CIGNA,CIGNA,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,HUMANA,HUMANA,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,UHC,UHC,,5269,2371.05,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,500075635,75635,CPT,352,,,,,,,VA,VA,,5269,2371.05,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,AETNA,AETNA,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,BCBS,BCBS,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,CIGNA,CIGNA,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,HUMANA,HUMANA,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,UHC,UHC,,6961,3132.45,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,500072191,72191,CPT,359,,,,,,,VA,VA,,6961,3132.45,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,AETNA,AETNA,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,BCBS Federal,BCBS Federal,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,BCBS,BCBS,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,CIGNA,CIGNA,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,HUMANA,HUMANA,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,UHC,UHC,,550,247.5,,,,,,,,outpatient,
M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,500099149,99149,CPT,370,,,,,,,VA,VA,,550,247.5,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,AETNA,AETNA,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,BCBS,BCBS,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,CIGNA,CIGNA,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,HUMANA,HUMANA,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,UHC,UHC,,2300,1035,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,500076536,76536,CPT,402,,,,,,,VA,VA,,2300,1035,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,AETNA,AETNA,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,BCBS,BCBS,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,CIGNA,CIGNA,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,HUMANA,HUMANA,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,UHC,UHC,,3331,1498.95,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,500076700,76700,CPT,402,,,,,,,VA,VA,,3331,1498.95,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,AETNA,AETNA,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,BCBS,BCBS,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,CIGNA,CIGNA,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,HUMANA,HUMANA,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,UHC,UHC,,2961,1332.45,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,500076705,76705,CPT,402,,,,,,,VA,VA,,2961,1332.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,AETNA,AETNA,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,BCBS,BCBS,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,CIGNA,CIGNA,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,HUMANA,HUMANA,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,UHC,UHC,,2401,1080.45,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,500076770,76770,CPT,402,,,,,,,VA,VA,,2401,1080.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,AETNA,AETNA,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,BCBS,BCBS,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,CIGNA,CIGNA,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,HUMANA,HUMANA,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,UHC,UHC,,2161,972.45,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,500076775,76775,CPT,402,,,,,,,VA,VA,,2161,972.45,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,AETNA,AETNA,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,BCBS,BCBS,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,CIGNA,CIGNA,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,HUMANA,HUMANA,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,UHC,UHC,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,500076801,76801,CPT,402,,,,,,,VA,VA,,1673,752.85,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,AETNA,AETNA,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,BCBS,BCBS,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,CIGNA,CIGNA,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,HUMANA,HUMANA,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,UHC,UHC,,1906,857.7,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,500076805,76805,CPT,402,,,,,,,VA,VA,,1906,857.7,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,AETNA,AETNA,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,BCBS,BCBS,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,CIGNA,CIGNA,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,HUMANA,HUMANA,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,UHC,UHC,,718,323.1,,,,,,,,outpatient,
"Ultrasound, pregnant uterus, real time with image documentat...",500076814,76814,CPT,402,,,,,,,VA,VA,,718,323.1,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,AETNA,AETNA,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,BCBS,BCBS,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,CIGNA,CIGNA,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,HUMANA,HUMANA,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,UHC,UHC,,1735,780.75,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,500076817,76817,CPT,402,,,,,,,VA,VA,,1735,780.75,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,AETNA,AETNA,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,BCBS,BCBS,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,CIGNA,CIGNA,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,HUMANA,HUMANA,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,UHC,UHC,,2082,936.9,,,,,,,,outpatient,
US TRVG,500076830,76830,CPT,402,,,,,,,VA,VA,,2082,936.9,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,AETNA,AETNA,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,BCBS,BCBS,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,CIGNA,CIGNA,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,HUMANA,HUMANA,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,UHC,UHC,,2418,1088.1,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,500076856,76856,CPT,402,,,,,,,VA,VA,,2418,1088.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,AETNA,AETNA,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,BCBS,BCBS,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,CIGNA,CIGNA,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,HUMANA,HUMANA,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,UHC,UHC,,2018,908.1,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,500076857,76857,CPT,402,,,,,,,VA,VA,,2018,908.1,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,AETNA,AETNA,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,BCBS,BCBS,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,CIGNA,CIGNA,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,HUMANA,HUMANA,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,UHC,UHC,,2197,988.65,,,,,,,,outpatient,
US SCROTUM&CNTS,500076870,76870,CPT,320,,,,,,,VA,VA,,2197,988.65,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,AETNA,AETNA,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,BCBS,BCBS,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,CIGNA,CIGNA,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,HUMANA,HUMANA,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,UHC,UHC,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,500076881,76881,CPT,402,,,,,,,VA,VA,,1554,699.3,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,AETNA,AETNA,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,BCBS,BCBS,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,CIGNA,CIGNA,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,HUMANA,HUMANA,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,UHC,UHC,,628,282.6,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,500076882,76882,CPT,402,,,,,,,VA,VA,,628,282.6,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,AETNA,AETNA,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,BCBS,BCBS,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,CIGNA,CIGNA,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,HUMANA,HUMANA,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,UHC,UHC,,1177,529.65,,,,,,,,outpatient,
CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,500077079,77079,CPT,402,,,,,,,VA,VA,,1177,529.65,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,AETNA,AETNA,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,BCBS,BCBS,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,CIGNA,CIGNA,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,HUMANA,HUMANA,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,UHC,UHC,,3889,1750.05,,,,,,,,outpatient,
MRCP - Magnetic resonance cholangiopancreatography,5000S8037,S8037,CPT,409,,,,,,,VA,VA,,3889,1750.05,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,AETNA,AETNA,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,BCBS Federal,BCBS Federal,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,BCBS,BCBS,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,CIGNA,CIGNA,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,HUMANA,HUMANA,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,UHC,UHC,,573,257.85,,,,,,,,outpatient,
PROFAIR NEBULIZER TREATMENT AIRWAY INHALATION TREATMENT ,500094640,94640,CPT,410,,,,,,,VA,VA,,573,257.85,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,AETNA,AETNA,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,BCBS Federal,BCBS Federal,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,BCBS,BCBS,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,CIGNA,CIGNA,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,HUMANA,HUMANA,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,UHC,UHC,,364,163.8,,,,,,,,outpatient,
INHALATION TREATMENT - CONTINUOUS 1ST HR,500094644,94644,CPT,410,,,,,,,VA,VA,,364,163.8,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,AETNA,AETNA,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,BCBS Federal,BCBS Federal,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,BCBS,BCBS,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,CIGNA,CIGNA,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,HUMANA,HUMANA,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,UHC,UHC,,191,85.95,,,,,,,,outpatient,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gai...",500097116,97116,CPT,420,,,,,,,VA,VA,,191,85.95,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,AETNA,AETNA,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,BCBS,BCBS,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,CIGNA,CIGNA,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,HUMANA,HUMANA,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,UHC,UHC,,877,394.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,500010021,10021,CPT,450,,,,,,,VA,VA,,877,394.65,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,AETNA,AETNA,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,BCBS,BCBS,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,CIGNA,CIGNA,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,HUMANA,HUMANA,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,UHC,UHC,,1288,579.6,,,,,,,,outpatient,
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,500010060,10060,CPT,450,,,,,,,VA,VA,,1288,579.6,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,AETNA,AETNA,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,BCBS,BCBS,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,CIGNA,CIGNA,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,HUMANA,HUMANA,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,UHC,UHC,,1229,553.05,,,,,,,,outpatient,
INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,500010061,10061,CPT,450,,,,,,,VA,VA,,1229,553.05,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,AETNA,AETNA,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,BCBS,BCBS,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,CIGNA,CIGNA,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,HUMANA,HUMANA,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,UHC,UHC,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST SIMPLE,500010080,10080,CPT,450,,,,,,,VA,VA,,706,317.7,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,AETNA,AETNA,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,BCBS,BCBS,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,CIGNA,CIGNA,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,HUMANA,HUMANA,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,UHC,UHC,,1164,523.8,,,,,,,,outpatient,
INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,500010081,10081,CPT,450,,,,,,,VA,VA,,1164,523.8,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,AETNA,AETNA,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,BCBS,BCBS,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,CIGNA,CIGNA,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,HUMANA,HUMANA,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,UHC,UHC,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,500010120,10120,CPT,450,,,,,,,VA,VA,,709,319.05,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,AETNA,AETNA,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,BCBS,BCBS,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,CIGNA,CIGNA,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,HUMANA,HUMANA,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,UHC,UHC,,1272,572.4,,,,,,,,outpatient,
INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,500010121,10121,CPT,450,,,,,,,VA,VA,,1272,572.4,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,AETNA,AETNA,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,BCBS,BCBS,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,CIGNA,CIGNA,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,HUMANA,HUMANA,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,UHC,UHC,,810,364.5,,,,,,,,outpatient,
I&D HEMATOMA SEROMA/FLUID COLLECTION,500010140,10140,CPT,450,,,,,,,VA,VA,,810,364.5,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,AETNA,AETNA,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,BCBS,BCBS,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,CIGNA,CIGNA,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,HUMANA,HUMANA,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,UHC,UHC,,1083,487.35,,,,,,,,outpatient,
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,500010160,10160,CPT,450,,,,,,,VA,VA,,1083,487.35,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,500011011,11011,CPT,450,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,AETNA,AETNA,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,BCBS,BCBS,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,CIGNA,CIGNA,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,HUMANA,HUMANA,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,UHC,UHC,,311,139.95,,,,,,,,outpatient,
DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011),500011040,11040,CPT,450,,,,,,,VA,VA,,311,139.95,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,AETNA,AETNA,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,BCBS,BCBS,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,CIGNA,CIGNA,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,HUMANA,HUMANA,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,UHC,UHC,,389,175.05,,,,,,,,outpatient,
REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,500011042,11042,CPT,450,,,,,,,VA,VA,,389,175.05,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,AETNA,AETNA,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,BCBS,BCBS,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,CIGNA,CIGNA,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,HUMANA,HUMANA,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,UHC,UHC,,444,199.8,,,,,,,,outpatient,
REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,500011200,11200,CPT,450,,,,,,,VA,VA,,444,199.8,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,AETNA,AETNA,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,BCBS,BCBS,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,CIGNA,CIGNA,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,HUMANA,HUMANA,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,UHC,UHC,,1262,567.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,500011404,11404,CPT,450,,,,,,,VA,VA,,1262,567.9,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,AETNA,AETNA,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,BCBS,BCBS,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,CIGNA,CIGNA,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,HUMANA,HUMANA,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,UHC,UHC,,726,326.7,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,500011730,11730,CPT,450,,,,,,,VA,VA,,726,326.7,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,AETNA,AETNA,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,BCBS,BCBS,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,CIGNA,CIGNA,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,HUMANA,HUMANA,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,UHC,UHC,,458,206.1,,,,,,,,outpatient,
EVACUATION SUBUNGUAL HEMATOMA,500011740,11740,CPT,450,,,,,,,VA,VA,,458,206.1,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,AETNA,AETNA,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,BCBS,BCBS,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,CIGNA,CIGNA,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,HUMANA,HUMANA,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,UHC,UHC,,939,422.55,,,,,,,,outpatient,
EXCISION NAIL MATRIX PERMANENT REMOVAL,500011750,11750,CPT,450,,,,,,,VA,VA,,939,422.55,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,AETNA,AETNA,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,BCBS,BCBS,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,CIGNA,CIGNA,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,HUMANA,HUMANA,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,UHC,UHC,,805,362.25,,,,,,,,outpatient,
REPAIR NAIL BED,500011760,11760,CPT,450,,,,,,,VA,VA,,805,362.25,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,AETNA,AETNA,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,BCBS,BCBS,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,CIGNA,CIGNA,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,HUMANA,HUMANA,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,UHC,UHC,,516,232.2,,,,,,,,outpatient,
WEDGE EXCISION SKIN NAIL FOLD,500011765,11765,CPT,450,,,,,,,VA,VA,,516,232.2,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,AETNA,AETNA,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,BCBS,BCBS,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,CIGNA,CIGNA,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,HUMANA,HUMANA,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,UHC,UHC,,449,202.05,,,,,,,,outpatient,
EXCISION PILONIDAL CYST/SINUS EXTENSIVE,500011771,11771,CPT,450,,,,,,,VA,VA,,449,202.05,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,AETNA,AETNA,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,BCBS,BCBS,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,CIGNA,CIGNA,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,HUMANA,HUMANA,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,UHC,UHC,,644,289.8,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,500012001,12001,CPT,450,,,,,,,VA,VA,,644,289.8,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,AETNA,AETNA,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,BCBS,BCBS,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,CIGNA,CIGNA,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,HUMANA,HUMANA,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,UHC,UHC,,652,293.4,,,,,,,,outpatient,
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,500012002,12002,CPT,450,,,,,,,VA,VA,,652,293.4,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,AETNA,AETNA,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,BCBS,BCBS,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,CIGNA,CIGNA,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,HUMANA,HUMANA,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,UHC,UHC,,751,337.95,,,,,,,,outpatient,
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,500012004,12004,CPT,450,,,,,,,VA,VA,,751,337.95,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,AETNA,AETNA,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,BCBS,BCBS,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,CIGNA,CIGNA,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,HUMANA,HUMANA,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,UHC,UHC,,997,448.65,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,500012005,12005,CPT,450,,,,,,,VA,VA,,997,448.65,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,AETNA,AETNA,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,BCBS,BCBS,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,CIGNA,CIGNA,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,HUMANA,HUMANA,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,UHC,UHC,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,500012011,12011,CPT,450,,,,,,,VA,VA,,758,341.1,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,AETNA,AETNA,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,BCBS,BCBS,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,CIGNA,CIGNA,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,HUMANA,HUMANA,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,UHC,UHC,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,500012013,12013,CPT,450,,,,,,,VA,VA,,854,384.3,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,AETNA,AETNA,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,BCBS,BCBS,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,CIGNA,CIGNA,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,HUMANA,HUMANA,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,UHC,UHC,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,500012014,12014,CPT,450,,,,,,,VA,VA,,1084,487.8,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,AETNA,AETNA,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,BCBS,BCBS,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,CIGNA,CIGNA,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,HUMANA,HUMANA,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,UHC,UHC,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,500012015,12015,CPT,450,,,,,,,VA,VA,,1352,608.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,AETNA,AETNA,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,BCBS,BCBS,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,CIGNA,CIGNA,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,HUMANA,HUMANA,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,UHC,UHC,,1832,824.4,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,500012016,12016,CPT,450,,,,,,,VA,VA,,1832,824.4,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,AETNA,AETNA,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,BCBS,BCBS,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,CIGNA,CIGNA,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,HUMANA,HUMANA,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,UHC,UHC,,2591,1165.95,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,500012020,12020,CPT,450,,,,,,,VA,VA,,2591,1165.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,AETNA,AETNA,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,BCBS,BCBS,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,CIGNA,CIGNA,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,HUMANA,HUMANA,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,UHC,UHC,,2098,944.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,500012031,12031,CPT,450,,,,,,,VA,VA,,2098,944.1,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,AETNA,AETNA,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,BCBS,BCBS,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,CIGNA,CIGNA,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,HUMANA,HUMANA,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,UHC,UHC,,2673,1202.85,,,,,,,,outpatient,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or...",500012032,12032,CPT,450,,,,,,,VA,VA,,2673,1202.85,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,AETNA,AETNA,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,BCBS,BCBS,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,CIGNA,CIGNA,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,HUMANA,HUMANA,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,UHC,UHC,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,500012034,12034,CPT,450,,,,,,,VA,VA,,2840,1278,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,AETNA,AETNA,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,BCBS,BCBS,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,CIGNA,CIGNA,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,HUMANA,HUMANA,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,UHC,UHC,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,500012035,12035,CPT,450,,,,,,,VA,VA,,3304,1486.8,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,AETNA,AETNA,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,BCBS,BCBS,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,CIGNA,CIGNA,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,HUMANA,HUMANA,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,UHC,UHC,,2151,967.95,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,500012041,12041,CPT,450,,,,,,,VA,VA,,2151,967.95,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,AETNA,AETNA,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,BCBS,BCBS,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,CIGNA,CIGNA,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,HUMANA,HUMANA,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,UHC,UHC,,2746,1235.7,,,,,,,,outpatient,
REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,500012042,12042,CPT,450,,,,,,,VA,VA,,2746,1235.7,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,AETNA,AETNA,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,BCBS,BCBS,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,CIGNA,CIGNA,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,HUMANA,HUMANA,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,UHC,UHC,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,500012044,12044,CPT,450,,,,,,,VA,VA,,2961,1332.45,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,AETNA,AETNA,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,BCBS,BCBS,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,CIGNA,CIGNA,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,HUMANA,HUMANA,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,UHC,UHC,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,500012051,12051,CPT,450,,,,,,,VA,VA,,2352,1058.4,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,AETNA,AETNA,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,BCBS,BCBS,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,CIGNA,CIGNA,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,HUMANA,HUMANA,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,UHC,UHC,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,500012052,12052,CPT,450,,,,,,,VA,VA,,2798,1259.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,AETNA,AETNA,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,BCBS,BCBS,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,CIGNA,CIGNA,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,HUMANA,HUMANA,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,UHC,UHC,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,500012053,12053,CPT,450,,,,,,,VA,VA,,2990,1345.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,AETNA,AETNA,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,BCBS,BCBS,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,CIGNA,CIGNA,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,HUMANA,HUMANA,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,UHC,UHC,,3129,1408.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,500012054,12054,CPT,450,,,,,,,VA,VA,,3129,1408.05,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,AETNA,AETNA,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,BCBS,BCBS,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,CIGNA,CIGNA,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,HUMANA,HUMANA,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,UHC,UHC,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,500013121,13121,CPT,450,,,,,,,VA,VA,,1873,842.85,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,AETNA,AETNA,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,BCBS,BCBS,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,CIGNA,CIGNA,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,HUMANA,HUMANA,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,UHC,UHC,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,500013122,13122,CPT,450,,,,,,,VA,VA,,805,362.25,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,AETNA,AETNA,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,BCBS,BCBS,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,CIGNA,CIGNA,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,HUMANA,HUMANA,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,UHC,UHC,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,500013131,13131,CPT,450,,,,,,,VA,VA,,1183,532.35,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,AETNA,AETNA,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,BCBS,BCBS,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,CIGNA,CIGNA,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,HUMANA,HUMANA,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,UHC,UHC,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,500013132,13132,CPT,450,,,,,,,VA,VA,,2213,995.85,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,AETNA,AETNA,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,BCBS,BCBS,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,CIGNA,CIGNA,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,HUMANA,HUMANA,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,UHC,UHC,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,500013133,13133,CPT,450,,,,,,,VA,VA,,1155,519.75,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,AETNA,AETNA,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,BCBS,BCBS,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,CIGNA,CIGNA,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,HUMANA,HUMANA,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,UHC,UHC,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,500013151,13151,CPT,450,,,,,,,VA,VA,,1598,719.1,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,AETNA,AETNA,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,BCBS,BCBS,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,CIGNA,CIGNA,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,HUMANA,HUMANA,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,UHC,UHC,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,500013152,13152,CPT,450,,,,,,,VA,VA,,2774,1248.3,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,AETNA,AETNA,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,BCBS,BCBS,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,CIGNA,CIGNA,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,HUMANA,HUMANA,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,UHC,UHC,,1013,455.85,,,,,,,,outpatient,
REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,500013153,13153,CPT,450,,,,,,,VA,VA,,1013,455.85,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,AETNA,AETNA,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,BCBS,BCBS,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,CIGNA,CIGNA,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,HUMANA,HUMANA,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,UHC,UHC,,415,186.75,,,,,,,,outpatient,
INITIAL TX 1ST DEGREE BURN LOCAL TX,500016000,16000,CPT,450,,,,,,,VA,VA,,415,186.75,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,AETNA,AETNA,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,BCBS,BCBS,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,CIGNA,CIGNA,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,HUMANA,HUMANA,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,UHC,UHC,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,500016020,16020,CPT,450,,,,,,,VA,VA,,408,183.6,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,AETNA,AETNA,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,BCBS,BCBS,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,CIGNA,CIGNA,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,HUMANA,HUMANA,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,UHC,UHC,,501,225.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,500016025,16025,CPT,450,,,,,,,VA,VA,,501,225.45,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,AETNA,AETNA,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,BCBS,BCBS,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,CIGNA,CIGNA,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,HUMANA,HUMANA,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,UHC,UHC,,2085,938.25,,,,,,,,outpatient,
MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,500019020,19020,CPT,450,,,,,,,VA,VA,,2085,938.25,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
MENTAL STATUS ASSESSED,50002014F,2014F,CPT,450,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,AETNA,AETNA,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,BCBS,BCBS,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,CIGNA,CIGNA,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,HUMANA,HUMANA,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,UHC,UHC,,1334,600.3,,,,,,,,outpatient,
INJ TENDON ORIGIN/INSERTION,500020551,20551,CPT,450,,,,,,,VA,VA,,1334,600.3,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,AETNA,AETNA,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,BCBS,BCBS,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,CIGNA,CIGNA,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,HUMANA,HUMANA,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,UHC,UHC,,650,292.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,500020552,20552,CPT,450,,,,,,,VA,VA,,650,292.5,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,AETNA,AETNA,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,BCBS,BCBS,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,CIGNA,CIGNA,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,HUMANA,HUMANA,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,UHC,UHC,,955,429.75,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection; small joint or ...",500020600,20600,CPT,450,,,,,,,VA,VA,,955,429.75,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,AETNA,AETNA,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,BCBS,BCBS,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,CIGNA,CIGNA,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,HUMANA,HUMANA,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,UHC,UHC,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,500020605,20605,CPT,450,,,,,,,VA,VA,,700,315,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,AETNA,AETNA,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,BCBS,BCBS,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,CIGNA,CIGNA,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,HUMANA,HUMANA,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,UHC,UHC,,800,360,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,500020610,20610,CPT,450,,,,,,,VA,VA,,800,360,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,AETNA,AETNA,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,BCBS,BCBS,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,CIGNA,CIGNA,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,HUMANA,HUMANA,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,UHC,UHC,,755,339.75,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,500021310,21310,CPT,450,,,,,,,VA,VA,,755,339.75,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,AETNA,AETNA,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,BCBS,BCBS,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,CIGNA,CIGNA,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,HUMANA,HUMANA,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,UHC,UHC,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX NASAL FRACTURE W/O STABILIZATION,500021315,21315,CPT,450,,,,,,,VA,VA,,10216,4597.2,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,AETNA,AETNA,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,BCBS,BCBS,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,CIGNA,CIGNA,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,HUMANA,HUMANA,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,UHC,UHC,,663,298.35,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,500021480,21480,CPT,450,,,,,,,VA,VA,,663,298.35,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,AETNA,AETNA,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,BCBS,BCBS,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,CIGNA,CIGNA,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,HUMANA,HUMANA,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,UHC,UHC,,884,397.8,,,,,,,,outpatient,
DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,500021705,21705,CPT,450,,,,,,,VA,VA,,884,397.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,AETNA,AETNA,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,BCBS,BCBS,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,CIGNA,CIGNA,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,HUMANA,HUMANA,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,UHC,UHC,,644,289.8,,,,,,,,outpatient,
CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,500021800,21800,CPT,450,,,,,,,VA,VA,,644,289.8,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,AETNA,AETNA,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,BCBS,BCBS,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,CIGNA,CIGNA,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,HUMANA,HUMANA,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,UHC,UHC,,1232,554.4,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,500023500,23500,CPT,450,,,,,,,VA,VA,,1232,554.4,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,AETNA,AETNA,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,BCBS,BCBS,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,CIGNA,CIGNA,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,HUMANA,HUMANA,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,UHC,UHC,,1271,571.95,,,,,,,,outpatient,
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,500023570,23570,CPT,450,,,,,,,VA,VA,,1271,571.95,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,500023600,23600,CPT,450,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,AETNA,AETNA,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,BCBS,BCBS,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,CIGNA,CIGNA,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,HUMANA,HUMANA,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,UHC,UHC,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,500023650,23650,CPT,450,,,,,,,VA,VA,,1414,636.3,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,AETNA,AETNA,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,BCBS,BCBS,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,CIGNA,CIGNA,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,HUMANA,HUMANA,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,UHC,UHC,,2008,903.6,,,,,,,,outpatient,
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,500023655,23655,CPT,450,,,,,,,VA,VA,,2008,903.6,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,AETNA,AETNA,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,BCBS,BCBS,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,CIGNA,CIGNA,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,HUMANA,HUMANA,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,UHC,UHC,,2107,948.15,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,500024530,24530,CPT,450,,,,,,,VA,VA,,2107,948.15,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,AETNA,AETNA,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,BCBS,BCBS,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,CIGNA,CIGNA,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,HUMANA,HUMANA,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,UHC,UHC,,976,439.2,,,,,,,,outpatient,
Treatment of closed elbow dislocation; without anesthesia,500024600,24600,CPT,450,,,,,,,VA,VA,,976,439.2,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,AETNA,AETNA,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,BCBS,BCBS,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,CIGNA,CIGNA,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,HUMANA,HUMANA,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,UHC,UHC,,787,354.15,,,,,,,,outpatient,
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,500024640,24640,CPT,450,,,,,,,VA,VA,,787,354.15,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,AETNA,AETNA,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,BCBS,BCBS,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,CIGNA,CIGNA,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,HUMANA,HUMANA,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,UHC,UHC,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,500024650,24650,CPT,450,,,,,,,VA,VA,,1453,653.85,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,AETNA,AETNA,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,BCBS,BCBS,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,CIGNA,CIGNA,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,HUMANA,HUMANA,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,UHC,UHC,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,500024655,24655,CPT,450,,,,,,,VA,VA,,3151,1417.95,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,500024670,24670,CPT,450,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,AETNA,AETNA,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,BCBS,BCBS,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,CIGNA,CIGNA,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,HUMANA,HUMANA,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,UHC,UHC,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,500025505,25505,CPT,450,,,,,,,VA,VA,,5937,2671.65,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,AETNA,AETNA,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,BCBS,BCBS,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,CIGNA,CIGNA,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,HUMANA,HUMANA,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,UHC,UHC,,2010,904.5,,,,,,,,outpatient,
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,500025565,25565,CPT,450,,,,,,,VA,VA,,2010,904.5,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,AETNA,AETNA,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,BCBS,BCBS,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,CIGNA,CIGNA,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,HUMANA,HUMANA,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,UHC,UHC,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,500025600,25600,CPT,450,,,,,,,VA,VA,,573,257.85,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,AETNA,AETNA,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,BCBS,BCBS,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,CIGNA,CIGNA,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,HUMANA,HUMANA,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,UHC,UHC,,3018,1358.1,,,,,,,,outpatient,
CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,500025605,25605,CPT,450,,,,,,,VA,VA,,3018,1358.1,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,AETNA,AETNA,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,BCBS,BCBS,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,CIGNA,CIGNA,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,HUMANA,HUMANA,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,UHC,UHC,,1786,803.7,,,,,,,,outpatient,
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,500025622,25622,CPT,450,,,,,,,VA,VA,,1786,803.7,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,AETNA,AETNA,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,BCBS,BCBS,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,CIGNA,CIGNA,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,HUMANA,HUMANA,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,UHC,UHC,,1642,738.9,,,,,,,,outpatient,
CLTX CARPL B1 FX W/MNPJ EA B1,500025635,25635,CPT,450,,,,,,,VA,VA,,1642,738.9,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,AETNA,AETNA,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,BCBS,BCBS,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,CIGNA,CIGNA,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,HUMANA,HUMANA,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,UHC,UHC,,976,439.2,,,,,,,,outpatient,
"Closed treatment of radiocarpal or intercarpal dislocation, ...",500025660,25660,CPT,450,,,,,,,VA,VA,,976,439.2,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,AETNA,AETNA,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,BCBS,BCBS,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,CIGNA,CIGNA,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,HUMANA,HUMANA,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,UHC,UHC,,2121,954.45,,,,,,,,outpatient,
CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP...,500025675,25675,CPT,450,,,,,,,VA,VA,,2121,954.45,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,AETNA,AETNA,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,BCBS,BCBS,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,CIGNA,CIGNA,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,HUMANA,HUMANA,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,UHC,UHC,,451,202.95,,,,,,,,outpatient,
DRAINAGE FINGER ABSCESS SIMPLE,500026010,26010,CPT,450,,,,,,,VA,VA,,451,202.95,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,AETNA,AETNA,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,BCBS,BCBS,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,CIGNA,CIGNA,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,HUMANA,HUMANA,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,UHC,UHC,,2120,954,,,,,,,,outpatient,
DRAINAGE OF FINGER ABCESS,500026011,26011,CPT,450,,,,,,,VA,VA,,2120,954,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,AETNA,AETNA,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,BCBS,BCBS,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,CIGNA,CIGNA,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,HUMANA,HUMANA,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,UHC,UHC,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/O MNPJ EA B1,500026600,26600,CPT,450,,,,,,,VA,VA,,1377,619.65,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,AETNA,AETNA,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,BCBS,BCBS,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,CIGNA,CIGNA,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,HUMANA,HUMANA,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,UHC,UHC,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX 1 W/MNPJ EA B1,500026605,26605,CPT,450,,,,,,,VA,VA,,1595,717.75,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,AETNA,AETNA,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,BCBS,BCBS,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,CIGNA,CIGNA,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,HUMANA,HUMANA,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,UHC,UHC,,2530,1138.5,,,,,,,,outpatient,
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,500026607,26607,CPT,450,,,,,,,VA,VA,,2530,1138.5,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,AETNA,AETNA,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,BCBS,BCBS,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,CIGNA,CIGNA,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,HUMANA,HUMANA,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,UHC,UHC,,1646,740.7,,,,,,,,outpatient,
TREAT THUMB DISLOCATION,500026641,26641,CPT,450,,,,,,,VA,VA,,1646,740.7,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,AETNA,AETNA,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,BCBS,BCBS,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,CIGNA,CIGNA,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,HUMANA,HUMANA,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,UHC,UHC,,930,418.5,,,,,,,,outpatient,
CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,500026700,26700,CPT,450,,,,,,,VA,VA,,930,418.5,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,AETNA,AETNA,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,BCBS,BCBS,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,CIGNA,CIGNA,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,HUMANA,HUMANA,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,UHC,UHC,,976,439.2,,,,,,,,outpatient,
TREAT KNUCKLE DISLOCATION,500026705,26705,CPT,450,,,,,,,VA,VA,,976,439.2,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,AETNA,AETNA,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,BCBS,BCBS,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,CIGNA,CIGNA,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,HUMANA,HUMANA,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,UHC,UHC,,951,427.95,,,,,,,,outpatient,
"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M...",500026720,26720,CPT,450,,,,,,,VA,VA,,951,427.95,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,AETNA,AETNA,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,BCBS,BCBS,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,CIGNA,CIGNA,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,HUMANA,HUMANA,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,UHC,UHC,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,500026750,26750,CPT,450,,,,,,,VA,VA,,937,421.65,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,AETNA,AETNA,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,BCBS,BCBS,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,CIGNA,CIGNA,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,HUMANA,HUMANA,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,UHC,UHC,,930,418.5,,,,,,,,outpatient,
CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,500026755,26755,CPT,450,,,,,,,VA,VA,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,AETNA,AETNA,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,BCBS,BCBS,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,CIGNA,CIGNA,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,HUMANA,HUMANA,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,UHC,UHC,,849,382.05,,,,,,,,outpatient,
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,500026770,26770,CPT,450,,,,,,,VA,VA,,849,382.05,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,AETNA,AETNA,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,BCBS,BCBS,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,CIGNA,CIGNA,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,HUMANA,HUMANA,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,UHC,UHC,,1312,590.4,,,,,,,,outpatient,
TREAT FINGER DISLOCATION,500026775,26775,CPT,450,,,,,,,VA,VA,,1312,590.4,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,AETNA,AETNA,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,BCBS,BCBS,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,CIGNA,CIGNA,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,HUMANA,HUMANA,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,UHC,UHC,,530,238.5,,,,,,,,outpatient,
REMOVAL FOREIGN BODY DEEP THIGH/KNEE,500027372,27372,CPT,450,,,,,,,VA,VA,,530,238.5,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,AETNA,AETNA,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,BCBS,BCBS,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,CIGNA,CIGNA,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,HUMANA,HUMANA,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,UHC,UHC,,2537,1141.65,,,,,,,,outpatient,
CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,500027502,27502,CPT,450,,,,,,,VA,VA,,2537,1141.65,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,AETNA,AETNA,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,BCBS,BCBS,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,CIGNA,CIGNA,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,HUMANA,HUMANA,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,UHC,UHC,,1824,820.8,,,,,,,,outpatient,
CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,500027520,27520,CPT,450,,,,,,,VA,VA,,1824,820.8,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,AETNA,AETNA,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,BCBS,BCBS,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,CIGNA,CIGNA,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,HUMANA,HUMANA,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,UHC,UHC,,2070,931.5,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,500027550,27550,CPT,450,,,,,,,VA,VA,,2070,931.5,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,AETNA,AETNA,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,BCBS,BCBS,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,CIGNA,CIGNA,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,HUMANA,HUMANA,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,UHC,UHC,,929,418.05,,,,,,,,outpatient,
Closed treatment of patellar dislocation; without anesthesia,500027560,27560,CPT,450,,,,,,,VA,VA,,929,418.05,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
CLTX TIBL SHFT FX W/O MNPJ,500027750,27750,CPT,450,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,AETNA,AETNA,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,BCBS,BCBS,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,CIGNA,CIGNA,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,HUMANA,HUMANA,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,UHC,UHC,,2981,1341.45,,,,,,,,outpatient,
Closed treatment of tibial shaft fracture (with or without f...,500027752,27752,CPT,450,,,,,,,VA,VA,,2981,1341.45,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,AETNA,AETNA,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,BCBS,BCBS,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,CIGNA,CIGNA,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,HUMANA,HUMANA,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,UHC,UHC,,1745,785.25,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/O MNPJ,500027760,27760,CPT,450,,,,,,,VA,VA,,1745,785.25,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,AETNA,AETNA,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,BCBS,BCBS,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,CIGNA,CIGNA,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,HUMANA,HUMANA,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,UHC,UHC,,1598,719.1,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/O MNPJ,500027780,27780,CPT,450,,,,,,,VA,VA,,1598,719.1,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,AETNA,AETNA,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,BCBS,BCBS,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,CIGNA,CIGNA,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,HUMANA,HUMANA,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,UHC,UHC,,1504,676.8,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,500027786,27786,CPT,450,,,,,,,VA,VA,,1504,676.8,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,AETNA,AETNA,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,BCBS,BCBS,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,CIGNA,CIGNA,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,HUMANA,HUMANA,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,UHC,UHC,,976,439.2,,,,,,,,outpatient,
Treatment Of Ankle Fracture,500027810,27810,CPT,450,,,,,,,VA,VA,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,AETNA,AETNA,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,BCBS,BCBS,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,CIGNA,CIGNA,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,HUMANA,HUMANA,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,UHC,UHC,,976,439.2,,,,,,,,outpatient,
Closed treatment of fracture of weight bearing articular por...,500027824,27824,CPT,450,,,,,,,VA,VA,,976,439.2,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,500027840,27840,CPT,450,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,AETNA,AETNA,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,BCBS,BCBS,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,CIGNA,CIGNA,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,HUMANA,HUMANA,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,UHC,UHC,,1128,507.6,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,500028190,28190,CPT,450,,,,,,,VA,VA,,1128,507.6,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,AETNA,AETNA,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,BCBS,BCBS,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,CIGNA,CIGNA,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,HUMANA,HUMANA,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,UHC,UHC,,930,418.5,,,,,,,,outpatient,
CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,500028400,28400,CPT,450,,,,,,,VA,VA,,930,418.5,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,AETNA,AETNA,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,BCBS,BCBS,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,CIGNA,CIGNA,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,HUMANA,HUMANA,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,UHC,UHC,,985,443.25,,,,,,,,outpatient,
CLOSED TX TALUS FRACTURE W/O MANIPULATION,500028430,28430,CPT,450,,,,,,,VA,VA,,985,443.25,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,AETNA,AETNA,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,BCBS,BCBS,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,CIGNA,CIGNA,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,HUMANA,HUMANA,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,UHC,UHC,,1273,572.85,,,,,,,,outpatient,
closed treatment of metatarsal fracture;without manipulation,500028470,28470,CPT,450,,,,,,,VA,VA,,1273,572.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,AETNA,AETNA,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,BCBS,BCBS,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,CIGNA,CIGNA,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,HUMANA,HUMANA,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,UHC,UHC,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,500028490,28490,CPT,450,,,,,,,VA,VA,,900,405,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,AETNA,AETNA,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,BCBS,BCBS,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,CIGNA,CIGNA,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,HUMANA,HUMANA,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,UHC,UHC,,573,257.85,,,,,,,,outpatient,
CLTX FX GRT TOE PHLX/PHLG W/MNPJ,500028495,28495,CPT,450,,,,,,,VA,VA,,573,257.85,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,AETNA,AETNA,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,BCBS,BCBS,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,CIGNA,CIGNA,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,HUMANA,HUMANA,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,UHC,UHC,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,500028510,28510,CPT,450,,,,,,,VA,VA,,792,356.4,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,AETNA,AETNA,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,BCBS,BCBS,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,CIGNA,CIGNA,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,HUMANA,HUMANA,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,UHC,UHC,,942,423.9,,,,,,,,outpatient,
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,500028515,28515,CPT,450,,,,,,,VA,VA,,942,423.9,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,AETNA,AETNA,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,BCBS,BCBS,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,CIGNA,CIGNA,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,HUMANA,HUMANA,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,UHC,UHC,,930,418.5,,,,,,,,outpatient,
CLTX IPHAL JT DISLC W/O ANES,500028660,28660,CPT,450,,,,,,,VA,VA,,930,418.5,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
CAST FIGURE-OF-8,500029049,29049,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
CAST HAND&LOWER FOREARM GAUNTLET,500029085,29085,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
LONG ARM SPLINT SHOULDER HAND,500029105,29105,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT FOREARM-HAND STATIC,500029125,29125,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
SHORT ARM SPLINT DYNAMIC,500029126,29126,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
FINGER SPLINT STATIC,500029130,29130,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,AETNA,AETNA,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,BCBS,BCBS,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,CIGNA,CIGNA,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,HUMANA,HUMANA,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,UHC,UHC,,392,176.4,,,,,,,,outpatient,
STRAPPING SHOULDER,500029240,29240,CPT,450,,,,,,,VA,VA,,392,176.4,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,AETNA,AETNA,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,BCBS,BCBS,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,CIGNA,CIGNA,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,HUMANA,HUMANA,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,UHC,UHC,,394,177.3,,,,,,,,outpatient,
Strapping Of Elbow Or Wrist,500029260,29260,CPT,450,,,,,,,VA,VA,,394,177.3,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,AETNA,AETNA,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,BCBS,BCBS,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,CIGNA,CIGNA,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,HUMANA,HUMANA,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,UHC,UHC,,362,162.9,,,,,,,,outpatient,
STRAPPING HAND/FINGER,500029280,29280,CPT,450,,,,,,,VA,VA,,362,162.9,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
LONG LEG SPLINT THIGH ANKLE/TOES,500029505,29505,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,500029515,29515,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
Strapping; knee,500029530,29530,CPT,450,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,AETNA,AETNA,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,BCBS,BCBS,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,CIGNA,CIGNA,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,HUMANA,HUMANA,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,UHC,UHC,,332,149.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,500029540,29540,CPT,450,,,,,,,VA,VA,,332,149.4,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
STRAPPING TOES,500029550,29550,CPT,450,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,AETNA,AETNA,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,BCBS,BCBS,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,CIGNA,CIGNA,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,HUMANA,HUMANA,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,UHC,UHC,,332,149.4,,,,,,,,outpatient,
STRAPPING UNNA BOOT,500029580,29580,CPT,450,,,,,,,VA,VA,,332,149.4,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,500029700,29700,CPT,450,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED,50003028F,3028F,CPT,450,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,AETNA,AETNA,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,BCBS,BCBS,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,CIGNA,CIGNA,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,HUMANA,HUMANA,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,UHC,UHC,,751,337.95,,,,,,,,outpatient,
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,500030300,30300,CPT,450,,,,,,,VA,VA,,751,337.95,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,500030901,30901,CPT,450,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,AETNA,AETNA,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,BCBS,BCBS,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,CIGNA,CIGNA,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,HUMANA,HUMANA,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,UHC,UHC,,276,124.2,,,,,,,,outpatient,
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,500030903,30903,CPT,450,,,,,,,VA,VA,,276,124.2,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,AETNA,AETNA,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,BCBS,BCBS,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,CIGNA,CIGNA,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,HUMANA,HUMANA,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,UHC,UHC,,865,389.25,,,,,,,,outpatient,
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,500031500,31500,CPT,450,,,,,,,VA,VA,,865,389.25,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,AETNA,AETNA,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,BCBS,BCBS,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,CIGNA,CIGNA,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,HUMANA,HUMANA,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,UHC,UHC,,1348,606.6,,,,,,,,outpatient,
TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,500031502,31502,CPT,450,,,,,,,VA,VA,,1348,606.6,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,AETNA,AETNA,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,BCBS,BCBS,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,CIGNA,CIGNA,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,HUMANA,HUMANA,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,UHC,UHC,,229,103.05,,,,,,,,outpatient,
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,500031505,31505,CPT,450,,,,,,,VA,VA,,229,103.05,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,AETNA,AETNA,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,BCBS,BCBS,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,CIGNA,CIGNA,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,HUMANA,HUMANA,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,UHC,UHC,,6241,2808.45,,,,,,,,outpatient,
TRACHEOSTOMY PLANNED SPX,500031600,31600,CPT,450,,,,,,,VA,VA,,6241,2808.45,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,AETNA,AETNA,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,BCBS,BCBS,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,CIGNA,CIGNA,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,HUMANA,HUMANA,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,UHC,UHC,,2755,1239.75,,,,,,,,outpatient,
INSERT PLEURAL CATH,500032550,32550,CPT,450,,,,,,,VA,VA,,2755,1239.75,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,AETNA,AETNA,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,BCBS,BCBS,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,CIGNA,CIGNA,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,HUMANA,HUMANA,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,UHC,UHC,,248,111.6,,,,,,,,outpatient,
ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED,50003293F,3293F,CPT,450,,,,,,,VA,VA,,248,111.6,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,AETNA,AETNA,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,BCBS,BCBS,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,CIGNA,CIGNA,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,HUMANA,HUMANA,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,UHC,UHC,,1485,668.25,,,,,,,,outpatient,
RESCJ/INC SUBVALVULAR TISSUE,500033415,33415,CPT,450,,,,,,,VA,VA,,1485,668.25,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,AETNA,AETNA,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,BCBS,BCBS,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,CIGNA,CIGNA,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,HUMANA,HUMANA,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,UHC,UHC,,1329,598.05,,,,,,,,outpatient,
INSJ NON-TUN CTR CVC AGE 5 YR/>,500036556,36556,CPT,450,,,,,,,VA,VA,,1329,598.05,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,AETNA,AETNA,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,BCBS,BCBS,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,CIGNA,CIGNA,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,HUMANA,HUMANA,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,UHC,UHC,,3267,1470.15,,,,,,,,outpatient,
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ PORT/PMP...,500036558,36558,CPT,450,,,,,,,VA,VA,,3267,1470.15,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,AETNA,AETNA,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,BCBS,BCBS,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,CIGNA,CIGNA,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,HUMANA,HUMANA,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,UHC,UHC,,14309,6439.05,,,,,,,,outpatient,
"LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS",500037785,37785,CPT,450,,,,,,,VA,VA,,14309,6439.05,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,AETNA,AETNA,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,BCBS,BCBS,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,CIGNA,CIGNA,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,HUMANA,HUMANA,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,UHC,UHC,,458,206.1,,,,,,,,outpatient,
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL,500038300,38300,CPT,450,,,,,,,VA,VA,,458,206.1,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,AETNA,AETNA,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,BCBS,BCBS,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,CIGNA,CIGNA,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,HUMANA,HUMANA,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,UHC,UHC,,4529,2038.05,,,,,,,,outpatient,
RPR LIP FULL THKNS VERMILION ONLY,500040650,40650,CPT,450,,,,,,,VA,VA,,4529,2038.05,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,AETNA,AETNA,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,BCBS,BCBS,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,CIGNA,CIGNA,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,HUMANA,HUMANA,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,UHC,UHC,,865,389.25,,,,,,,,outpatient,
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,500041800,41800,CPT,450,,,,,,,VA,VA,,865,389.25,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,AETNA,AETNA,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,BCBS,BCBS,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,CIGNA,CIGNA,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,HUMANA,HUMANA,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,UHC,UHC,,2031,913.95,,,,,,,,outpatient,
I&D ABSC PRITONSILLAR,500042700,42700,CPT,450,,,,,,,VA,VA,,2031,913.95,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,AETNA,AETNA,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,BCBS,BCBS,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,CIGNA,CIGNA,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,HUMANA,HUMANA,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,UHC,UHC,,363,163.35,,,,,,,,outpatient,
Removal of foreign body from pharynx,500042809,42809,CPT,450,,,,,,,VA,VA,,363,163.35,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,AETNA,AETNA,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,BCBS,BCBS,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,CIGNA,CIGNA,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,HUMANA,HUMANA,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,UHC,UHC,,604,271.8,,,,,,,,outpatient,
NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,500043752,43752,CPT,450,,,,,,,VA,VA,,604,271.8,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,AETNA,AETNA,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,BCBS,BCBS,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,CIGNA,CIGNA,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,HUMANA,HUMANA,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,UHC,UHC,,1748,786.6,,,,,,,,outpatient,
I&D ISCHIORCT&/PRIRCT ABSC SPX,500046040,46040,CPT,450,,,,,,,VA,VA,,1748,786.6,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,AETNA,AETNA,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,BCBS,BCBS,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,CIGNA,CIGNA,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,HUMANA,HUMANA,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,UHC,UHC,,3210,1444.5,,,,,,,,outpatient,
INCISION OF ANAL ABSCESS,500046050,46050,CPT,450,,,,,,,VA,VA,,3210,1444.5,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,AETNA,AETNA,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,BCBS,BCBS,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,CIGNA,CIGNA,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,HUMANA,HUMANA,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,UHC,UHC,,1207,543.15,,,,,,,,outpatient,
"Incision of thrombosed hemorrhoid, external",500046083,46083,CPT,450,,,,,,,VA,VA,,1207,543.15,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,AETNA,AETNA,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,BCBS,BCBS,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,CIGNA,CIGNA,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,HUMANA,HUMANA,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,UHC,UHC,,926,416.7,,,,,,,,outpatient,
ENCL/EXC XTRNL THROMBOTIC HEMORRHOID,500046320,46320,CPT,450,,,,,,,VA,VA,,926,416.7,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
ANOSC RMVL FB,500046608,46608,CPT,450,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,AETNA,AETNA,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,BCBS,BCBS,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,CIGNA,CIGNA,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,HUMANA,HUMANA,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,UHC,UHC,,146,65.7,,,,,,,,outpatient,
BLDR IRRIGATION SMPL LVG&/INSTLJ,500051700,51700,CPT,450,,,,,,,VA,VA,,146,65.7,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
"CATHETERIZATION, BLADDER",500051701,51701,CPT,450,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,AETNA,AETNA,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,BCBS,BCBS,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,CIGNA,CIGNA,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,HUMANA,HUMANA,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,UHC,UHC,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH SMPL,500051702,51702,CPT,450,,,,,,,VA,VA,,546,245.7,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,AETNA,AETNA,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,BCBS,BCBS,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,CIGNA,CIGNA,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,HUMANA,HUMANA,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,UHC,UHC,,861,387.45,,,,,,,,outpatient,
INSJ TEMP NDWELLG BLDR CATH COMP,500051703,51703,CPT,450,,,,,,,VA,VA,,861,387.45,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,AETNA,AETNA,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,BCBS,BCBS,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,CIGNA,CIGNA,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,HUMANA,HUMANA,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,UHC,UHC,,908,408.6,,,,,,,,outpatient,
I&D VULVA/PRNL ABSC,500056405,56405,CPT,450,,,,,,,VA,VA,,908,408.6,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,AETNA,AETNA,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,BCBS,BCBS,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,CIGNA,CIGNA,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,HUMANA,HUMANA,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,UHC,UHC,,1127,507.15,,,,,,,,outpatient,
I&D OF BARTHOLINS GLAND ABSC,500056420,56420,CPT,450,,,,,,,VA,VA,,1127,507.15,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,AETNA,AETNA,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,BCBS,BCBS,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,CIGNA,CIGNA,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,HUMANA,HUMANA,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,UHC,UHC,,908,408.6,,,,,,,,outpatient,
FETAL NON-STRESS TEST,500059025,59025,CPT,450,,,,,,,VA,VA,,908,408.6,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,AETNA,AETNA,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,BCBS,BCBS,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,CIGNA,CIGNA,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,HUMANA,HUMANA,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,UHC,UHC,,4500,2025,,,,,,,,outpatient,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,500064400,64400,CPT,450,,,,,,,VA,VA,,4500,2025,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,AETNA,AETNA,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,BCBS,BCBS,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,CIGNA,CIGNA,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,HUMANA,HUMANA,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,UHC,UHC,,1519,683.55,,,,,,,,outpatient,
NJX ANES FACIAL NRV,500064402,64402,CPT,450,,,,,,,VA,VA,,1519,683.55,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,AETNA,AETNA,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,BCBS,BCBS,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,CIGNA,CIGNA,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,HUMANA,HUMANA,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,UHC,UHC,,847,381.15,,,,,,,,outpatient,
NERVE BLOCK ANES OTHER PRPH NRV/BRANCH,500064450,64450,CPT,450,,,,,,,VA,VA,,847,381.15,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,AETNA,AETNA,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,BCBS,BCBS,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,CIGNA,CIGNA,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,HUMANA,HUMANA,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,UHC,UHC,,1849,832.05,,,,,,,,outpatient,
DSTRJ NULYT OTH PRPH NRV/BRANCH,500064640,64640,CPT,450,,,,,,,VA,VA,,1849,832.05,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,AETNA,AETNA,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,BCBS,BCBS,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,CIGNA,CIGNA,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,HUMANA,HUMANA,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,UHC,UHC,,371,166.95,,,,,,,,outpatient,
"Removal of foreign body, external eye; conjunctival superfic...",500065205,65205,CPT,450,,,,,,,VA,VA,,371,166.95,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,AETNA,AETNA,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,BCBS,BCBS,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,CIGNA,CIGNA,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,HUMANA,HUMANA,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,UHC,UHC,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,500065220,65220,CPT,450,,,,,,,VA,VA,,575,258.75,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,AETNA,AETNA,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,BCBS,BCBS,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,CIGNA,CIGNA,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,HUMANA,HUMANA,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,UHC,UHC,,679,305.55,,,,,,,,outpatient,
RMVL FB XTRNL EYE CRNL W/SLIT LAMP,500065222,65222,CPT,450,,,,,,,VA,VA,,679,305.55,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,AETNA,AETNA,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,BCBS,BCBS,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,CIGNA,CIGNA,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,HUMANA,HUMANA,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,UHC,UHC,,1172,527.4,,,,,,,,outpatient,
BLEPHAROTOMY DRG ABSC EYELID,500067700,67700,CPT,450,,,,,,,VA,VA,,1172,527.4,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,AETNA,AETNA,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,BCBS,BCBS,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,CIGNA,CIGNA,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,HUMANA,HUMANA,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,UHC,UHC,,916,412.2,,,,,,,,outpatient,
"Drainage external ear, abscess or hematoma; simple",500069000,69000,CPT,450,,,,,,,VA,VA,,916,412.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,AETNA,AETNA,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,BCBS,BCBS,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,CIGNA,CIGNA,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,HUMANA,HUMANA,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,UHC,UHC,,576,259.2,,,,,,,,outpatient,
REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES,500069200,69200,CPT,450,,,,,,,VA,VA,,576,259.2,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,AETNA,AETNA,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,BCBS,BCBS,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,CIGNA,CIGNA,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,HUMANA,HUMANA,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,UHC,UHC,,619,278.55,,,,,,,,outpatient,
RMVL FB XTRNL AUD CANAL ANES,500069205,69205,CPT,450,,,,,,,VA,VA,,619,278.55,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,AETNA,AETNA,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,BCBS,BCBS,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,CIGNA,CIGNA,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,HUMANA,HUMANA,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,UHC,UHC,,297,133.65,,,,,,,,outpatient,
RMVL IMPACTED CERUMEN SPX 1/BTH EARS,500069210,69210,CPT,450,,,,,,,VA,VA,,297,133.65,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,AETNA,AETNA,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,BCBS,BCBS,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,CIGNA,CIGNA,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,HUMANA,HUMANA,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,UHC,UHC,,627,282.15,,,,,,,,outpatient,
DBRDMT MSTDC CAVITY SMPL,500069220,69220,CPT,450,,,,,,,VA,VA,,627,282.15,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,AETNA,AETNA,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,BCBS,BCBS,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,CIGNA,CIGNA,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,HUMANA,HUMANA,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,UHC,UHC,,444,199.8,,,,,,,,outpatient,
RADEX EYE DETCJ FB,500070030,70030,CPT,450,,,,,,,VA,VA,,444,199.8,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,AETNA,AETNA,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,BCBS,BCBS,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,CIGNA,CIGNA,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,HUMANA,HUMANA,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,UHC,UHC,,263,118.35,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,500090471,90471,CPT,771,,,,,,,VA,VA,,263,118.35,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,500090746,90746,CPT,450,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,AETNA,AETNA,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,BCBS Federal,BCBS Federal,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,BCBS,BCBS,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,CIGNA,CIGNA,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,HUMANA,HUMANA,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,UHC,UHC,,361,162.45,,,,,,,,outpatient,
N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,500094761,94761,CPT,419,,,,,,,VA,VA,,361,162.45,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,AETNA,AETNA,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,BCBS,BCBS,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,CIGNA,CIGNA,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,HUMANA,HUMANA,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,UHC,UHC,,352,158.4,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",500096366,96366,CPT,260,,,,,,,VA,VA,,352,158.4,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,500096367,96367,CPT,260,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,AETNA,AETNA,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,BCBS,BCBS,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,CIGNA,CIGNA,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,HUMANA,HUMANA,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,UHC,UHC,,380,171,,,,,,,,outpatient,
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,500096368,96368,CPT,260,,,,,,,VA,VA,,380,171,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,500099070,99070,CPT,450,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,AETNA,AETNA,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,BCBS,BCBS,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,CIGNA,CIGNA,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,HUMANA,HUMANA,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,UHC,UHC,,442,198.9,,,,,,,,outpatient,
VISUAL ACUITY SCREENING,500099173,99173,CPT,450,,,,,,,VA,VA,,442,198.9,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,500099175,99175,CPT,450,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,AETNA,AETNA,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,BCBS,BCBS,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,CIGNA,CIGNA,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,HUMANA,HUMANA,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,UHC,UHC,,504,226.8,,,,,,,,outpatient,
Observation care discharge,500099217,99217,CPT,450,,,,,,,VA,VA,,504,226.8,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,AETNA,AETNA,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,BCBS,BCBS,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,CIGNA,CIGNA,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,HUMANA,HUMANA,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,UHC,UHC,,1582,711.9,,,,,,,,outpatient,
Initial observation care,500099220,99220,CPT,450,,,,,,,VA,VA,,1582,711.9,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,AETNA,AETNA,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,BCBS,BCBS,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,CIGNA,CIGNA,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,HUMANA,HUMANA,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,UHC,UHC,,3505,1577.25,,,,,,,,outpatient,
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,500099236,99236,CPT,450,,,,,,,VA,VA,,3505,1577.25,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,AETNA,AETNA,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,BCBS,BCBS,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,CIGNA,CIGNA,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,HUMANA,HUMANA,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,UHC,UHC,,962,400,,,,,,,,outpatient,
EMER DEPT SELF LIMITED/MINOR,500099281,99281,CPT,450,,,,,,,VA,VA,,962,400,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,AETNA,AETNA,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,BCBS,BCBS,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,CIGNA,CIGNA,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,HUMANA,HUMANA,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,UHC,UHC,,1581,725,,,,,,,,outpatient,
EMER DEPT LOW TO MODERATE SEVERITY,500099282,99282,CPT,450,,,,,,,VA,VA,,1581,725,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,AETNA,AETNA,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,BCBS,BCBS,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,CIGNA,CIGNA,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,HUMANA,HUMANA,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,UHC,UHC,,2873,1200,,,,,,,,outpatient,
EMER DEPT MODERATE SEVERITY,500099283,99283,CPT,450,,,,,,,VA,VA,,2873,1200,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,AETNA,AETNA,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,BCBS,BCBS,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,CIGNA,CIGNA,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,HUMANA,HUMANA,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,UHC,UHC,,3518,1725,,,,,,,,outpatient,
EMER DEPT HI SEVERITY&URGENT EVAL,500099284,99284,CPT,450,,,,,,,VA,VA,,3518,1725,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,AETNA,AETNA,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,BCBS,BCBS,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,CIGNA,CIGNA,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,HUMANA,HUMANA,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,UHC,UHC,,4594,2650,,,,,,,,outpatient,
EMER DEPT HIGH SEVERITY&THREAT FUNCJ,500099285,99285,CPT,450,,,,,,,VA,VA,,4594,2650,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,AETNA,AETNA,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,BCBS Federal,BCBS Federal,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,BCBS,BCBS,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,CIGNA,CIGNA,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,HUMANA,HUMANA,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,UHC,UHC,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,500099291,99291,CPT,452,,,,,,,VA,VA,,3713,1670.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,AETNA,AETNA,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,BCBS Federal,BCBS Federal,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,BCBS,BCBS,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,CIGNA,CIGNA,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,HUMANA,HUMANA,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,UHC,UHC,,4190,1885.5,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,500099292,99292,CPT,452,,,,,,,VA,VA,,4190,1885.5,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
HOT WATER BOTTLE,5.00E+223,E0220,CPT,450,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
BED PAN STANDARD,5.00E+278,E0275,CPT,450,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
URINAL MALE JUG-TYPE,5000E0325,E0325,CPT,450,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM),5000E0352,E0352,CPT,450,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,AETNA,AETNA,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,BCBS,BCBS,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,CIGNA,CIGNA,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,HUMANA,HUMANA,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,UHC,UHC,,187,84.15,,,,,,,,outpatient,
OXIMETER NON-INVASIVE,5000E0445,E0445,CPT,450,,,,,,,VA,VA,,187,84.15,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,AETNA,AETNA,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,BCBS,BCBS,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,CIGNA,CIGNA,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,HUMANA,HUMANA,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,UHC,UHC,,339,152.55,,,,,,,,outpatient,
NEBULIZER WITH COMPRESSION,5000E0570,E0570,CPT,450,,,,,,,VA,VA,,339,152.55,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,AETNA,AETNA,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,BCBS,BCBS,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,CIGNA,CIGNA,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,HUMANA,HUMANA,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,UHC,UHC,,442,198.9,,,,,,,,outpatient,
NEBULIZER FOR USE W/ REGULAT,5000E0580,E0580,CPT,450,,,,,,,VA,VA,,442,198.9,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
DERMABOND - WOUND CLOSURE BY ADHESIVE,5000G0168,G0168,CPT,450,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,AETNA,AETNA,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,BCBS,BCBS,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,CIGNA,CIGNA,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,HUMANA,HUMANA,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,UHC,UHC,,275,123.75,,,,,,,,outpatient,
REMOVAL OF IMPACTED WAX MD,5000G0268,G0268,CPT,450,,,,,,,VA,VA,,275,123.75,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
REMOVAL OF SUTURES,5000S0630,S0630,CPT,450,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,AETNA,AETNA,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,BCBS,BCBS,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,CIGNA,CIGNA,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,HUMANA,HUMANA,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,UHC,UHC,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,500011422,11422,CPT,450,,,,,,,VA,VA,,880,396,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,AETNA,AETNA,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,BCBS,BCBS,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,CIGNA,CIGNA,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,HUMANA,HUMANA,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,UHC,UHC,,1026,461.7,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500011423,11423,CPT,450,,,,,,,VA,VA,,1026,461.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,AETNA,AETNA,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,BCBS,BCBS,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,CIGNA,CIGNA,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,HUMANA,HUMANA,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,UHC,UHC,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,500012017,12017,CPT,450,,,,,,,VA,VA,,2119,953.55,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,AETNA,AETNA,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,BCBS,BCBS,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,CIGNA,CIGNA,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,HUMANA,HUMANA,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,UHC,UHC,,2406,1082.7,,,,,,,,outpatient,
SIMPLE REPAIR F/E/E/N/L/M >30.0CM,500012018,12018,CPT,450,,,,,,,VA,VA,,2406,1082.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,AETNA,AETNA,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,BCBS,BCBS,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,CIGNA,CIGNA,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,HUMANA,HUMANA,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,UHC,UHC,,1906,857.7,,,,,,,,outpatient,
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,500012021,12021,CPT,450,,,,,,,VA,VA,,1906,857.7,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,AETNA,AETNA,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,BCBS,BCBS,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,CIGNA,CIGNA,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,HUMANA,HUMANA,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,UHC,UHC,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,500012036,12036,CPT,450,,,,,,,VA,VA,,3829,1723.05,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,AETNA,AETNA,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,BCBS,BCBS,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,CIGNA,CIGNA,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,HUMANA,HUMANA,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,UHC,UHC,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,500012037,12037,CPT,450,,,,,,,VA,VA,,4523,2035.35,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,AETNA,AETNA,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,BCBS,BCBS,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,CIGNA,CIGNA,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,HUMANA,HUMANA,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,UHC,UHC,,3740,1683,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,500012045,12045,CPT,450,,,,,,,VA,VA,,3740,1683,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,AETNA,AETNA,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,BCBS,BCBS,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,CIGNA,CIGNA,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,HUMANA,HUMANA,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,UHC,UHC,,4278,1925.1,,,,,,,,outpatient,
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,500012046,12046,CPT,450,,,,,,,VA,VA,,4278,1925.1,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,AETNA,AETNA,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,BCBS,BCBS,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,CIGNA,CIGNA,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,HUMANA,HUMANA,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,UHC,UHC,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,500012047,12047,CPT,450,,,,,,,VA,VA,,5170,2326.5,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,AETNA,AETNA,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,BCBS,BCBS,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,CIGNA,CIGNA,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,HUMANA,HUMANA,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,UHC,UHC,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,500012055,12055,CPT,450,,,,,,,VA,VA,,4148,1866.6,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,AETNA,AETNA,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,BCBS,BCBS,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,CIGNA,CIGNA,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,HUMANA,HUMANA,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,UHC,UHC,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,500012056,12056,CPT,450,,,,,,,VA,VA,,4794,2157.3,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,AETNA,AETNA,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,BCBS,BCBS,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,CIGNA,CIGNA,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,HUMANA,HUMANA,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,UHC,UHC,,5197,2338.65,,,,,,,,outpatient,
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,500012057,12057,CPT,450,,,,,,,VA,VA,,5197,2338.65,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,AETNA,AETNA,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,BCBS,BCBS,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,CIGNA,CIGNA,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,HUMANA,HUMANA,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,UHC,UHC,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,500013100,13100,CPT,450,,,,,,,VA,VA,,1345,605.25,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,AETNA,AETNA,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,BCBS,BCBS,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,CIGNA,CIGNA,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,HUMANA,HUMANA,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,UHC,UHC,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,500013101,13101,CPT,450,,,,,,,VA,VA,,1648,741.6,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,AETNA,AETNA,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,BCBS,BCBS,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,CIGNA,CIGNA,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,HUMANA,HUMANA,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,UHC,UHC,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX TRUNK EA 5 CM/<,500013102,13102,CPT,450,,,,,,,VA,VA,,487,219.15,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,AETNA,AETNA,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,BCBS,BCBS,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,CIGNA,CIGNA,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,HUMANA,HUMANA,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,UHC,UHC,,1541,693.45,,,,,,,,outpatient,
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,500013120,13120,CPT,450,,,,,,,VA,VA,,1541,693.45,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,AETNA,AETNA,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,BCBS,BCBS,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,CIGNA,CIGNA,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,HUMANA,HUMANA,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,UHC,UHC,,862,387.9,,,,,,,,outpatient,
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,500016030,16030,CPT,450,,,,,,,VA,VA,,862,387.9,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,AETNA,AETNA,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,BCBS,BCBS,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,CIGNA,CIGNA,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,HUMANA,HUMANA,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,UHC,UHC,,448,201.6,,,,,,,,outpatient,
DESTRUCTION BENIGN LESIONS UP TO 14,500017110,17110,CPT,450,,,,,,,VA,VA,,448,201.6,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,AETNA,AETNA,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,BCBS,BCBS,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,CIGNA,CIGNA,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,HUMANA,HUMANA,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,UHC,UHC,,2701,1215.45,,,,,,,,outpatient,
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,500023665,23665,CPT,450,,,,,,,VA,VA,,2701,1215.45,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,AETNA,AETNA,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,BCBS,BCBS,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,CIGNA,CIGNA,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,HUMANA,HUMANA,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,UHC,UHC,,916,412.2,,,,,,,,outpatient,
RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,500024200,24200,CPT,450,,,,,,,VA,VA,,916,412.2,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,AETNA,AETNA,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,BCBS,BCBS,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,CIGNA,CIGNA,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,HUMANA,HUMANA,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,UHC,UHC,,2815,1266.75,,,,,,,,outpatient,
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,500024357,24357,CPT,450,,,,,,,VA,VA,,2815,1266.75,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,AETNA,AETNA,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,BCBS,BCBS,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,CIGNA,CIGNA,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,HUMANA,HUMANA,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,UHC,UHC,,2113,950.85,,,,,,,,outpatient,
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,500024500,24500,CPT,450,,,,,,,VA,VA,,2113,950.85,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,AETNA,AETNA,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,BCBS,BCBS,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,CIGNA,CIGNA,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,HUMANA,HUMANA,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,UHC,UHC,,2936,1321.2,,,,,,,,outpatient,
CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,500024505,24505,CPT,450,,,,,,,VA,VA,,2936,1321.2,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,AETNA,AETNA,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,BCBS,BCBS,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,CIGNA,CIGNA,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,HUMANA,HUMANA,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,UHC,UHC,,3681,1656.45,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,500024535,24535,CPT,450,,,,,,,VA,VA,,3681,1656.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,AETNA,AETNA,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,BCBS,BCBS,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,CIGNA,CIGNA,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,HUMANA,HUMANA,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,UHC,UHC,,3185,1433.25,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,500024565,24565,CPT,450,,,,,,,VA,VA,,3185,1433.25,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,AETNA,AETNA,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,BCBS,BCBS,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,CIGNA,CIGNA,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,HUMANA,HUMANA,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,UHC,UHC,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,500024620,24620,CPT,450,,,,,,,VA,VA,,3551,1597.95,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,AETNA,AETNA,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,BCBS,BCBS,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,CIGNA,CIGNA,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,HUMANA,HUMANA,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,UHC,UHC,,1221,549.45,,,,,,,,outpatient,
CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,500028600,28600,CPT,450,,,,,,,VA,VA,,1221,549.45,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,AETNA,AETNA,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,BCBS,BCBS,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,CIGNA,CIGNA,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,HUMANA,HUMANA,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,UHC,UHC,,216,97.2,,,,,,,,outpatient,
APPLICATION FINGER SPLINT DYNAMIC,500029131,29131,CPT,450,,,,,,,VA,VA,,216,97.2,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,AETNA,AETNA,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,BCBS,BCBS,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,CIGNA,CIGNA,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,HUMANA,HUMANA,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,UHC,UHC,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,500031603,31603,CPT,450,,,,,,,VA,VA,,41977,18889.65,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,AETNA,AETNA,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,BCBS,BCBS,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,CIGNA,CIGNA,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,HUMANA,HUMANA,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,UHC,UHC,,1210,544.5,,,,,,,,outpatient,
TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,500031605,31605,CPT,450,,,,,,,VA,VA,,1210,544.5,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,AETNA,AETNA,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,BCBS,BCBS,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,CIGNA,CIGNA,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,HUMANA,HUMANA,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,UHC,UHC,,141,63.45,,,,,,,,outpatient,
GASTRIC TUBE PLMT W/ASPIR & LAVAGE,500043753,43753,CPT,450,,,,,,,VA,VA,,141,63.45,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,AETNA,AETNA,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,BCBS,BCBS,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,CIGNA,CIGNA,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,HUMANA,HUMANA,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,UHC,UHC,,907,408.15,,,,,,,,outpatient,
SLITTING PREPUCE DORSAL/LAT SPX XCP NB,500054001,54001,CPT,450,,,,,,,VA,VA,,907,408.15,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,AETNA,AETNA,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,BCBS,BCBS,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,CIGNA,CIGNA,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,HUMANA,HUMANA,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,UHC,UHC,,376,169.2,,,,,,,,outpatient,
FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,500054450,54450,CPT,450,,,,,,,VA,VA,,376,169.2,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,AETNA,AETNA,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,BCBS,BCBS,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,CIGNA,CIGNA,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,HUMANA,HUMANA,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,UHC,UHC,,5390,2425.5,,,,,,,,outpatient,
VAG DLVR ONLY,500059409,59409,CPT,450,,,,,,,VA,VA,,5390,2425.5,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,AETNA,AETNA,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,BCBS,BCBS,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,CIGNA,CIGNA,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,HUMANA,HUMANA,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,UHC,UHC,,345,155.25,,,,,,,,outpatient,
RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,500065210,65210,CPT,450,,,,,,,VA,VA,,345,155.25,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,AETNA,AETNA,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,BCBS,BCBS,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,CIGNA,CIGNA,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,HUMANA,HUMANA,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,UHC,UHC,,1221,549.45,,,,,,,,outpatient,
CARDIOPULM RESUSCITATION,500092950,92950,CPT,450,,,,,,,VA,VA,,1221,549.45,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Omnipaque 240 - 50ml,6000R0002,Q9967,CPT,450,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,AETNA,AETNA,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,BCBS,BCBS,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,CIGNA,CIGNA,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,HUMANA,HUMANA,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,UHC,UHC,,468,210.6,,,,,,,,outpatient,
"Application, cast; shoulder to hand (long arm)",500029065,29065,CPT,450,,,,,,,VA,VA,,468,210.6,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,AETNA,AETNA,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,BCBS,BCBS,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,CIGNA,CIGNA,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,HUMANA,HUMANA,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,UHC,UHC,,690,310.5,,,,,,,,outpatient,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method",500030905,30905,CPT,450,,,,,,,VA,VA,,690,310.5,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,AETNA,AETNA,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,BCBS,BCBS,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,CIGNA,CIGNA,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,HUMANA,HUMANA,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,UHC,UHC,,698,314.1,,,,,,,,outpatient,
LONG LEG SPLINT,500029355,29355,CPT,450,,,,,,,VA,VA,,698,314.1,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,AETNA,AETNA,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,BCBS,BCBS,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,CIGNA,CIGNA,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,HUMANA,HUMANA,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,UHC,UHC,,861,387.45,,,,,,,,outpatient,
"Application, cast; elbow to finger (short arm)",500029075,29075,CPT,450,,,,,,,VA,VA,,861,387.45,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,AETNA,AETNA,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,BCBS,BCBS,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,CIGNA,CIGNA,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,HUMANA,HUMANA,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,UHC,UHC,,583,262.35,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",500062272,62272,CPT,450,,,,,,,VA,VA,,583,262.35,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,AETNA,AETNA,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,BCBS Federal,BCBS Federal,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,BCBS,BCBS,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,CIGNA,CIGNA,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,HUMANA,HUMANA,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,UHC,UHC,,1130,508.5,,,,,,,,outpatient,
PENILE VASCULAR STUDY,500093980,93980,CPT,929,,,,,,,VA,VA,,1130,508.5,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,AETNA,AETNA,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,BCBS Federal,BCBS Federal,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,BCBS,BCBS,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,CIGNA,CIGNA,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,HUMANA,HUMANA,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,UHC,UHC,,1559,701.55,,,,,,,,outpatient,
PULM STRS TSTG CPLX,500094621,94621,CPT,460,,,,,,,VA,VA,,1559,701.55,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,AETNA,AETNA,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,BCBS Federal,BCBS Federal,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,BCBS,BCBS,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,CIGNA,CIGNA,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,HUMANA,HUMANA,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,UHC,UHC,,168,75.6,,,,,,,,outpatient,
PULSE OX -N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,500094760,94760,CPT,460,,,,,,,VA,VA,,168,75.6,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,AETNA,AETNA,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,BCBS Federal,BCBS Federal,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,BCBS,BCBS,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,CIGNA,CIGNA,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,HUMANA,HUMANA,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,UHC,UHC,,1805,812.25,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,500036011,36011,CPT,481,,,,,,,VA,VA,,1805,812.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,AETNA,AETNA,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,BCBS Federal,BCBS Federal,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,BCBS,BCBS,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,CIGNA,CIGNA,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,HUMANA,HUMANA,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,UHC,UHC,,1649,742.05,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYT XTRNL,500092960,92960,CPT,481,,,,,,,VA,VA,,1649,742.05,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,AETNA,AETNA,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,BCBS Federal,BCBS Federal,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,BCBS,BCBS,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,CIGNA,CIGNA,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,HUMANA,HUMANA,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,UHC,UHC,,375,168.75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,500093000,93000,CPT,481,,,,,,,VA,VA,,375,168.75,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,AETNA,AETNA,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,BCBS Federal,BCBS Federal,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,BCBS,BCBS,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,CIGNA,CIGNA,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,HUMANA,HUMANA,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,UHC,UHC,,2364,1063.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,500093351,93351,CPT,483,,,,,,,VA,VA,,2364,1063.8,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,AETNA,AETNA,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,BCBS,BCBS,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,CIGNA,CIGNA,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,HUMANA,HUMANA,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,UHC,UHC,,9025,4061.25,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,500070553,70553,CPT,610,,,,,,,VA,VA,,9025,4061.25,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,AETNA,AETNA,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,BCBS,BCBS,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,CIGNA,CIGNA,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,HUMANA,HUMANA,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,UHC,UHC,,9620,4329,,,,,,,,outpatient,
MRI CH C-MATRL,500071550,71550,CPT,610,,,,,,,VA,VA,,9620,4329,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,AETNA,AETNA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,BCBS,BCBS,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,CIGNA,CIGNA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,HUMANA,HUMANA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,UHC,UHC,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,500072146,72146,CPT,610,,,,,,,VA,VA,,5384,2422.8,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,AETNA,AETNA,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,BCBS,BCBS,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,CIGNA,CIGNA,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,HUMANA,HUMANA,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,UHC,UHC,,11668,5250.6,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,500073220,73220,CPT,610,,,,,,,VA,VA,,11668,5250.6,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,AETNA,AETNA,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,BCBS,BCBS,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,CIGNA,CIGNA,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,HUMANA,HUMANA,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,UHC,UHC,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,500073221,73221,CPT,610,,,,,,,VA,VA,,5725,2576.25,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,AETNA,AETNA,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,BCBS,BCBS,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,CIGNA,CIGNA,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,HUMANA,HUMANA,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,UHC,UHC,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,500073223,73223,CPT,610,,,,,,,VA,VA,,11018,4958.1,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,AETNA,AETNA,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,BCBS,BCBS,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,CIGNA,CIGNA,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,HUMANA,HUMANA,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,UHC,UHC,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,500073721,73721,CPT,616,,,,,,,VA,VA,,5716,2572.2,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,AETNA,AETNA,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,BCBS,BCBS,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,CIGNA,CIGNA,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,HUMANA,HUMANA,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,UHC,UHC,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,500073722,73722,CPT,610,,,,,,,VA,VA,,8905,4007.25,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,AETNA,AETNA,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,BCBS,BCBS,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,CIGNA,CIGNA,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,HUMANA,HUMANA,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,UHC,UHC,,10982,4941.9,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,500073723,73723,CPT,610,,,,,,,VA,VA,,10982,4941.9,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,AETNA,AETNA,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,BCBS,BCBS,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,CIGNA,CIGNA,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,HUMANA,HUMANA,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,UHC,UHC,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-MATRL,500074181,74181,CPT,610,,,,,,,VA,VA,,5555,2499.75,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,AETNA,AETNA,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,BCBS,BCBS,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,CIGNA,CIGNA,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,HUMANA,HUMANA,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,UHC,UHC,,9610,4324.5,,,,,,,,outpatient,
MRI ABD C-/C+,500074183,74183,CPT,610,,,,,,,VA,VA,,9610,4324.5,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,AETNA,AETNA,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,BCBS Federal,BCBS Federal,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,BCBS,BCBS,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,CIGNA,CIGNA,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,HUMANA,HUMANA,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,UHC,UHC,,5537,2491.65,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,500070551,70551,CPT,611,,,,,,,VA,VA,,5537,2491.65,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,AETNA,AETNA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,BCBS,BCBS,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,CIGNA,CIGNA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,HUMANA,HUMANA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,UHC,UHC,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,500072141,72141,CPT,612,,,,,,,VA,VA,,5384,2422.8,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,AETNA,AETNA,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,BCBS,BCBS,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,CIGNA,CIGNA,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,HUMANA,HUMANA,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,UHC,UHC,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,500072148,72148,CPT,612,,,,,,,VA,VA,,5402,2430.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,AETNA,AETNA,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,BCBS,BCBS,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,CIGNA,CIGNA,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,HUMANA,HUMANA,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,UHC,UHC,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,500072156,72156,CPT,612,,,,,,,VA,VA,,9070,4081.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,AETNA,AETNA,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,BCBS,BCBS,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,CIGNA,CIGNA,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,HUMANA,HUMANA,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,UHC,UHC,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,500072157,72157,CPT,612,,,,,,,VA,VA,,9088,4089.6,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,AETNA,AETNA,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,BCBS,BCBS,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,CIGNA,CIGNA,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,HUMANA,HUMANA,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,UHC,UHC,,9052,4073.4,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,500072158,72158,CPT,612,,,,,,,VA,VA,,9052,4073.4,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,AETNA,AETNA,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,BCBS,BCBS,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,CIGNA,CIGNA,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,HUMANA,HUMANA,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,UHC,UHC,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS C-MATRL,500072195,72195,CPT,612,,,,,,,VA,VA,,6494,2922.3,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,AETNA,AETNA,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,BCBS,BCBS,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,CIGNA,CIGNA,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,HUMANA,HUMANA,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,UHC,UHC,,7626,3431.7,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,500072196,72196,CPT,612,,,,,,,VA,VA,,7626,3431.7,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,AETNA,AETNA,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,BCBS,BCBS,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,CIGNA,CIGNA,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,HUMANA,HUMANA,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,UHC,UHC,,3042,1368.9,,,,,,,,outpatient,
MRA HEAD C-MATRL,500070544,70544,CPT,615,,,,,,,VA,VA,,3042,1368.9,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,AETNA,AETNA,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,BCBS,BCBS,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,CIGNA,CIGNA,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,HUMANA,HUMANA,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,UHC,UHC,,3046,1370.7,,,,,,,,outpatient,
MRA NCK C-MATRL,500070547,70547,CPT,615,,,,,,,VA,VA,,3046,1370.7,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,AETNA,AETNA,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,BCBS,BCBS,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,CIGNA,CIGNA,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,HUMANA,HUMANA,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,UHC,UHC,,9498,4274.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,500073725,73725,CPT,616,,,,,,,VA,VA,,9498,4274.1,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,500090656,90656,CPT,636,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,AETNA,AETNA,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,BCBS,BCBS,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,CIGNA,CIGNA,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,HUMANA,HUMANA,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,UHC,UHC,,205,92.25,,,,,,,,outpatient,
"Influenza virus vaccine, trivalent, split virus, when admini...",500090658,90658,CPT,636,,,,,,,VA,VA,,205,92.25,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
INFLUENZA VIRUS VACCINE LIVE INTRANASAL,500090660,90660,CPT,636,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,AETNA,AETNA,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,BCBS,BCBS,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,CIGNA,CIGNA,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,HUMANA,HUMANA,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,UHC,UHC,,288,129.6,,,,,,,,outpatient,
MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,500090707,90707,CPT,636,,,,,,,VA,VA,,288,129.6,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,AETNA,AETNA,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,BCBS,BCBS,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,CIGNA,CIGNA,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,HUMANA,HUMANA,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,UHC,UHC,,218,98.1,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,500090714,90714,CPT,636,,,,,,,VA,VA,,218,98.1,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",5000A9579,A9579,CPT,636,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
ANTROM PRESCRIBE,5000G8895,G8895,CPT,636,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
INJECTION ADENOSINE 6 MGCODE DELETED AS OF 01/01/2015 SEE J0153,5000J0150,J0150,CPT,636,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT UP TO 1 MG,5000J0170,J0170,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
ADRENALIN EPINEPHRINE INJECT,5000J0171,J0171,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
AMIODARONE HCL 30MG,5000J0282,J0282,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
AMPICILLIN 500 MG INJ,5000J0290,J0290,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
AMPICILLIN SODIUM PER 1.5 GM - UNASYN,5000J0295,J0295,CPT,636,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Succinylcholine Chloride Inj; up to 20 mg,5000J0330,J0330,CPT,636,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,AETNA,AETNA,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,BCBS,BCBS,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,CIGNA,CIGNA,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,HUMANA,HUMANA,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,UHC,UHC,,262,117.9,,,,,,,,outpatient,
HYDRALAZINE HCL INJ UP TO 20MG,5000J0360,J0360,CPT,636,,,,,,,VA,VA,,262,117.9,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,AETNA,AETNA,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,BCBS,BCBS,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,CIGNA,CIGNA,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,HUMANA,HUMANA,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,UHC,UHC,,123,55.35,,,,,,,,outpatient,
ZITHROMAX - AZITHROMYCIN 500MG,5000J0456,J0456,CPT,636,,,,,,,VA,VA,,123,55.35,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
ATROPINE SULFATE INJECTION 0.01mg,5000J0461,J0461,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
BENTYL - DICYCLOMINE INJECTION 20MG,5000J0500,J0500,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Butorphanol Tartrate 1 mg; inj (Stadol),5000J0595,J0595,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
CALCIUM GLUCONATE 89 mg/mL; injection,5000J0610,J0610,CPT,636,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
LEVOLEUCOVORIN INJECTION,5000J0641,J0641,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
ANCEF - CEFAZOLIN SODIUM INJECTION 500MG,5000J0690,J0690,CPT,636,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
CEFOXITIN SODIUM INJECTION,5000J0694,J0694,CPT,636,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,5000J0696,J0696,CPT,636,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
J0708,5000J0708,J0708,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
CLONIDINE HYDROCHLORIDE 1 MG,5000J0735,J0735,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
CIPROFLOXACIN IV,5000J0744,J0744,CPT,636,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
COMPAZINE - PROCHLORPERAZINE 10MG,5000J0780,J0780,CPT,636,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
METHYLPREDNISOLONE 20 MG INJ,5000J1020,J1020,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 40 MG INJ,5000J1030,J1030,CPT,636,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE 80 MG INJ,5000J1040,J1040,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS ,5000J1100,J1100,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
PHENYTOIN SODIUM INJECTION,5000J1165,J1165,CPT,636,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,5000J1170,J1170,CPT,250,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,5000J1200,J1200,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,AETNA,AETNA,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,BCBS,BCBS,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,CIGNA,CIGNA,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,HUMANA,HUMANA,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,UHC,UHC,,50,22.5,,,,,,,,outpatient,
DIMENHYDRINATE INJECTION 50MG,5000J1240,J1240,CPT,636,,,,,,,VA,VA,,50,22.5,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
"INJECTION, DOPAMINE HCL, 40 MG",5000J1265,J1265,CPT,636,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
INJ ERTAPENEM (INVANZ) 500MG,5000J1335,J1335,CPT,636,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
GARAMYCIN GENTAMICIN INJ,5000J1580,J1580,CPT,636,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,AETNA,AETNA,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,BCBS,BCBS,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,CIGNA,CIGNA,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,HUMANA,HUMANA,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,UHC,UHC,,103,46.35,,,,,,,,outpatient,
GLUCAGON HYDROCHLORIDE/1 MG,5000J1610,J1610,CPT,636,,,,,,,VA,VA,,103,46.35,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
HALOPERIDOL DECANOATE INJ,5000J1631,J1631,CPT,636,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,5000J1642,J1642,CPT,636,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
INJ HEPARIN SODIUM PER 1000U,5000J1644,J1644,CPT,636,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
LOVENOX - INJ ENOXAPARIN SODIUM PER 10MG,5000J1650,J1650,CPT,250,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
TETANUS IMMUNE GLOBULIN INJ,5000J1670,J1670,CPT,636,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
DROPERIDOL INJECTION,5000J1790,J1790,CPT,636,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
INSULIN INJECTION,5000J1815,J1815,CPT,259,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",5000J1885,J1885,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,AETNA,AETNA,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,BCBS,BCBS,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,CIGNA,CIGNA,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,HUMANA,HUMANA,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,UHC,UHC,,260,117,,,,,,,,outpatient,
"INJECTION, LANREOTIDE, 1 MG",5000J1930,J1930,CPT,636,,,,,,,VA,VA,,260,117,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,5000J1940,J1940,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,AETNA,AETNA,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,BCBS,BCBS,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,CIGNA,CIGNA,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,HUMANA,HUMANA,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,UHC,UHC,,4565,2054.25,,,,,,,,outpatient,
LEUPROLIDE ACETATE /3.75 MG,5000J1950,J1950,CPT,636,,,,,,,VA,VA,,4565,2054.25,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
LEVAQUIN - LEVOFLOXACIN INJECTION 250MG,5000J1956250,J1956,CPT,636,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
LIDOCAINE,5000J2001,J2001,CPT,636,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,5000J2060,J2060,CPT,250,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
MANNITOL INJECTION,5000J2150,J2150,CPT,636,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
MEPERIDINE HYDROCHLORIDE 100 mg/mL; inj,5000J2175,J2175,CPT,636,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
VERSED - INJ MIDAZOLAM HYDROCHLORIDE PER 1MG,5000J2250,J2250,CPT,636,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
MORPHINE SULFATE INJECTION UP TO 10MG,5000J2270,J2270,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
INJ NALBUPHINE HYDROCHLORIDE,5000J2300,J2300,CPT,636,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,AETNA,AETNA,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,BCBS,BCBS,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,CIGNA,CIGNA,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,HUMANA,HUMANA,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,UHC,UHC,,79,35.55,,,,,,,,outpatient,
INJ NALOXONE HYDROCHLORIDE (Narcan) per 1 mg,5000J2310,J2310,CPT,636,,,,,,,VA,VA,,79,35.55,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
NORFLEX - ORPHENADRINE UP TO 60MG,5000J2360,J2360,CPT,636,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
NEO-SYNEPHRINE - PHENYLEPHRINE HCL INJECTION,5000J2370,J2370,CPT,636,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),5000J2405,J2405,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
"INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS",5000J2540,J2540,CPT,636,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
ZOSYN - PIPERACILLIN/TAZOBACTAM,5000J2543,J2543,CPT,636,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
PHENERGAN - PROMETHAZINE HCL INJECTION UP TO 50MG,5000J2550,J2550,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
PRELONE - INJECTION PREDNISOLONE ACETATE UP TO 1 ML,5000J2650,J2650,CPT,636,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
PROCAINAMIDE HCL INJECTION,5000J2690,J2690,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
PRALIDOXINE CHLORIDE,5000J2730,J2730,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
Metoclopramide HCL (Reglan); injection,5000J2765,J2765,CPT,636,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,AETNA,AETNA,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,BCBS,BCBS,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,CIGNA,CIGNA,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,HUMANA,HUMANA,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,UHC,UHC,,247,111.15,,,,,,,,outpatient,
Quinupristin/dalfopristin,5000J2770,J2770,CPT,636,,,,,,,VA,VA,,247,111.15,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
RANITIDINE HYDROCHLORIDE INJ,5000J2780,J2780,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,AETNA,AETNA,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,BCBS,BCBS,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,CIGNA,CIGNA,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,HUMANA,HUMANA,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,UHC,UHC,,302,135.9,,,,,,,,outpatient,
RHOGAM INJECTION,5000J2790,J2790,CPT,636,,,,,,,VA,VA,,302,135.9,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
METHOCARBOMAL INJECTION,5000J2800,J2800,CPT,636,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
SINCALIDE INJECTION,5000J2805,J2805,CPT,636,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
METHYLPREDNISOLONE INJECTION,5000J2920,J2920,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,AETNA,AETNA,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,BCBS,BCBS,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,CIGNA,CIGNA,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,HUMANA,HUMANA,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,UHC,UHC,,89,40.05,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,5000J2930,J2930,CPT,636,,,,,,,VA,VA,,89,40.05,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
FENTANYL CITRATE INJECTION 0.05 mg/mL (Up to 100MCG),5000J3010,J3010,CPT,636,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
SUMATRIPTAN SUCCINATE / 6 MG,5000J3030,J3030,CPT,636,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
TESTOSTERONE ENANTHATE INJ,5000J3130,J3130,CPT,636,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,AETNA,AETNA,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,BCBS,BCBS,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,CIGNA,CIGNA,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,HUMANA,HUMANA,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,UHC,UHC,,92,41.4,,,,,,,,outpatient,
CHLORPROMAZINE HCL INJECTION,5000J3230,J3230,CPT,636,,,,,,,VA,VA,,92,41.4,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
TOBRAMYCIN SULFATE INJECTION,5000J3260,J3260,CPT,636,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
SPECTINOMYCN DI-HCL INJ,5000J3320,J3320,CPT,636,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
VALIUM - DIAZEPAM INJECTION UP TO 5 MG,5000J3360,J3360,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,AETNA,AETNA,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,BCBS,BCBS,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,CIGNA,CIGNA,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,HUMANA,HUMANA,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,UHC,UHC,,86,38.7,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,5000J3370,J3370,CPT,636,,,,,,,VA,VA,,86,38.7,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
HYDROXYZINE HCL INJECTION,5000J3410,J3410,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
THIAMINE HCL 100 MG (inj),5000J3411,J3411,CPT,636,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
VITAMIN B12 INJECTION,5000J3420,J3420,CPT,636,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,AETNA,AETNA,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,BCBS,BCBS,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,CIGNA,CIGNA,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,HUMANA,HUMANA,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,UHC,UHC,,38,17.1,,,,,,,,outpatient,
MAGNESIUM SULFATE INJ PER 500MG,5000J3475,J3475,CPT,636,,,,,,,VA,VA,,38,17.1,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
POTASSIUM CHLORIDE INJ - K-DUR,5000J3480,J3480,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
GEODON - ZIPRASIDONE MESYLATE 10MG,5000J3486,J3486,CPT,636,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
CARDIZEM - DILTIAZEM HYDROCHLORIDE 10 MG,5000J3490 CARD,J3490,CPT,636,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490 CHAR,J3490,CPT,636,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
TYLENOL W/ CODEINE 1 TSP,5000J8499CODE,J8499,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
DAVROCET N - TAB,5000J3490 DAV,J3490,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
Systane (Alcon) Eye Drops ,5000J3490 DROP,J3490,CPT,250,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
ETOMIDATE 20MG/10ML V 10/B,5000J3490 ETO,J3490,CPT,636,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
IBUPROFEN UP TO 600 MG(MOTRIN/ADVIL),5000J8499IB,J8499,CPT,257,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
IMODIUM-2MG TAB,5000J3490 IMO,J8499,CPT,636,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,5000J3490 KET,J3490,CPT,636,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
LABETALOL UP TO 100 MG,5000J8499LAB,J8499,CPT,636,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
VISCOUS XYLOCAINE,5000J3490 LIDO,J3490,CPT,636,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
LORTAB 5MG TAB,5000J3490 LOR,J3490,CPT,636,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
PEDIALYTE,5000J3490 LYTE,J3490,CPT,636,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
MARCAINE 10ML,5000J3490 MAC,J3490,CPT,636,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML (MYLANTA),5000J8499 MAL,J8499,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
J3490 MOTR,5000J3490 MOTR,J3490,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
NITRO STAT- NITROGLYCERIN,5000J3490 NITR,J3490,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,AETNA,AETNA,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,BCBS,BCBS,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,UHC,UHC,,42,18.9,,,,,,,,outpatient,
NORCO 5/325 MG  (Hydrocodone Bitartrate and Acetaminophen),5000J3490 NOR,J8499,CPT,636,,,,,,,VA,VA,,42,18.9,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
PROPOFOL 10MG,5000J3490 PRO,J3490,CPT,636,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
RACONIC 0.5ML,5000J3490 RA,J3490,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
RACEMIC EPINEPHRINE (inhalation solution),5000J3490 REPI,J8499,CPT,636,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
ROCURONIUM UP TO 10MG,5000J3490 ROC,J3490,CPT,636,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,AETNA,AETNA,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,BCBS,BCBS,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,UHC,UHC,,215,96.75,,,,,,,,outpatient,
SPRAY - HURRICANE SPRAY,5000J3490 SPRA,J3490,CPT,636,,,,,,,VA,VA,,215,96.75,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
TETRACAINE - PONTOCAINE 1% 2ML IM\IV,5000J3490 TET,J3490,CPT,636,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
TYLENOL 450MG,5000J8499TYL,J8499,CPT,636,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
TYLENOL 400 MG,5000J8499TYL2,J8499,CPT,636,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
TYLENOL 1000MG,5000J8499TYL3,J8499,CPT,636,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
TYLENOL 500MG,5000J8499TYL4,J8499,CPT,636,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 200 MG,5000J8499TYL5,J8499,CPT,636,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
TYLENOL (Acetaminophen) 325 MG,5000J8499TYL6,J8499,CPT,250,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
VICODIN,5000J3490 VIC,J3490,CPT,636,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
J3490 VICO,5000J3490 VICO,J3490,CPT,636,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
MULTIVITAMIN INJ,5000J3490VIT,J3490,CPT,636,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
AFRIN NASAL SPRAY,5000J8499AFRIN,J8499,CPT,636,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
J3490CARD,5000J3490CARD,J3490,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
J3490DAV,5000J3490DAV,J3490,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,AETNA,AETNA,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,BCBS,BCBS,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,UHC,UHC,,114,51.3,,,,,,,,outpatient,
ERYTHROMYCIN 500MG/IV,5000J3490ERYTH,J3490,CPT,636,,,,,,,VA,VA,,114,51.3,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
K-DUR PER 20 meq/1500 mg; PO,5000J8499KDUR,J8499,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
MOTRIN UP TO 600MG,5000J8499MOTRI,J8499,CPT,257,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
PROPARACAINE,5000J8499PRO,J8499,CPT,636,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
J3490TYL,5000J3490TYL,J3490,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
TYLENOL W/ CODEINE,5000J8499TYLC,J8499,CPT,636,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
LIDOCAINE HCl 2% - 10ML ORAL PO,5000J8499LIDC,J8499,CPT,636,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,5000J7030,J7030,CPT,269,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS - 500 ML=1 UNIT,5000J7040,J7040,CPT,636,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
5% DEXTROSE/NORMAL SALINE,5000J7042,J7042,CPT,636,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 250cc,5000J7050,J7050,CPT,636,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
D5W INFUSION,5000J7070,J7070,CPT,636,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
DEXTRAN 75 INFUSION,5000J7110,J7110,CPT,636,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
RINGERS LACTATE INFUSION,5000J7120,J7120,CPT,258,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
PRELONE - ORAL PREDNISOLONE PER 5 MG,5000J7510,J7510,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
ORAPRED - ORAL PREDNISOLONE PER 5 MG,5000J7510 O,J7510,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP CON,5000J7607,J7607,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,AETNA,AETNA,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,BCBS,BCBS,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,CIGNA,CIGNA,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,HUMANA,HUMANA,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,UHC,UHC,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP UNIT,5000J7609,J7609,CPT,636,,,,,,,VA,VA,,221,99.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
ALBUTEROL COMP CON,5000J7610,J7610,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP CON,5000J7611,J7611,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
LEVALBUTEROL NON-COMP CON,5000J7612,J7612,CPT,636,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
ALBUTEROL NON-COMP UNIT,5000J7613,J7613,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
XOPENEX - LEVALBUTEROL NON-COMP UNIT,5000J7614,J7614,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
LEVALBUTEROL COMP UNIT,5000J7615,J7615,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
ALBUTEROL IPRATROP NON-COMP,5000J7620,J7620,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
"FORMOTEROL, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINIS...",5000J7640,J7640,CPT,636,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
ATROVENT 0.5 (IPRATROPIUM BROMIDE) NON-COMP,5000J7644,J7644,CPT,636,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
INHALATION SOLUTION FOR DME,5000J7699,J7699,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
Mineral Oil Enema 110 g ,5000J8498,J8498,CPT,636,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
ORAL DEXAMETHASONE PER 0.25MG,5000J8540,J8540,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
CLOFARALINE INJECTION,5000J9027,J9027,CPT,636,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
"SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVE...",5000Q0091,Q0091,CPT,923,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,AETNA,AETNA,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,BCBS,BCBS,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,CIGNA,CIGNA,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,HUMANA,HUMANA,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,UHC,UHC,,244,109.8,,,,,,,,outpatient,
"ZITHROMAX AZITHROMYCIN DIHYDRATE, ORAL UP TO 1 GRAM",5000Q0144,Q0144,CPT,250,,,,,,,VA,VA,,244,109.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
ONDANSETRON ORAL,5000Q0162,Q0162,CPT,636,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
DIPHENHYDRAMINE HCL 50MG,5000Q0163,Q0163,CPT,636,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,AETNA,AETNA,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,BCBS,BCBS,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,CIGNA,CIGNA,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,HUMANA,HUMANA,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,UHC,UHC,,348,156.6,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",5000Q9954,Q9954,CPT,636,,,,,,,VA,VA,,348,156.6,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
"INJ PERFLUTREN LIP MICROS,ML",5000Q9957,Q9957,CPT,636,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
"LOCM 100-199MG/ML IODINE,1ML",5000Q9965,Q9965,CPT,636,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,AETNA,AETNA,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,BCBS,BCBS,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,CIGNA,CIGNA,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,HUMANA,HUMANA,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,UHC,UHC,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",5000S0020,S0020,CPT,636,,,,,,,VA,VA,,71,31.95,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG",5000S0028,S0028,CPT,636,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG,5000S0077,S0077,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,5000S0119,S0119,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,AETNA,AETNA,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,BCBS,BCBS,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,CIGNA,CIGNA,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,HUMANA,HUMANA,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,UHC,UHC,,293,131.85,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG,5000S0164,S0164,CPT,636,,,,,,,VA,VA,,293,131.85,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
IV TUBING EXTENSION SET,5000S1015,S1015,CPT,272,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
"SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE",5000S3650,S3650,CPT,636,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG, GENERIC",5000S5000,S5000,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
"PRESCRIPTION DRUG,BRAND NAME",5000S5001,S5001,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
STERILE SALINE - 5% DEXTROSE AND 0.45% SALINE,5000S5010,S5010,CPT,260,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
INSULIN RAPID 5 U,5000S5550,S5550,CPT,636,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
SPACER WITHOUT MASK,5000S8100,S8100,CPT,636,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
MASK - NEBULIZER MASK - SPACER WITH MASK,5000S8101,S8101,CPT,270,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
PADDING FOR COMPRSSN BDG,5000S8430,S8430,CPT,272,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
SPLINT DIGIT,5000S8450,S8450,CPT,623,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,AETNA,AETNA,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,BCBS Federal,BCBS Federal,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,BCBS,BCBS,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,CIGNA,CIGNA,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,HUMANA,HUMANA,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,UHC,UHC,,180,81,,,,,,,,outpatient,
SPLINT WRIST OR ANKLE,5000S8451,S8451,CPT,623,,,,,,,VA,VA,,180,81,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
"VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER...",5000V2797,V2797,CPT,636,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
Acetaminophen/Codeine 300/30 soln,6000DA001,J3490,CPT,636,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
amoxicillin/clavulanate K+ 400mg/57mg,6000DA002,J8499,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,AETNA,AETNA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,BCBS,BCBS,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,CIGNA,CIGNA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,HUMANA,HUMANA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,UHC,UHC,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,6000DM001,S0030,CPT,636,,,,,,,VA,VA,,377,169.65,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,6000R0003,Q9967,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",6000R0004,Q9967,CPT,636,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
tramadol 50mg tab,6000DT006,J8499,CPT,636,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
Fentanyl 100mcg/ (Up to 100MCG),5001J3010,J3010,CPT,636,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
"Midazolam 10mg, per 2ml; IM/IV/Intranasal",50001J2250,J2250,CPT,636,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Ibuprofen 800 mg; tab,5000J3490 IB,J8499,CPT,257,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,AETNA,AETNA,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,BCBS Federal,BCBS Federal,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,BCBS,BCBS,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,CIGNA,CIGNA,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,HUMANA,HUMANA,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,UHC,UHC,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS W/I&R,500093040,93040,CPT,730,,,,,,,VA,VA,,390,175.5,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,AETNA,AETNA,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,BCBS Federal,BCBS Federal,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,BCBS,BCBS,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,CIGNA,CIGNA,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,HUMANA,HUMANA,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,UHC,UHC,,336,151.2,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,500093041,93041,CPT,730,,,,,,,VA,VA,,336,151.2,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,AETNA,AETNA,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,BCBS,BCBS,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,CIGNA,CIGNA,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,HUMANA,HUMANA,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,UHC,UHC,,342,153.9,,,,,,,,outpatient,
WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I,500093224,93224,CPT,731,,,,,,,VA,VA,,342,153.9,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,AETNA,AETNA,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,BCBS,BCBS,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,CIGNA,CIGNA,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,HUMANA,HUMANA,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,UHC,UHC,,3649,1642.05,,,,,,,,outpatient,
COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,500093303,93303,CPT,731,,,,,,,VA,VA,,3649,1642.05,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,AETNA,AETNA,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,BCBS,BCBS,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,CIGNA,CIGNA,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,HUMANA,HUMANA,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,UHC,UHC,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D W/PROBE PLMT ONLY,500093313,93313,CPT,731,,,,,,,VA,VA,,6051,2722.95,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,AETNA,AETNA,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,BCBS,BCBS,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,CIGNA,CIGNA,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,HUMANA,HUMANA,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,UHC,UHC,,6457,2905.65,,,,,,,,outpatient,
TEE R-T IMG 2D IMG ACQUISJ I&R ONLY,500093314,93314,CPT,731,,,,,,,VA,VA,,6457,2905.65,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,AETNA,AETNA,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,BCBS Federal,BCBS Federal,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,BCBS,BCBS,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,CIGNA,CIGNA,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,HUMANA,HUMANA,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,UHC,UHC,,328,147.6,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",500096372,96372,CPT,262,,,,,,,VA,VA,,328,147.6,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,AETNA,AETNA,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,BCBS,BCBS,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,CIGNA,CIGNA,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,HUMANA,HUMANA,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,UHC,UHC,,2444,1099.8,,,,,,,,outpatient,
HOSPITAL OBSERVATION PER HR,5000G0378,G0378,CPT,762,,,,,,,VA,VA,,2444,1099.8,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,AETNA,AETNA,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,BCBS,BCBS,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,CIGNA,CIGNA,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,HUMANA,HUMANA,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,UHC,UHC,,1612,725.4,,,,,,,,outpatient,
EM for Subsequent observation care,500099226,99226,CPT,762,,,,,,,VA,VA,,1612,725.4,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,AETNA,AETNA,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,BCBS,BCBS,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,CIGNA,CIGNA,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,HUMANA,HUMANA,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,UHC,UHC,,1023,460.35,,,,,,,,outpatient,
Intial OBS Care,500099218,99218,CPT,762,,,,,,,VA,VA,,1023,460.35,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,AETNA,AETNA,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,BCBS,BCBS,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,CIGNA,CIGNA,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,HUMANA,HUMANA,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,UHC,UHC,,3447,1551.15,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099235,99235,CPT,762,,,,,,,VA,VA,,3447,1551.15,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,AETNA,AETNA,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,BCBS Federal,BCBS Federal,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,BCBS,BCBS,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,CIGNA,CIGNA,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,HUMANA,HUMANA,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,UHC,UHC,,619,278.55,,,,,,,,outpatient,
HEMOPERFUSION,500090997,90997,CPT,800,,,,,,,VA,VA,,619,278.55,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,AETNA,AETNA,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,BCBS,BCBS,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,CIGNA,CIGNA,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,HUMANA,HUMANA,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,UHC,UHC,,761,342.45,,,,,,,,outpatient,
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,500095971,95971,CPT,920,,,,,,,VA,VA,,761,342.45,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,AETNA,AETNA,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,BCBS,BCBS,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,CIGNA,CIGNA,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,HUMANA,HUMANA,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,UHC,UHC,,1638,737.1,,,,,,,,outpatient,
COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,500096000,96000,CPT,920,,,,,,,VA,VA,,1638,737.1,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,AETNA,AETNA,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,BCBS,BCBS,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,CIGNA,CIGNA,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,HUMANA,HUMANA,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,UHC,UHC,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,500093880,93880,CPT,921,,,,,,,VA,VA,,2596,1168.2,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,AETNA,AETNA,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,BCBS,BCBS,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,CIGNA,CIGNA,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,HUMANA,HUMANA,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,UHC,UHC,,1368,615.6,,,,,,,,outpatient,
DUP-SCAN XTRC ART UNI/LMTD STD,500093882,93882,CPT,921,,,,,,,VA,VA,,1368,615.6,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,AETNA,AETNA,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,BCBS,BCBS,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,CIGNA,CIGNA,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,HUMANA,HUMANA,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,UHC,UHC,,1367,615.15,,,,,,,,outpatient,
TCD STD ICRA ART COMPL STD,500093886,93886,CPT,921,,,,,,,VA,VA,,1367,615.15,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,AETNA,AETNA,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,BCBS,BCBS,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,CIGNA,CIGNA,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,HUMANA,HUMANA,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,UHC,UHC,,1193,536.85,,,,,,,,outpatient,
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,500093922,93922,CPT,921,,,,,,,VA,VA,,1193,536.85,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,AETNA,AETNA,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,BCBS,BCBS,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,CIGNA,CIGNA,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,HUMANA,HUMANA,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,UHC,UHC,,1937,871.65,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,500093926,93926,CPT,921,,,,,,,VA,VA,,1937,871.65,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,AETNA,AETNA,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,BCBS,BCBS,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,CIGNA,CIGNA,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,HUMANA,HUMANA,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,UHC,UHC,,707,318.15,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,500093931,93931,CPT,921,,,,,,,VA,VA,,707,318.15,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,AETNA,AETNA,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,BCBS,BCBS,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,CIGNA,CIGNA,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,HUMANA,HUMANA,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,UHC,UHC,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,500093970,93970,CPT,921,,,,,,,VA,VA,,2559,1151.55,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,AETNA,AETNA,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,BCBS,BCBS,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,CIGNA,CIGNA,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,HUMANA,HUMANA,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,UHC,UHC,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,500093971,93971,CPT,921,,,,,,,VA,VA,,1621,729.45,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,AETNA,AETNA,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,BCBS,BCBS,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,CIGNA,CIGNA,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,HUMANA,HUMANA,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,UHC,UHC,,3614,1626.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,500093975,93975,CPT,921,,,,,,,VA,VA,,3614,1626.3,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
RHYTHM ECG 1-3 LDS I&R ONLY,500093042,93042,CPT,985,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,AETNA,AETNA,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,BCBS,BCBS,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,CIGNA,CIGNA,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,HUMANA,HUMANA,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,UHC,UHC,,1273,572.85,,,,,,,,outpatient,
N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,500093875,93875,CPT,920,,,,,,,VA,VA,,1273,572.85,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,AETNA,AETNA,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,BCBS,BCBS,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,CIGNA,CIGNA,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,HUMANA,HUMANA,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,UHC,UHC,,363,163.35,,,,,,,,outpatient,
PHYS SUPVJ PT HOME HLTH AGENCY MO 15-29 MINUTES,500099374,99374,CPT,999,,,,,,,VA,VA,,363,163.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,AETNA,AETNA,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,BCBS,BCBS,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,CIGNA,CIGNA,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,HUMANA,HUMANA,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,UHC,UHC,,123,55.35,,,,,,,,outpatient,
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,500099406,99406,CPT,999,,,,,,,VA,VA,,123,55.35,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,AETNA,AETNA,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,BCBS Federal,BCBS Federal,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,BCBS,BCBS,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,CIGNA,CIGNA,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,HUMANA,HUMANA,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,UHC,UHC,,604,271.8,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,5000I93005,93005,CPT,730,,,,,,,VA,VA,,604,271.8,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,AETNA,AETNA,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,BCBS,BCBS,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,CIGNA,CIGNA,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,HUMANA,HUMANA,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,UHC,UHC,,371,166.95,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,500036000,36000,CPT,269,,,,,,,VA,VA,,371,166.95,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",500036592,36592,CPT,309,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,AETNA,AETNA,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,BCBS,BCBS,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,UHC,UHC,,38,17.1,,,,,,,,outpatient,
ANTIVERT – Meclizine Hydrochloride 25 Tab,6000DA007,J8499,CPT,250,,,,,,,VA,VA,,38,17.1,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,AETNA,AETNA,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,BCBS,BCBS,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,CIGNA,CIGNA,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,HUMANA,HUMANA,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,UHC,UHC,,1655,744.75,,,,,,,,outpatient,
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,500012006,12006,CPT,450,,,,,,,VA,VA,,1655,744.75,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,AETNA,AETNA,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,BCBS,BCBS,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,CIGNA,CIGNA,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,HUMANA,HUMANA,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,UHC,UHC,,2061,927.45,,,,,,,,outpatient,
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,500012007,12007,CPT,450,,,,,,,VA,VA,,2061,927.45,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,AETNA,AETNA,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,BCBS,BCBS,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,CIGNA,CIGNA,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,HUMANA,HUMANA,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,UHC,UHC,,1227,552.15,,,,,,,,outpatient,
"Incision and drainage, complex, postoperative wound infection",500010180,10180,CPT,450,,,,,,,VA,VA,,1227,552.15,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,AETNA,AETNA,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,BCBS,BCBS,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,CIGNA,CIGNA,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,HUMANA,HUMANA,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,UHC,UHC,,421,189.45,,,,,,,,outpatient,
Placement of needle for intraosseous infusion,500036680,36680,CPT,269,,,,,,,VA,VA,,421,189.45,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,AETNA,AETNA,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,BCBS,BCBS,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,CIGNA,CIGNA,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,HUMANA,HUMANA,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,UHC,UHC,,1267,570.15,,,,,,,,outpatient,
"Introduction of catheter, superior or inferior vena cava",500036010,36010,CPT,450,,,,,,,VA,VA,,1267,570.15,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,AETNA,AETNA,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,BCBS,BCBS,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,CIGNA,CIGNA,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,HUMANA,HUMANA,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,UHC,UHC,,13337,6001.65,,,,,,,,outpatient,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+",500073720,73720,CPT,320,,,,,,,VA,VA,,13337,6001.65,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,AETNA,AETNA,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,BCBS,BCBS,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,CIGNA,CIGNA,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,HUMANA,HUMANA,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,UHC,UHC,,787,354.15,,,,,,,,outpatient,
"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete",500076827,76827,CPT,402,,,,,,,VA,VA,,787,354.15,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,AETNA,AETNA,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,BCBS,BCBS,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,CIGNA,CIGNA,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,HUMANA,HUMANA,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,UHC,UHC,,2085,938.25,,,,,,,,outpatient,
"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",500026670,26670,CPT,450,,,,,,,VA,VA,,2085,938.25,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,AETNA,AETNA,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,BCBS,BCBS,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,CIGNA,CIGNA,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,HUMANA,HUMANA,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,UHC,UHC,,4071,1831.95,,,,,,,,outpatient,
CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,500021485,21485,CPT,450,,,,,,,VA,VA,,4071,1831.95,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,AETNA,AETNA,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,BCBS,BCBS,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,CIGNA,CIGNA,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,HUMANA,HUMANA,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,UHC,UHC,,161,72.45,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,500087177,87177,CPT,300,,,,,,,VA,VA,,161,72.45,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,AETNA,AETNA,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,BCBS,BCBS,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,CIGNA,CIGNA,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,HUMANA,HUMANA,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,UHC,UHC,,1874,843.3,,,,,,,,outpatient,
NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS; Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries,500093923,93923,CPT,921,,,,,,,VA,VA,,1874,843.3,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,AETNA,AETNA,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,BCBS,BCBS,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,CIGNA,CIGNA,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,HUMANA,HUMANA,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,UHC,UHC,,306,137.7,,,,,,,,outpatient,
"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",5000L3250,L3250,CPT,999,,,,,,,VA,VA,,306,137.7,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,AETNA,AETNA,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,BCBS,BCBS,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,CIGNA,CIGNA,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,HUMANA,HUMANA,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,UHC,UHC,,8423,3790.35,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,500072131,72131,CPT,352,,,,,,,VA,VA,,8423,3790.35,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,AETNA,AETNA,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,BCBS,BCBS,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,CIGNA,CIGNA,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,HUMANA,HUMANA,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,UHC,UHC,,493,221.85,,,,,,,,outpatient,
Zyvox (linezolid) 600mg/300ml IV bag ,5000ZYVOXLIN,J2020,CPT,250,,,,,,,VA,VA,,493,221.85,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,AETNA,AETNA,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,BCBS,BCBS,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,CIGNA,CIGNA,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,HUMANA,HUMANA,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,UHC,UHC,,2862,1287.9,,,,,,,,outpatient,
"Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia",500026675,26675,CPT,450,,,,,,,VA,VA,,2862,1287.9,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,AETNA,AETNA,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,BCBS,BCBS,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,CIGNA,CIGNA,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,HUMANA,HUMANA,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,UHC,UHC,,2005,902.25,,,,,,,,outpatient,
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal",500028024,28024,CPT,450,,,,,,,VA,VA,,2005,902.25,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,AETNA,AETNA,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,BCBS,BCBS,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,CIGNA,CIGNA,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,HUMANA,HUMANA,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,UHC,UHC,,600,270,,,,,,,,outpatient,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ",500020550,20550,CPT,450,,,,,,,VA,VA,,600,270,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,AETNA,AETNA,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,BCBS,BCBS,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,CIGNA,CIGNA,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,HUMANA,HUMANA,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,UHC,UHC,,362,162.9,,,,,,,,outpatient,
"Whfo w/o joints pre ots; Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",5000L3809,L3809,CPT,274,,,,,,,VA,VA,,362,162.9,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB,6000PEPTAB,J8499,CPT,250,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,AETNA,AETNA,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,BCBS,BCBS,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,CIGNA,CIGNA,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,HUMANA,HUMANA,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,UHC,UHC,,273,122.85,,,,,,,,outpatient,
Aspiration and/or injection of ganglion cyst any location,500020612,20612,CPT,450,,,,,,,VA,VA,,273,122.85,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,AETNA,AETNA,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,BCBS,BCBS,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,CIGNA,CIGNA,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,HUMANA,HUMANA,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,UHC,UHC,,2079,935.55,,,,,,,,outpatient,
"Excision of Ganglion, wrist (dorsal or volar); primary",500025111,25111,CPT,450,,,,,,,VA,VA,,2079,935.55,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,AETNA,AETNA,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,BCBS,BCBS,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,CIGNA,CIGNA,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,HUMANA,HUMANA,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,UHC,UHC,,1346,605.7,,,,,,,,outpatient,
I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,500023930,23930,CPT,450,,,,,,,VA,VA,,1346,605.7,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
"KETOROLAC, TAB 10MG (TORADOL)",5000J8499TOR,J8499,CPT,636,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,AETNA,AETNA,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,BCBS,BCBS,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,CIGNA,CIGNA,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,HUMANA,HUMANA,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,UHC,UHC,,329,148.05,,,,,,,,outpatient,
CEPHALEXIN 250mg/mL 100mL (KEFLEX),6000011602,J8499,CPT,251,,,,,,,VA,VA,,329,148.05,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
"MACROBID 25 mg, capsule",6000011605,J8499,CPT,250,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Atarax (Hydroxine pamoate) up to 25mg PO,5000Q0177,Q0177,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
TRIPLE ANTIBIOTIC OINT .9GM,6000001496,A6250,CPT,272,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
"hypertonic saline solution, 1 ml",5000J7131,J7131,CPT,636,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,AETNA,AETNA,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,BCBS,BCBS,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,CIGNA,CIGNA,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,HUMANA,HUMANA,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,UHC,UHC,,3102,1395.9,,,,,,,,outpatient,
Closed treatment of radial and ulnar shaft fractures; w/o manipulation,500025560,25560,CPT,450,,,,,,,VA,VA,,3102,1395.9,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
Simethicone Drops,6000DS002,J3490,CPT,250,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,AETNA,AETNA,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,BCBS,BCBS,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,CIGNA,CIGNA,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,HUMANA,HUMANA,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,UHC,UHC,,274,123.3,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,500085007,85007,CPT,305,,,,,,,VA,VA,,274,123.3,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,AETNA,AETNA,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,BCBS,BCBS,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,CIGNA,CIGNA,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,HUMANA,HUMANA,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,UHC,UHC,,179,80.55,,,,,,,,outpatient,
Rmvl devital tis 20 cm/<,500097597,97597,CPT,450,,,,,,,VA,VA,,179,80.55,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,AETNA,AETNA,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,BCBS,BCBS,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,CIGNA,CIGNA,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,HUMANA,HUMANA,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,UHC,UHC,,225,101.25,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,500084153,84153,CPT,300,,,,,,,VA,VA,,225,101.25,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,500082945,82945,CPT,301,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,500087327,87327,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",500089050,89050,CPT,300,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,AETNA,AETNA,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,BCBS,BCBS,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,CIGNA,CIGNA,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,HUMANA,HUMANA,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,UHC,UHC,,1274,573.3,,,,,,,,outpatient,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",500040830,40830,CPT,450,,,,,,,VA,VA,,1274,573.3,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
Ammonia,500082140,82140,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,AETNA,AETNA,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,BCBS,BCBS,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,CIGNA,CIGNA,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,HUMANA,HUMANA,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,UHC,UHC,,987,444.15,,,,,,,,outpatient,
"Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent",500030906,30906,CPT,450,,,,,,,VA,VA,,987,444.15,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,500086618,86618,CPT,300,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
Thyroxine; total,500084436,84436,CPT,300,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,AETNA,AETNA,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,BCBS,BCBS,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,CIGNA,CIGNA,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,HUMANA,HUMANA,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,UHC,UHC,,317,142.65,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,500087491,87491,CPT,300,,,,,,,VA,VA,,317,142.65,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,AETNA,AETNA,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,BCBS,BCBS,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,CIGNA,CIGNA,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,HUMANA,HUMANA,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,UHC,UHC,,179,80.55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,500083615,83615,CPT,301,,,,,,,VA,VA,,179,80.55,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,AETNA,AETNA,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,BCBS,BCBS,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,CIGNA,CIGNA,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,HUMANA,HUMANA,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,UHC,UHC,,1658,746.1,,,,,,,,outpatient,
Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance,500049083,49083,CPT,450,,,,,,,VA,VA,,1658,746.1,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,AETNA,AETNA,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,BCBS,BCBS,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,CIGNA,CIGNA,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,HUMANA,HUMANA,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,UHC,UHC,,101,45.45,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,6000L0006,83605,CPT,300,,,,,,,VA,VA,,101,45.45,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,AETNA,AETNA,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,BCBS,BCBS,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,CIGNA,CIGNA,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,HUMANA,HUMANA,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,UHC,UHC,,3732,1679.4,,,,,,,,outpatient,
"Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation",500027842,27842,CPT,450,,,,,,,VA,VA,,3732,1679.4,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
"Finger orthosis, proximal/distal interphalangeal, w/o joint/spring, extension/flexion, may include soft interface material, pre-fab.  ",5000L3927,L3927,CPT,274,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
Triglycerides,500084478,84478,CPT,301,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,AETNA,AETNA,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,BCBS,BCBS,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,CIGNA,CIGNA,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,HUMANA,HUMANA,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,UHC,UHC,,456,205.2,,,,,,,,outpatient,
"Thrombolysis, cerebral, by intravenous infusion",500037195,37195,CPT,260,,,,,,,VA,VA,,456,205.2,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,AETNA,AETNA,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,BCBS,BCBS,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,UHC,UHC,,125,56.25,,,,,,,,outpatient,
HUMULIN R 100U/ML VL 10ML,6000001155,J3490,CPT,272,,,,,,,VA,VA,,125,56.25,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,AETNA,AETNA,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,BCBS,BCBS,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,CIGNA,CIGNA,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,HUMANA,HUMANA,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,UHC,UHC,,1200,540,,,,,,,,outpatient,
"I&D, upper arm or elbow area; bursa",500023931,23931,CPT,450,,,,,,,VA,VA,,1200,540,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,AETNA,AETNA,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,BCBS,BCBS,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,CIGNA,CIGNA,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,HUMANA,HUMANA,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,UHC,UHC,,1761,792.45,,,,,,,,outpatient,
Closed treatment of ulnar shaft fracture; w/o manipulation,500025530,25530,CPT,450,,,,,,,VA,VA,,1761,792.45,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,AETNA,AETNA,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,BCBS,BCBS,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,CIGNA,CIGNA,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,HUMANA,HUMANA,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,UHC,UHC,,748,336.6,,,,,,,,outpatient,
"Injection, alteplase recombinant,  (ACTIVASE)",6000000890,J2997,CPT,260,,,,,,,VA,VA,,748,336.6,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
"Inj, Adenosine, 1 mg ",5000J0153,J0153,CPT,250,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,AETNA,AETNA,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,BCBS,BCBS,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,CIGNA,CIGNA,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,HUMANA,HUMANA,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,UHC,UHC,,3798,1709.1,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,50074210,74210,CPT,320,,,,,,,VA,VA,,3798,1709.1,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
Reglan 10 mg; PO,6000OR0001,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,AETNA,AETNA,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,BCBS,BCBS,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,CIGNA,CIGNA,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,HUMANA,HUMANA,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,UHC,UHC,,1197,538.65,,,,,,,,outpatient,
"Inj, anesthetic agent a/o steroid, plantar common digital nerve(s) ",500064455,64455,CPT,450,,,,,,,VA,VA,,1197,538.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,AETNA,AETNA,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,BCBS,BCBS,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,CIGNA,CIGNA,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,HUMANA,HUMANA,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,UHC,UHC,,195,87.75,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",500087207,87207,CPT,300,,,,,,,VA,VA,,195,87.75,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
Diphenoxylate/Atropine (Lomotil) 2.5 mg; tab ,6000L0007,J8499,CPT,252,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,AETNA,AETNA,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,BCBS,BCBS,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,CIGNA,CIGNA,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,HUMANA,HUMANA,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,UHC,UHC,,3761,1692.45,,,,,,,,outpatient,
OPEN TX DISTAL PHALANGEAL FRACTURE EACH,500026765,26765,CPT,450,,,,,,,VA,VA,,3761,1692.45,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,AETNA,AETNA,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,BCBS,BCBS,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,CIGNA,CIGNA,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,HUMANA,HUMANA,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,UHC,UHC,,246,110.7,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,500082306,82306,CPT,300,,,,,,,VA,VA,,246,110.7,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,500087324,87324,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,AETNA,AETNA,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,BCBS,BCBS,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,CIGNA,CIGNA,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,HUMANA,HUMANA,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,UHC,UHC,,2313,1040.85,,,,,,,,outpatient,
"Incision and drainage of penis, deep ",500054015,54015,CPT,450,,,,,,,VA,VA,,2313,1040.85,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,500087803,87803,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,AETNA,AETNA,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,BCBS,BCBS,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,CIGNA,CIGNA,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,HUMANA,HUMANA,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,UHC,UHC,,2979,1340.55,,,,,,,,outpatient,
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,500026742,26742,CPT,450,,,,,,,VA,VA,,2979,1340.55,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,AETNA,AETNA,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,BCBS,BCBS,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,CIGNA,CIGNA,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,HUMANA,HUMANA,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,UHC,UHC,,29,13.05,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),5000J3301,J3301,CPT,251,,,,,,,VA,VA,,29,13.05,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,AETNA,AETNA,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,BCBS,BCBS,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,CIGNA,CIGNA,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,HUMANA,HUMANA,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,UHC,UHC,,1965,884.25,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,500076937,76937,CPT,402,,,,,,,VA,VA,,1965,884.25,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
Cast sup shrt leg ped fbrgls,5000Q4040,Q4040,CPT,274,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
Methocarbamol 500 mg tab (Robaxin),5000002219,J8499,CPT,250,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,60000C0001,J8499,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,AETNA,AETNA,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,BCBS,BCBS,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,CIGNA,CIGNA,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,HUMANA,HUMANA,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,UHC,UHC,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 750MG IVPB ,5001J1956750,J1956,CPT,636,,,,,,,VA,VA,,79,35.55,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,AETNA,AETNA,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,BCBS,BCBS,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,CIGNA,CIGNA,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,HUMANA,HUMANA,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,UHC,UHC,,87,39.15,,,,,,,,outpatient,
LEVAQUIN 500MG IVPB ,5002J1956500,J1956,CPT,636,,,,,,,VA,VA,,87,39.15,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,AETNA,AETNA,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,BCBS,BCBS,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,CIGNA,CIGNA,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,HUMANA,HUMANA,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,UHC,UHC,,128,57.6,,,,,,,,outpatient,
Assay of Salicylate,5000G6038,G6038,CPT,300,,,,,,,VA,VA,,128,57.6,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,5000G6039,G6039,CPT,300,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
"Inj: Levetiracetam, per 10mg",5000J1953,J1953,CPT,251,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
Cast sup sht arm splnt ped fib,5000Q4024,Q4024,CPT,270,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Metformin HCL 500mg tab,6000MET001,J8499,CPT,251,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Acyclovir 800MG tab (Valtrex),5000J8499ACY,J8499,CPT,251,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,AETNA,AETNA,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,BCBS Federal,BCBS Federal,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,BCBS,BCBS,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,CIGNA,CIGNA,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,HUMANA,HUMANA,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,UHC,UHC,,311,139.95,,,,,,,,outpatient,
CONT INHALATION TREATMENT EA ADDL HR,500094645,94645,CPT,410,,,,,,,VA,VA,,311,139.95,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
COLACE 100MG TAB,6000COL01,J8499,CPT,252,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
Colace Liquid 50mg/5ml bottle (BILL ONCE THIS IS PER BOTTLE),6000COL02,A9150,CPT,252,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,AETNA,AETNA,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,BCBS,BCBS,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,CIGNA,CIGNA,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,HUMANA,HUMANA,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,UHC,UHC,,3829,1723.05,,,,,,,,outpatient,
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,500028505,28505,CPT,450,,,,,,,VA,VA,,3829,1723.05,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,AETNA,AETNA,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,BCBS,BCBS,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,CIGNA,CIGNA,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,HUMANA,HUMANA,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,UHC,UHC,,2141,963.45,,,,,,,,outpatient,
CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,500024560,24560,CPT,450,,,,,,,VA,VA,,2141,963.45,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,500087265,87265,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,AETNA,AETNA,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,BCBS,BCBS,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,CIGNA,CIGNA,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,HUMANA,HUMANA,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,UHC,UHC,,3695,1662.75,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,500073202,73202,CPT,359,,,,,,,VA,VA,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,AETNA,AETNA,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,BCBS,BCBS,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,CIGNA,CIGNA,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,HUMANA,HUMANA,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,UHC,UHC,,3695,1662.75,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,500071130,71130,CPT,320,,,,,,,VA,VA,,3695,1662.75,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,AETNA,AETNA,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,BCBS,BCBS,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,CIGNA,CIGNA,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,HUMANA,HUMANA,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,UHC,UHC,,2890,1300.5,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,500072200,72200,CPT,320,,,,,,,VA,VA,,2890,1300.5,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,AETNA,AETNA,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,BCBS,BCBS,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,CIGNA,CIGNA,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,HUMANA,HUMANA,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,UHC,UHC,,3751,1687.95,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,500077077,77077,CPT,320,,,,,,,VA,VA,,3751,1687.95,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,AETNA,AETNA,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,BCBS,BCBS,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,CIGNA,CIGNA,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,HUMANA,HUMANA,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,UHC,UHC,,401,180.45,,,,,,,,outpatient,
POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,500099024,99024,CPT,450,,,,,,,VA,VA,,401,180.45,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
ICE CAP OR COLLAR,500097010,97010,CPT,450,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,AETNA,AETNA,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,BCBS,BCBS,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,CIGNA,CIGNA,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,HUMANA,HUMANA,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,UHC,UHC,,734,330.3,,,,,,,,outpatient,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",500020611,20611,CPT,450,,,,,,,VA,VA,,734,330.3,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,AETNA,AETNA,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,BCBS,BCBS,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,CIGNA,CIGNA,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,HUMANA,HUMANA,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,UHC,UHC,,348,156.6,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",500080300,80300,CPT,300,,,,,,,VA,VA,,348,156.6,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,AETNA,AETNA,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,BCBS,BCBS,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,CIGNA,CIGNA,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,HUMANA,HUMANA,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,UHC,UHC,,2189,985.05,,,,,,,,outpatient,
"RADEX, Femur; 2V",500073552,73552,CPT,320,,,,,,,VA,VA,,2189,985.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",500087641,87641,CPT,300,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
PREDNISONE ORAL PER 1MG,5000J7512,J7512,CPT,636,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
LEVAQUIN (LEVOFLOXIN) 750MG PO,6000001600,J8499,CPT,250,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,AETNA,AETNA,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,BCBS Federal,BCBS Federal,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,BCBS,BCBS,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,CIGNA,CIGNA,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,HUMANA,HUMANA,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,UHC,UHC,,729,328.05,,,,,,,,outpatient,
DESTRUCTION PREMALIGNANT LESION 1ST,500017000,17000,CPT,361,,,,,,,VA,VA,,729,328.05,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,AETNA,AETNA,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,BCBS,BCBS,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,CIGNA,CIGNA,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,HUMANA,HUMANA,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,UHC,UHC,,340,153,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,500080320,80320,CPT,300,,,,,,,VA,VA,,340,153,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,AETNA,AETNA,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,BCBS,BCBS,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,CIGNA,CIGNA,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,HUMANA,HUMANA,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,UHC,UHC,,4967,2235.15,,,,,,,,outpatient,
Scrotoplasty; simple,500055175,55175,CPT,450,,,,,,,VA,VA,,4967,2235.15,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,500011055,11055,CPT,450,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,AETNA,AETNA,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,BCBS,BCBS,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,CIGNA,CIGNA,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,HUMANA,HUMANA,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,UHC,UHC,,1155,519.75,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,500087801,87801,CPT,300,,,,,,,VA,VA,,1155,519.75,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,500069209,69209,CPT,450,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,AETNA,AETNA,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,BCBS,BCBS,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,CIGNA,CIGNA,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,HUMANA,HUMANA,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,UHC,UHC,,151,67.95,,,,,,,,outpatient,
"Cast supplies, short leg splint, adult (11 years +), plaster",5000Q4045,Q4045,CPT,270,,,,,,,VA,VA,,151,67.95,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,500036569,36569,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,AETNA,AETNA,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,BCBS,BCBS,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,CIGNA,CIGNA,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,HUMANA,HUMANA,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,UHC,UHC,,239,107.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,500086677,86677,CPT,306,,,,,,,VA,VA,,239,107.55,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,AETNA,AETNA,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,BCBS Federal,BCBS Federal,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,BCBS,BCBS,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,CIGNA,CIGNA,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,HUMANA,HUMANA,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,UHC,UHC,,2184,982.8,,,,,,,,outpatient,
PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,500093623,93623,CPT,943,,,,,,,VA,VA,,2184,982.8,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,AETNA,AETNA,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,BCBS,BCBS,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,CIGNA,CIGNA,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,HUMANA,HUMANA,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,UHC,UHC,,1050,472.5,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,500073502,73502,CPT,320,,,,,,,VA,VA,,1050,472.5,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,AETNA,AETNA,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,BCBS,BCBS,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,CIGNA,CIGNA,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,HUMANA,HUMANA,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,UHC,UHC,,401,180.45,,,,,,,,outpatient,
MANUAL THERAPY 1/> REGIONS,500097140,97140,CPT,450,,,,,,,VA,VA,,401,180.45,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,AETNA,AETNA,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,BCBS,BCBS,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,CIGNA,CIGNA,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,HUMANA,HUMANA,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,UHC,UHC,,92,41.4,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,500087140,87140,CPT,300,,,,,,,VA,VA,,92,41.4,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
Wet mounts/ w preparations,5000Q0111,Q0111,CPT,923,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,AETNA,AETNA,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,BCBS,BCBS,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,CIGNA,CIGNA,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,HUMANA,HUMANA,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,UHC,UHC,,513,230.85,,,,,,,,outpatient,
Set-up portable x-ray equipment,5000Q0092,Q0092,CPT,320,,,,,,,VA,VA,,513,230.85,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
Cast sup sht arm splint plst,5000Q4021,Q4021,CPT,270,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,AETNA,AETNA,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,BCBS,BCBS,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,CIGNA,CIGNA,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,HUMANA,HUMANA,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,UHC,UHC,,1072,482.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,500073501,73501,CPT,320,,,,,,,VA,VA,,1072,482.4,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,AETNA,AETNA,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,BCBS,BCBS,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,CIGNA,CIGNA,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,HUMANA,HUMANA,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,UHC,UHC,,8363,3763.35,,,,,,,,outpatient,
Uvl pnl 2 sq ft or less,E0691,E0691,CPT,290,,,,,,,VA,VA,,8363,3763.35,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,AETNA,AETNA,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,BCBS,BCBS,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,CIGNA,CIGNA,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,HUMANA,HUMANA,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,UHC,UHC,,295,132.75,,,,,,,,outpatient,
CLOTTING FACTOR XI PTA,500085270,85270,CPT,305,,,,,,,VA,VA,,295,132.75,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,AETNA,AETNA,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,BCBS,BCBS,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,CIGNA,CIGNA,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,HUMANA,HUMANA,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,UHC,UHC,,225,101.25,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,500086703,86703,CPT,300,,,,,,,VA,VA,,225,101.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,AETNA,AETNA,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,BCBS,BCBS,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,CIGNA,CIGNA,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,HUMANA,HUMANA,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,UHC,UHC,,804,361.8,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,500073521,73521,CPT,320,,,,,,,VA,VA,,804,361.8,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,AETNA,AETNA,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,BCBS,BCBS,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,CIGNA,CIGNA,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,HUMANA,HUMANA,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,UHC,UHC,,750,337.5,,,,,,,,outpatient,
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,500020553,20553,CPT,450,,,,,,,VA,VA,,750,337.5,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,500083986,83986,CPT,300,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,AETNA,AETNA,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,BCBS,BCBS,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,CIGNA,CIGNA,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,HUMANA,HUMANA,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,UHC,UHC,,275,123.75,,,,,,,,outpatient,
CORTISOL FREE,500082530,82530,CPT,300,,,,,,,VA,VA,,275,123.75,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,AETNA,AETNA,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,BCBS,BCBS,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,CIGNA,CIGNA,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,HUMANA,HUMANA,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,UHC,UHC,,188,84.6,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,500083525,83525,CPT,300,,,,,,,VA,VA,,188,84.6,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,AETNA,AETNA,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,BCBS,BCBS,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,CIGNA,CIGNA,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,HUMANA,HUMANA,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,UHC,UHC,,1790,805.5,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,500011441,11441,CPT,450,,,,,,,VA,VA,,1790,805.5,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,AETNA,AETNA,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,BCBS,BCBS,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,CIGNA,CIGNA,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,HUMANA,HUMANA,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,UHC,UHC,,2494,1122.3,,,,,,,,outpatient,
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,500076813,76813,CPT,402,,,,,,,VA,VA,,2494,1122.3,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,AETNA,AETNA,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,BCBS,BCBS,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,CIGNA,CIGNA,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,HUMANA,HUMANA,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,UHC,UHC,,92,41.4,,,,,,,,outpatient,
"Injection, cefepime hydrochloride, 500 mg",5000J0692,J0692,CPT,636,,,,,,,VA,VA,,92,41.4,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,AETNA,AETNA,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,BCBS,BCBS,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,CIGNA,CIGNA,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,HUMANA,HUMANA,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,UHC,UHC,,219,98.55,,,,,,,,outpatient,
Antinuclear antibodies (ANA),500086038,86038,CPT,300,,,,,,,VA,VA,,219,98.55,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,AETNA,AETNA,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,BCBS,BCBS,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,CIGNA,CIGNA,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,HUMANA,HUMANA,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,UHC,UHC,,130,58.5,,,,,,,,outpatient,
C-reactive protein,500086140,86140,CPT,300,,,,,,,VA,VA,,130,58.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
Antibody; Rickettsia ,500086757,86757,CPT,300,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,AETNA,AETNA,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,BCBS,BCBS,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,CIGNA,CIGNA,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,HUMANA,HUMANA,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,UHC,UHC,,399,179.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",500080329,80329,CPT,300,,,,,,,VA,VA,,399,179.55,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
"Prescription drug, oral, non chemotherapeuticHydroxycine 10mg tab",5000J8499 Hyd,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Finger Tourinquet,5000A4649 TOURN,A4649,CPT,270,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",5000J2354,J2354,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
Antibody; Ehrlichia,500086666,86666,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,AETNA,AETNA,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,BCBS,BCBS,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,CIGNA,CIGNA,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,HUMANA,HUMANA,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,UHC,UHC,,152,68.4,,,,,,,,outpatient,
"Budesonide non-comp unit, up to 0.5 mg (Pulmicort)",5000J7626,J7626,CPT,636,,,,,,,VA,VA,,152,68.4,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,AETNA,AETNA,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,BCBS,BCBS,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,CIGNA,CIGNA,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,HUMANA,HUMANA,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,UHC,UHC,,5089,2290.05,,,,,,,,outpatient,
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,500026746,26746,CPT,450,,,,,,,VA,VA,,5089,2290.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Vasotec/ Enalpril ,5000J3490 VAS,J3490,CPT,636,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",5000J7638,J7638,CPT,636,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,AETNA,AETNA,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,BCBS,BCBS,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,CIGNA,CIGNA,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,HUMANA,HUMANA,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,UHC,UHC,,140,63,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",500085045,85045,CPT,305,,,,,,,VA,VA,,140,63,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,AETNA,AETNA,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,BCBS,BCBS,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,CIGNA,CIGNA,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,HUMANA,HUMANA,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,UHC,UHC,,100,45,,,,,,,,outpatient,
"Urinalysis, microscopic only ",500081015,81015,CPT,307,,,,,,,VA,VA,,100,45,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,AETNA,AETNA,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,BCBS,BCBS,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,CIGNA,CIGNA,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,HUMANA,HUMANA,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,UHC,UHC,,2158,971.1,,,,,,,,outpatient,
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,500069005,69005,CPT,450,,,,,,,VA,VA,,2158,971.1,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
Prochlorperazine 5 mg,6000S0183,S0183,CPT,636,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
Demerol up to 50mg,5000J8499DEM,J8499,CPT,636,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,AETNA,AETNA,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,BCBS,BCBS,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,UHC,UHC,,185,83.25,,,,,,,,outpatient,
"VERAPAMIL HCL, TAB 40MG (100/BT)",5000J3490VER,J8499,CPT,636,,,,,,,VA,VA,,185,83.25,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
"Norvasc (Amlodipine), TAB 5MG",5000J8499NORV,J8499,CPT,636,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
Cast sup lng arm splnt ped p,5000Q4019,Q4019,CPT,270,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,AETNA,AETNA,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,BCBS,BCBS,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,CIGNA,CIGNA,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,HUMANA,HUMANA,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,UHC,UHC,,63,28.35,,,,,,,,outpatient,
"Injection, eptifibatide, 5 mg",5000J1327,J1327,CPT,636,,,,,,,VA,VA,,63,28.35,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,AETNA,AETNA,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,BCBS,BCBS,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,CIGNA,CIGNA,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,HUMANA,HUMANA,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,UHC,UHC,,320,144,,,,,,,,outpatient,
OSTEOPATH MANJ 1-2 REGIONS,500098925,98925,CPT,450,,,,,,,VA,VA,,320,144,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,AETNA,AETNA,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,BCBS,BCBS,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,CIGNA,CIGNA,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,HUMANA,HUMANA,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,UHC,UHC,,4112,1850.4,,,,,,,,outpatient,
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,500026725,26725,CPT,450,,,,,,,VA,VA,,4112,1850.4,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,AETNA,AETNA,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,BCBS,BCBS,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,CIGNA,CIGNA,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,HUMANA,HUMANA,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,UHC,UHC,,3403,1531.35,,,,,,,,outpatient,
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,500020525,20525,CPT,450,,,,,,,VA,VA,,3403,1531.35,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,AETNA,AETNA,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,BCBS,BCBS,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,CIGNA,CIGNA,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,HUMANA,HUMANA,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,UHC,UHC,,237,106.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,500086694,86694,CPT,300,,,,,,,VA,VA,,237,106.65,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,AETNA,AETNA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,BCBS,BCBS,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,CIGNA,CIGNA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,HUMANA,HUMANA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,UHC,UHC,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC W/O ANES,500028630,28630,CPT,450,,,,,,,VA,VA,,1502,675.9,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,AETNA,AETNA,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,BCBS,BCBS,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,CIGNA,CIGNA,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,HUMANA,HUMANA,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,UHC,UHC,,3117,1402.65,,,,,,,,outpatient,
CLTX METAR FX W/MANJ,500028475,28475,CPT,450,,,,,,,VA,VA,,3117,1402.65,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
CEREBYX(FOSPHENYTOIN SODIUM)750 MG,5000S0078,S0078,CPT,636,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,AETNA,AETNA,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,BCBS,BCBS,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,CIGNA,CIGNA,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,HUMANA,HUMANA,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,UHC,UHC,,140,63,,,,,,,,outpatient,
Fibrinogen: Activity ,500085384,85384,CPT,300,,,,,,,VA,VA,,140,63,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,AETNA,AETNA,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,BCBS,BCBS,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,CIGNA,CIGNA,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,HUMANA,HUMANA,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,UHC,UHC,,1812,815.4,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,500076642,76642,CPT,402,,,,,,,VA,VA,,1812,815.4,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,AETNA,AETNA,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,BCBS,BCBS,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,CIGNA,CIGNA,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,HUMANA,HUMANA,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,UHC,UHC,,2296,1033.2,,,,,,,,outpatient,
REMOVAL OF SALIVARY STONE,500042330,42330,CPT,450,,,,,,,VA,VA,,2296,1033.2,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
Cast sup lng arm splnt ped (0-10) fib,5000Q4020,Q4020,CPT,270,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
Cast sup sht arm splnt ped plaster,5000Q4023,Q4023,CPT,270,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,AETNA,AETNA,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,BCBS,BCBS,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,CIGNA,CIGNA,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,HUMANA,HUMANA,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,UHC,UHC,,185,83.25,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,500086709,86709,CPT,300,,,,,,,VA,VA,,185,83.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,500087340,87340,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,AETNA,AETNA,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,BCBS,BCBS,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,CIGNA,CIGNA,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,HUMANA,HUMANA,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,UHC,UHC,,255,114.75,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,500086617,86617,CPT,300,,,,,,,VA,VA,,255,114.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,AETNA,AETNA,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,BCBS,BCBS,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,CIGNA,CIGNA,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,HUMANA,HUMANA,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,UHC,UHC,,235,105.75,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,500086803,86803,CPT,300,,,,,,,VA,VA,,235,105.75,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,AETNA,AETNA,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,BCBS,BCBS,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,UHC,UHC,,19288,8679.6,,,,,,,,outpatient,
CroFab (Crotalidae Polyvalent Immune Fab) per vial,5000J3490CRO,J3490,CPT,636,,,,,,,VA,VA,,19288,8679.6,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
"Injection, propofol, 10 mg",5000J2704,J2704,CPT,636,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,AETNA,AETNA,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,BCBS,BCBS,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,CIGNA,CIGNA,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,HUMANA,HUMANA,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,UHC,UHC,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,500084100,84100,CPT,301,,,,,,,VA,VA,,78,35.1,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,AETNA,AETNA,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,BCBS Federal,BCBS Federal,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,BCBS,BCBS,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,CIGNA,CIGNA,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,HUMANA,HUMANA,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,UHC,UHC,,3373,1517.85,,,,,,,,outpatient,
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,500031525,31525,CPT,400,,,,,,,VA,VA,,3373,1517.85,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
Robinul (Glycopyrrolate) ,5000J3490RO,J3490,CPT,636,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
SURGICAL TRAY/INCISION AND DRAIN,5000A4550INC,A4550,CPT,272,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
SUTURE REMOVAL TRAY,5000A4550SUT,A4550,CPT,272,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,500087273,87273,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,500086706,86706,CPT,300,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
"EYE PATCH, OCCLUSIVE, EACH",5000A6412,A6412,CPT,272,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,AETNA,AETNA,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,BCBS,BCBS,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,CIGNA,CIGNA,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,HUMANA,HUMANA,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,UHC,UHC,,5904,2656.8,,,,,,,,outpatient,
Closed treatment of trimalleolar ankle fracture; with manipulation,500027818,27818,CPT,450,,,,,,,VA,VA,,5904,2656.8,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
Vistaril (Hydroxyzine) tab per 25mg ,5000J8499VIS,J8499,CPT,636,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,AETNA,AETNA,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,BCBS,BCBS,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,CIGNA,CIGNA,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,HUMANA,HUMANA,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,UHC,UHC,,4073,1832.85,,,,,,,,outpatient,
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,500027808,27808,CPT,450,,,,,,,VA,VA,,4073,1832.85,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,500089060,89060,CPT,300,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,AETNA,AETNA,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,BCBS,BCBS,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,CIGNA,CIGNA,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,HUMANA,HUMANA,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,UHC,UHC,,1633,734.85,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,500040804,40804,CPT,450,,,,,,,VA,VA,,1633,734.85,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,AETNA,AETNA,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,BCBS,BCBS,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,CIGNA,CIGNA,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,HUMANA,HUMANA,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,UHC,UHC,,78,35.1,,,,,,,,outpatient,
Levsin (hyoscyamine sulfate) up to 0.25 mg ,5000J1980,J1980,CPT,636,,,,,,,VA,VA,,78,35.1,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,AETNA,AETNA,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,BCBS,BCBS,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,CIGNA,CIGNA,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,HUMANA,HUMANA,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,UHC,UHC,,71,31.95,,,,,,,,outpatient,
So acro/clav can web pre ots,5000L3670,L3670,CPT,274,,,,,,,VA,VA,,71,31.95,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,AETNA,AETNA,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,BCBS,BCBS,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,CIGNA,CIGNA,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,HUMANA,HUMANA,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,UHC,UHC,,139,62.55,,,,,,,,outpatient,
Prealbumin,500084134,84134,CPT,300,,,,,,,VA,VA,,139,62.55,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
CIPROFLOXACIN 250 MG; TAB,400289484,J8499,CPT,272,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
"Spirometer, non-electronic, includes all accessories",50000A9284,A9284,CPT,272,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,AETNA,AETNA,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,BCBS Federal,BCBS Federal,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,BCBS,BCBS,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,CIGNA,CIGNA,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,HUMANA,HUMANA,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,UHC,UHC,,1164,523.8,,,,,,,,outpatient,
TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,500095921,95921,CPT,739,,,,,,,VA,VA,,1164,523.8,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
Scopolamine patch,5000J3490SCOP,J3490,CPT,636,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
"Blood typing, serologic; ABO",500086900,86900,CPT,300,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG),5000A9150TYL,A9150,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
Cast sup lng arm splint plst (11YR+),5000Q4017,Q4017,CPT,274,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
Magnesium Sulfate Up to 500mg,5000J7699MAG,J7699,CPT,636,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
5% dextrose/water 500ML,5000J7060,J7060,CPT,636,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,AETNA,AETNA,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,BCBS,BCBS,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,CIGNA,CIGNA,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,HUMANA,HUMANA,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,UHC,UHC,,1336,601.2,,,,,,,,outpatient,
US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,500076802,76802,CPT,402,,,,,,,VA,VA,,1336,601.2,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,500086695,86695,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,AETNA,AETNA,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,BCBS,BCBS,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,CIGNA,CIGNA,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,HUMANA,HUMANA,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,UHC,UHC,,318,143.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,500086696,86696,CPT,300,,,,,,,VA,VA,,318,143.1,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,AETNA,AETNA,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,BCBS,BCBS,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,CIGNA,CIGNA,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,HUMANA,HUMANA,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,UHC,UHC,,361,162.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,500087798,87798,CPT,300,,,,,,,VA,VA,,361,162.45,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",5000J0561BIC,J0561,CPT,636,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,AETNA,AETNA,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,BCBS,BCBS,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,CIGNA,CIGNA,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,HUMANA,HUMANA,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,UHC,UHC,,240,108,,,,,,,,outpatient,
Carbamazepine; total,500080156,80156,CPT,300,,,,,,,VA,VA,,240,108,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,AETNA,AETNA,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,BCBS,BCBS,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,CIGNA,CIGNA,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,HUMANA,HUMANA,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,UHC,UHC,,2279,1025.55,,,,,,,,outpatient,
DRAINAGE SCROTAL WALL ABSCESS,500055100,55100,CPT,450,,,,,,,VA,VA,,2279,1025.55,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
Triiodothyronine T3; reverse,500084482,84482,CPT,300,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,AETNA,AETNA,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,BCBS,BCBS,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,CIGNA,CIGNA,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,HUMANA,HUMANA,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,UHC,UHC,,239,107.55,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,500086376,86376,CPT,300,,,,,,,VA,VA,,239,107.55,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,AETNA,AETNA,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,BCBS,BCBS,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,CIGNA,CIGNA,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,HUMANA,HUMANA,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,UHC,UHC,,138,62.1,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,500087102,87102,CPT,300,,,,,,,VA,VA,,138,62.1,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,AETNA,AETNA,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,BCBS,BCBS,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,CIGNA,CIGNA,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,HUMANA,HUMANA,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,UHC,UHC,,2166,974.7,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,500076815,76815,CPT,402,,,,,,,VA,VA,,2166,974.7,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,AETNA,AETNA,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,BCBS,BCBS,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,CIGNA,CIGNA,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,HUMANA,HUMANA,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,UHC,UHC,,122,54.9,,,,,,,,outpatient,
Cast sup sht leg splnt ped f,5000Q4048,Q4048,CPT,270,,,,,,,VA,VA,,122,54.9,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,AETNA,AETNA,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,BCBS,BCBS,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,CIGNA,CIGNA,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,HUMANA,HUMANA,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,UHC,UHC,,441,198.45,,,,,,,,outpatient,
Procalcitonin (PCT),500084145,84145,CPT,300,,,,,,,VA,VA,,441,198.45,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,500087015,87015,CPT,300,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,AETNA,AETNA,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,BCBS,BCBS,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,CIGNA,CIGNA,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,HUMANA,HUMANA,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,UHC,UHC,,2947,1326.15,,,,,,,,outpatient,
CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,500027762,27762,CPT,450,,,,,,,VA,VA,,2947,1326.15,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MUL,A9152,CPT,257,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,AETNA,AETNA,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,BCBS,BCBS,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,CIGNA,CIGNA,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,HUMANA,HUMANA,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,UHC,UHC,,2629,1183.05,,,,,,,,outpatient,
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,500026645,26645,CPT,450,,,,,,,VA,VA,,2629,1183.05,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
Drug test presump optical,5000G0477,G0477,CPT,300,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,500082248,82248,CPT,301,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,AETNA,AETNA,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,BCBS,BCBS,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,CIGNA,CIGNA,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,HUMANA,HUMANA,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,UHC,UHC,,89,40.05,,,,,,,,outpatient,
COOMBS TEST DIRECT,500086880,86880,CPT,300,,,,,,,VA,VA,,89,40.05,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,500086886,86886,CPT,300,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Troleandomycin Oint,5000J8499TRO,J8499,CPT,272,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,AETNA,AETNA,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,BCBS,BCBS,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,UHC,UHC,,103,46.35,,,,,,,,outpatient,
Protonix-Pantoprazole 40mg Tab,5000J8499PROT,J8499,CPT,250,,,,,,,VA,VA,,103,46.35,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,AETNA,AETNA,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,BCBS,BCBS,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,CIGNA,CIGNA,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,HUMANA,HUMANA,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,UHC,UHC,,340,153,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,500085060,85060,CPT,300,,,,,,,VA,VA,,340,153,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,AETNA,AETNA,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,BCBS,BCBS,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,CIGNA,CIGNA,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,HUMANA,HUMANA,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,UHC,UHC,,2326,1046.7,,,,,,,,outpatient,
INCISION&DRAINAGE BURSA FOOT,500028001,28001,CPT,450,,,,,,,VA,VA,,2326,1046.7,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,AETNA,AETNA,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,BCBS,BCBS,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,CIGNA,CIGNA,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,HUMANA,HUMANA,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,UHC,UHC,,1923,865.35,,,,,,,,outpatient,
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,500076810,76810,CPT,402,,,,,,,VA,VA,,1923,865.35,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,AETNA,AETNA,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,BCBS,BCBS,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,CIGNA,CIGNA,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,HUMANA,HUMANA,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,UHC,UHC,,3000,1350,,,,,,,,outpatient,
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,500027096,27096,CPT,450,,,,,,,VA,VA,,3000,1350,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,AETNA,AETNA,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,BCBS,BCBS,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,CIGNA,CIGNA,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,HUMANA,HUMANA,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,UHC,UHC,,1857,835.65,,,,,,,,outpatient,
OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,500076512,76512,CPT,402,,,,,,,VA,VA,,1857,835.65,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
Iron,500083540,83540,CPT,300,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,AETNA,AETNA,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,BCBS,BCBS,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,CIGNA,CIGNA,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,HUMANA,HUMANA,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,UHC,UHC,,224,100.8,,,,,,,,outpatient,
ASSAY OF FERRITIN,500082728,82728,CPT,300,,,,,,,VA,VA,,224,100.8,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
Folic Acid: Serum,500082746,82746,CPT,300,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
"STERILE WATER/SALINE, FLUSH 50 ML (per 10 ml)",5000A4216SAL,A4216,CPT,272,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Benzoin - Skin barrier liquid per oz,5000A4369,A4369,CPT,270,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,AETNA,AETNA,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,BCBS,BCBS,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,CIGNA,CIGNA,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,HUMANA,HUMANA,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,UHC,UHC,,487,219.15,,,,,,,,outpatient,
RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,50036575,36575,CPT,450,,,,,,,VA,VA,,487,219.15,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,AETNA,AETNA,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,BCBS,BCBS,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,CIGNA,CIGNA,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,HUMANA,HUMANA,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,UHC,UHC,,325,146.25,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,500087230,87230,CPT,300,,,,,,,VA,VA,,325,146.25,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,500086225,86225,CPT,300,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,500086060,86060,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,AETNA,AETNA,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,BCBS,BCBS,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,CIGNA,CIGNA,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,HUMANA,HUMANA,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,UHC,UHC,,93,41.85,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,500086431,86431,CPT,300,,,,,,,VA,VA,,93,41.85,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,AETNA,AETNA,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,BCBS,BCBS,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,CIGNA,CIGNA,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,HUMANA,HUMANA,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,UHC,UHC,,1312,590.4,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,500073503,73503,CPT,320,,,,,,,VA,VA,,1312,590.4,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Cefdinir 3.5cc,5000J8499CEF,J8499,CPT,636,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,AETNA,AETNA,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,BCBS,BCBS,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,CIGNA,CIGNA,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,HUMANA,HUMANA,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,UHC,UHC,,330,148.5,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,500087590,87590,CPT,300,,,,,,,VA,VA,,330,148.5,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,AETNA,AETNA,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,BCBS,BCBS,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,CIGNA,CIGNA,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,HUMANA,HUMANA,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,UHC,UHC,,215,96.75,,,,,,,,outpatient,
ANTIBODY MUMPS,500086735,86735,CPT,300,,,,,,,VA,VA,,215,96.75,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
ANTIBODY RUBEOLA,500086765,86765,CPT,300,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,AETNA,AETNA,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,BCBS,BCBS,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,CIGNA,CIGNA,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,HUMANA,HUMANA,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,UHC,UHC,,218,98.1,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,500080185,80185,CPT,300,,,,,,,VA,VA,,218,98.1,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,AETNA,AETNA,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,BCBS,BCBS,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,CIGNA,CIGNA,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,HUMANA,HUMANA,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,UHC,UHC,,184,82.8,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,500086039,86039,CPT,300,,,,,,,VA,VA,,184,82.8,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,AETNA,AETNA,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,BCBS,BCBS,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,CIGNA,CIGNA,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,HUMANA,HUMANA,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,UHC,UHC,,1565,704.25,,,,,,,,outpatient,
REMOVAL EMBEDDED FOREIGN BODY EYELID,500067938,67938,CPT,450,,,,,,,VA,VA,,1565,704.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,AETNA,AETNA,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,BCBS,BCBS,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,CIGNA,CIGNA,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,HUMANA,HUMANA,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,UHC,UHC,,425,191.25,,,,,,,,outpatient,
Testosterone; total ,500084403,84403,CPT,300,,,,,,,VA,VA,,425,191.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,AETNA,AETNA,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,BCBS,BCBS,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,CIGNA,CIGNA,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,HUMANA,HUMANA,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,UHC,UHC,,330,148.5,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,500087490,87490,CPT,300,,,,,,,VA,VA,,330,148.5,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,500082784,82784,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
Calculus; qualitative analysis,500082355,82355,CPT,300,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,AETNA,AETNA,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,BCBS,BCBS,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,CIGNA,CIGNA,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,HUMANA,HUMANA,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,UHC,UHC,,248,111.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,500086021,86021,CPT,300,,,,,,,VA,VA,,248,111.6,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J3490POLY,J3490,CPT,636,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
Osmolality: Blood,500083930,83930,CPT,300,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
Osmolality: Urine,500083935,83935,CPT,300,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,AETNA,AETNA,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,BCBS,BCBS,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,CIGNA,CIGNA,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,HUMANA,HUMANA,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,UHC,UHC,,2134,960.3,,,,,,,,outpatient,
REPAIR TONGUE LACERATION,500041250,41250,CPT,450,,,,,,,VA,VA,,2134,960.3,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,AETNA,AETNA,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,BCBS,BCBS,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,CIGNA,CIGNA,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,HUMANA,HUMANA,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,UHC,UHC,,4189,1885.05,,,,,,,,outpatient,
CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,500023545,23545,CPT,450,,,,,,,VA,VA,,4189,1885.05,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Captopril 25mg tab,5000J8499CAP,J8499,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,AETNA,AETNA,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,BCBS,BCBS,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,CIGNA,CIGNA,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,HUMANA,HUMANA,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,UHC,UHC,,290,130.5,,,,,,,,outpatient,
ASSAY OF GASTRIN,500082941,82941,CPT,300,,,,,,,VA,VA,,290,130.5,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,AETNA,AETNA,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,BCBS,BCBS,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,CIGNA,CIGNA,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,HUMANA,HUMANA,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,UHC,UHC,,627,282.15,,,,,,,,outpatient,
Non-pneum walk boot pre ots,5000L4387,L4387,CPT,274,,,,,,,VA,VA,,627,282.15,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,AETNA,AETNA,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,BCBS,BCBS,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,CIGNA,CIGNA,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,HUMANA,HUMANA,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,UHC,UHC,,461,207.45,,,,,,,,outpatient,
"Injection, haloperidol, up to 5 mg",5000J1630,J1630,CPT,250,,,,,,,VA,VA,,461,207.45,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,AETNA,AETNA,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,BCBS,BCBS,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,CIGNA,CIGNA,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,HUMANA,HUMANA,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,UHC,UHC,,396,178.2,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,500087806,87806,CPT,300,,,,,,,VA,VA,,396,178.2,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,500086705,86705,CPT,300,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
Cast sup long arm ped fbrgls,5000Q4008,Q4008,CPT,270,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,AETNA,AETNA,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,BCBS,BCBS,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,CIGNA,CIGNA,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,HUMANA,HUMANA,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,UHC,UHC,,214,96.3,,,,,,,,outpatient,
Cast sup shrt leg plaster,5000Q4037,Q4037,CPT,274,,,,,,,VA,VA,,214,96.3,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,AETNA,AETNA,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,BCBS,BCBS,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,CIGNA,CIGNA,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,HUMANA,HUMANA,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,UHC,UHC,,2000,900,,,,,,,,outpatient,
N BLOCK INJ OCCIPITAL,500064405,64405,CPT,450,,,,,,,VA,VA,,2000,900,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,AETNA,AETNA,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,BCBS,BCBS,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,CIGNA,CIGNA,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,HUMANA,HUMANA,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,UHC,UHC,,1130,508.5,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,500073551,73551,CPT,320,,,,,,,VA,VA,,1130,508.5,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,AETNA,AETNA,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,BCBS,BCBS,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,CIGNA,CIGNA,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,HUMANA,HUMANA,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,UHC,UHC,,205,92.25,,,,,,,,outpatient,
Cast sup gauntlet plaster,5000Q4013,Q4013,CPT,274,,,,,,,VA,VA,,205,92.25,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,AETNA,AETNA,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,BCBS,BCBS,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,CIGNA,CIGNA,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,HUMANA,HUMANA,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,UHC,UHC,,223,100.35,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,500080164,80164,CPT,300,,,,,,,VA,VA,,223,100.35,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,AETNA,AETNA,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,BCBS,BCBS,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,CIGNA,CIGNA,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,HUMANA,HUMANA,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,UHC,UHC,,1144.3,514.94,,,,,,,,outpatient,
Drug test def 1-7 classes,5000G0480,G0480,CPT,300,,,,,,,VA,VA,,1144.3,514.94,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,AETNA,AETNA,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,BCBS,BCBS,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,CIGNA,CIGNA,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,HUMANA,HUMANA,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,UHC,UHC,,340,153,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",500080339,80339,CPT,300,,,,,,,VA,VA,,340,153,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
IODINE SOLUTION PREP 1OZ ,5000A9530,A9530,CPT,272,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
Antibody; Francisella tularensis,500086668,86668,CPT,300,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
"5% dextrose with potassium chloride, 1000 ml",5000S5013,S5012,CPT,636,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,AETNA,AETNA,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,BCBS,BCBS,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,CIGNA,CIGNA,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,HUMANA,HUMANA,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,UHC,UHC,,196,88.2,,,,,,,,outpatient,
Topiramate,500080201,80201,CPT,300,,,,,,,VA,VA,,196,88.2,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Zicam ,5000A9150ZI,A9150,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,500087425,87425,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,AETNA,AETNA,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,BCBS,BCBS,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,CIGNA,CIGNA,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,HUMANA,HUMANA,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,UHC,UHC,,3473,1562.85,,,,,,,,outpatient,
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,500023620,23620,CPT,450,,,,,,,VA,VA,,3473,1562.85,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,AETNA,AETNA,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,BCBS,BCBS,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,CIGNA,CIGNA,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,HUMANA,HUMANA,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,UHC,UHC,,42,18.9,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,500085048,85048,CPT,305,,,,,,,VA,VA,,42,18.9,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
"Inj, hydrocortisone sodium succinate, up to 100 mg",5000J1720,J1720,CPT,636,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,AETNA,AETNA,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,BCBS,BCBS,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,CIGNA,CIGNA,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,HUMANA,HUMANA,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,UHC,UHC,,9174,4128.3,,,,,,,,outpatient,
OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,500025574,25574,CPT,450,,,,,,,VA,VA,,9174,4128.3,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,AETNA,AETNA,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,BCBS,BCBS,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,CIGNA,CIGNA,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,HUMANA,HUMANA,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,UHC,UHC,,1053,473.85,,,,,,,,outpatient,
LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,500031575,31575,CPT,450,,,,,,,VA,VA,,1053,473.85,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,AETNA,AETNA,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,BCBS,BCBS,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,CIGNA,CIGNA,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,HUMANA,HUMANA,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,UHC,UHC,,314,141.3,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,5000L4361,L4361,CPT,274,,,,,,,VA,VA,,314,141.3,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,AETNA,AETNA,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,BCBS,BCBS,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,CIGNA,CIGNA,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,HUMANA,HUMANA,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,UHC,UHC,,2208,993.6,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,500093976,93976,CPT,921,,,,,,,VA,VA,,2208,993.6,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Naphcon-A Opthalmic drops,5000A9150NAPH,A9150,CPT,257,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,AETNA,AETNA,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,BCBS,BCBS,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,CIGNA,CIGNA,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,HUMANA,HUMANA,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,UHC,UHC,,467,210.15,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,500087522,87522,CPT,300,,,,,,,VA,VA,,467,210.15,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,AETNA,AETNA,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,BCBS,BCBS,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,CIGNA,CIGNA,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,HUMANA,HUMANA,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,UHC,UHC,,237,106.65,,,,,,,,outpatient,
Antibody; rubella,500086762,86762,CPT,300,,,,,,,VA,VA,,237,106.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,500087529,87529,CPT,300,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,500086788,86788,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,AETNA,AETNA,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,BCBS,BCBS,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,CIGNA,CIGNA,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,HUMANA,HUMANA,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,UHC,UHC,,1985,893.25,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,500073522,73522,CPT,320,,,,,,,VA,VA,,1985,893.25,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
"Antibody: Brucella, ",500086622,86622,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
Antibody: Leptospira,500086720,86720,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),500086638,86638,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,AETNA,AETNA,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,BCBS Federal,BCBS Federal,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,BCBS,BCBS,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,CIGNA,CIGNA,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,HUMANA,HUMANA,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,UHC,UHC,,1111,499.95,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,500011420,11420,CPT,361,,,,,,,VA,VA,,1111,499.95,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,AETNA,AETNA,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,BCBS,BCBS,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,CIGNA,CIGNA,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,HUMANA,HUMANA,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,UHC,UHC,,225,101.25,,,,,,,,outpatient,
Calcium; ionized,500082330,82330,CPT,300,,,,,,,VA,VA,,225,101.25,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,500082951,82951,CPT,300,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,AETNA,AETNA,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,BCBS,BCBS,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,CIGNA,CIGNA,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,HUMANA,HUMANA,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,UHC,UHC,,9731,4378.95,,,,,,,,outpatient,
OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,500024615,24615,CPT,450,,,,,,,VA,VA,,9731,4378.95,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
DIAL A FLOW TUBING,5000A4649DIAL,A4649,CPT,270,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000A9150MOT,A9150,CPT,259,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Augmentin 875 tab,5000J8499AUG,J8499,CPT,636,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
Antibody; Leishmania,500086717,86717,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,AETNA,AETNA,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,BCBS,BCBS,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,CIGNA,CIGNA,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,HUMANA,HUMANA,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,UHC,UHC,,204,91.8,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,500086708,86708,CPT,300,,,,,,,VA,VA,,204,91.8,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,AETNA,AETNA,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,BCBS,BCBS,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,CIGNA,CIGNA,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,HUMANA,HUMANA,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,UHC,UHC,,305,137.25,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,500083002,83002,CPT,300,,,,,,,VA,VA,,305,137.25,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,AETNA,AETNA,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,BCBS,BCBS,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,CIGNA,CIGNA,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,HUMANA,HUMANA,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,UHC,UHC,,319,143.55,,,,,,,,outpatient,
Prolactin,500084146,84146,CPT,300,,,,,,,VA,VA,,319,143.55,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,AETNA,AETNA,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,BCBS,BCBS,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,CIGNA,CIGNA,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,HUMANA,HUMANA,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,UHC,UHC,,366,164.7,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),500082627,82627,CPT,300,,,,,,,VA,VA,,366,164.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,AETNA,AETNA,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,BCBS,BCBS,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,CIGNA,CIGNA,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,HUMANA,HUMANA,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,UHC,UHC,,306,137.7,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),500083001,83001,CPT,300,,,,,,,VA,VA,,306,137.7,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,AETNA,AETNA,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,BCBS,BCBS,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,CIGNA,CIGNA,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,HUMANA,HUMANA,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,UHC,UHC,,203,91.35,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,500082375,82375,CPT,300,,,,,,,VA,VA,,203,91.35,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,500080175,80175,CPT,300,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
"Water, distilled, used with large volume nebulizer, 1000 ml",5000A7018,A7018,CPT,636,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,AETNA,AETNA,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,BCBS,BCBS,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,CIGNA,CIGNA,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,HUMANA,HUMANA,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,UHC,UHC,,203,91.35,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",500086200,86200,CPT,300,,,,,,,VA,VA,,203,91.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649 SDM,A4649,CPT,270,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,AETNA,AETNA,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,BCBS,BCBS,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,CIGNA,CIGNA,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,HUMANA,HUMANA,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,UHC,UHC,,345,155.25,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,500080305,80305,CPT,300,,,,,,,VA,VA,,345,155.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,AETNA,AETNA,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,BCBS,BCBS,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,CIGNA,CIGNA,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,HUMANA,HUMANA,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,UHC,UHC,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,500099151,99151,CPT,450,,,,,,,VA,VA,,665,299.25,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,AETNA,AETNA,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,BCBS,BCBS,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,CIGNA,CIGNA,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,HUMANA,HUMANA,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,UHC,UHC,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,500099152,99152,CPT,450,,,,,,,VA,VA,,658,296.1,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,AETNA,AETNA,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,BCBS,BCBS,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,CIGNA,CIGNA,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,HUMANA,HUMANA,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,UHC,UHC,,256,115.2,,,,,,,,outpatient,
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,500099153,99153,CPT,450,,,,,,,VA,VA,,256,115.2,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),5000G0479,G0479,CPT,300,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Tropicamide Drops,5000J8499,J8499,CPT,636,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Atenolol 25mg Qty 100 tabs,50001J8499,J8499,CPT,636,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Atenolol 50mg Qty 100 tabs,50002J8499,J8499,CPT,636,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Atenolol 100mg Qty 100 tabs,50003J8499,J8499,CPT,636,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,AETNA,AETNA,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,BCBS,BCBS,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,CIGNA,CIGNA,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,HUMANA,HUMANA,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,UHC,UHC,,2454,1104.3,,,,,,,,outpatient,
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,500030802,30802,CPT,450,,,,,,,VA,VA,,2454,1104.3,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,AETNA,AETNA,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,BCBS,BCBS,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,CIGNA,CIGNA,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,HUMANA,HUMANA,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,UHC,UHC,,702,315.9,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,500080307,80307,CPT,300,,,,,,,VA,VA,,702,315.9,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,AETNA,AETNA,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,BCBS,BCBS,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,CIGNA,CIGNA,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,HUMANA,HUMANA,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,UHC,UHC,,427,192.15,,,,,,,,outpatient,
"Cast supplies, long leg splint, adult (11 years +), fiberglass",5000Q4042,Q4042,CPT,270,,,,,,,VA,VA,,427,192.15,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,AETNA,AETNA,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,BCBS,BCBS,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,CIGNA,CIGNA,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,HUMANA,HUMANA,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,UHC,UHC,,3728,1677.6,,,,,,,,outpatient,
DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,500011010,11010,CPT,450,,,,,,,VA,VA,,3728,1677.6,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,AETNA,AETNA,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,BCBS,BCBS,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,CIGNA,CIGNA,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,HUMANA,HUMANA,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,UHC,UHC,,7500,3375,,,,,,,,outpatient,
OPEN TX METACARPAL FRACTURE SINGLE EA BONE,500026615,26615,CPT,450,,,,,,,VA,VA,,7500,3375,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,AETNA,AETNA,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,BCBS,BCBS,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,CIGNA,CIGNA,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,HUMANA,HUMANA,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,UHC,UHC,,9586,4313.7,,,,,,,,outpatient,
OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,500025607,25607,CPT,450,,,,,,,VA,VA,,9586,4313.7,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,500082009,82009,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,AETNA,AETNA,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,BCBS,BCBS,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,UHC,UHC,,173,77.85,,,,,,,,outpatient,
Infant Pulse Oximeter Adhesive Sensor- 300ct/box,5000A4649,A4649,CPT,270,,,,,,,VA,VA,,173,77.85,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,5000Q9967350,Q9967,CPT,636,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,AETNA,AETNA,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,BCBS,BCBS,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,CIGNA,CIGNA,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,HUMANA,HUMANA,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,UHC,UHC,,205,92.25,,,,,,,,outpatient,
CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090661,90661,CPT,450,,,,,,,VA,VA,,205,92.25,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,AETNA,AETNA,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,BCBS,BCBS,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,CIGNA,CIGNA,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,HUMANA,HUMANA,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,UHC,UHC,,3287,1479.15,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,500087507,87507,CPT,300,,,,,,,VA,VA,,3287,1479.15,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,AETNA,AETNA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,BCBS,BCBS,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,CIGNA,CIGNA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,HUMANA,HUMANA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,UHC,UHC,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,500087661,87661,CPT,300,,,,,,,VA,VA,,277,124.65,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,AETNA,AETNA,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,BCBS,BCBS,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,CIGNA,CIGNA,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,HUMANA,HUMANA,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,UHC,UHC,,411,184.95,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,500087252,87252,CPT,300,,,,,,,VA,VA,,411,184.95,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Amoxicillin 875mg tab,6000AMOXTAB,J8499,CPT,250,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,500084110,84110,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Amoxicillin 200mg/5mL Oral Sus,6000AMOXSUSP,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
"Benzonatate Capsules, per 100mg ",6000BENZCAPS,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,AETNA,AETNA,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,BCBS,BCBS,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,CIGNA,CIGNA,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,HUMANA,HUMANA,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,UHC,UHC,,1178,530.1,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,500070330,70330,CPT,320,,,,,,,VA,VA,,1178,530.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,500080177,80177,CPT,300,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,500086160,86160,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,AETNA,AETNA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,BCBS,BCBS,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,CIGNA,CIGNA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,HUMANA,HUMANA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,UHC,UHC,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,500087209,87209,CPT,300,,,,,,,VA,VA,,142,63.9,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,AETNA,AETNA,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,BCBS,BCBS,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,CIGNA,CIGNA,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,HUMANA,HUMANA,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,UHC,UHC,,233,104.85,,,,,,,,outpatient,
AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,500011732,11732,CPT,450,,,,,,,VA,VA,,233,104.85,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Penicillin-VK 500mg tab,5000PENIVK,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),500087810,87810,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,AETNA,AETNA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,BCBS,BCBS,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,CIGNA,CIGNA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,HUMANA,HUMANA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,UHC,UHC,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,500093308,93308,CPT,731,,,,,,,VA,VA,,2447,1101.15,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,AETNA,AETNA,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,BCBS,BCBS,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,CIGNA,CIGNA,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,HUMANA,HUMANA,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,UHC,UHC,,8130,3658.5,,,,,,,,outpatient,
OPEN TREATMENT ULNAR STYLOID FRACTURE,500025652,25652,CPT,450,,,,,,,VA,VA,,8130,3658.5,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,AETNA,AETNA,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,BCBS,BCBS,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,CIGNA,CIGNA,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,HUMANA,HUMANA,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,UHC,UHC,,1218,548.1,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,500088346,88346,CPT,300,,,,,,,VA,VA,,1218,548.1,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,AETNA,AETNA,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,BCBS,BCBS,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,CIGNA,CIGNA,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,HUMANA,HUMANA,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,UHC,UHC,,273,122.85,,,,,,,,outpatient,
ISLET CELL ANTIBODY,500086341,86341,CPT,300,,,,,,,VA,VA,,273,122.85,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,500086337,86337,CPT,300,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,AETNA,AETNA,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,BCBS,BCBS,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,CIGNA,CIGNA,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,HUMANA,HUMANA,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,UHC,UHC,,328,147.6,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,500084681,84681,CPT,300,,,,,,,VA,VA,,328,147.6,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,500082670,82670,CPT,300,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,AETNA,AETNA,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,BCBS,BCBS,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,CIGNA,CIGNA,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,HUMANA,HUMANA,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,UHC,UHC,,402,180.9,,,,,,,,outpatient,
Testosterone; free,500084402,84402,CPT,300,,,,,,,VA,VA,,402,180.9,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,AETNA,AETNA,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,BCBS,BCBS,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,CIGNA,CIGNA,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,HUMANA,HUMANA,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,UHC,UHC,,1769,796.05,,,,,,,,outpatient,
IRRIGATION CORPORA CAVERNOSA PRIAPISM,500054220,54220,CPT,450,,,,,,,VA,VA,,1769,796.05,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
ELIQUIS (APIXABAN) PER 5 MG,5000J8499ELIQ,J8499,CPT,250,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,AETNA,AETNA,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,BCBS,BCBS,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,CIGNA,CIGNA,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,HUMANA,HUMANA,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,UHC,UHC,,4353,1958.85,,,,,,,,outpatient,
"Osteotomy; phalanx of finger, each",500026567,26567,CPT,450,,,,,,,VA,VA,,4353,1958.85,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,AETNA,AETNA,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,BCBS,BCBS,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,CIGNA,CIGNA,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,HUMANA,HUMANA,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,UHC,UHC,,1500,675,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,500087633,87633,CPT,300,,,,,,,VA,VA,,1500,675,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,500082963,82963,CPT,300,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,500086343,86343,CPT,300,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,AETNA,AETNA,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,BCBS,BCBS,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,CIGNA,CIGNA,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,HUMANA,HUMANA,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,UHC,UHC,,6102,2745.9,,,,,,,,outpatient,
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,500024605,24605,CPT,450,,,,,,,VA,VA,,6102,2745.9,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,AETNA,AETNA,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,BCBS,BCBS,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,CIGNA,CIGNA,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,HUMANA,HUMANA,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,UHC,UHC,,329,148.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,500084144,84144,CPT,300,,,,,,,VA,VA,,329,148.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,500082672,82672,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,AETNA,AETNA,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,BCBS,BCBS,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,CIGNA,CIGNA,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,HUMANA,HUMANA,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,UHC,UHC,,967,435.15,,,,,,,,outpatient,
NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,500054235,54235,CPT,450,,,,,,,VA,VA,,967,435.15,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
ZOLPIDEM TARTRATE/AMBIEN 5 MG,5000ZOLPID,J8499,CPT,250,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,AETNA,AETNA,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,BCBS,BCBS,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,UHC,UHC,,262,117.9,,,,,,,,outpatient,
ZOLL ADULT DEFIBRILLATOR PADS,5000A4649DEFP,A4649,CPT,270,,,,,,,VA,VA,,262,117.9,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,AETNA,AETNA,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,BCBS,BCBS,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,CIGNA,CIGNA,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,HUMANA,HUMANA,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,UHC,UHC,,3287,1479.15,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,500087483,87483,CPT,300,,,,,,,VA,VA,,3287,1479.15,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,AETNA,AETNA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,BCBS,BCBS,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,CIGNA,CIGNA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,HUMANA,HUMANA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,UHC,UHC,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,500087498,87498,CPT,300,,,,,,,VA,VA,,277,124.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,500087802,87802,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
"Brompheniramine Maleate/Bromfed DM, per 1 mL",6000BACT,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Montelukast Sodium/Singulair 10 mg tab,5000SINGTAB,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,AETNA,AETNA,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,BCBS,BCBS,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,CIGNA,CIGNA,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,HUMANA,HUMANA,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,UHC,UHC,,316,142.2,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,500087480,87480,CPT,300,,,,,,,VA,VA,,316,142.2,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,500086790,86790,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,AETNA,AETNA,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,BCBS,BCBS,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,CIGNA,CIGNA,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,HUMANA,HUMANA,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,UHC,UHC,,2078,935.1,,,,,,,,outpatient,
REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,500057415,57415,CPT,450,,,,,,,VA,VA,,2078,935.1,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,AETNA,AETNA,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,BCBS,BCBS,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,CIGNA,CIGNA,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,HUMANA,HUMANA,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,UHC,UHC,,3786,1703.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,500077076,77076,CPT,320,,,,,,,VA,VA,,3786,1703.7,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,AETNA,AETNA,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,BCBS,BCBS,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,CIGNA,CIGNA,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,HUMANA,HUMANA,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,UHC,UHC,,8003,3601.35,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,500073706,73706,CPT,352,,,,,,,VA,VA,,8003,3601.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,AETNA,AETNA,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,BCBS,BCBS,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,UHC,UHC,,383,172.35,,,,,,,,outpatient,
"VERAPAMIL HYDROCHLORIDE IV, 2.5 mg/mL",5000J3490VERAP,J3490,CPT,636,,,,,,,VA,VA,,383,172.35,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,AETNA,AETNA,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,BCBS,BCBS,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,CIGNA,CIGNA,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,HUMANA,HUMANA,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,UHC,UHC,,8265,3719.25,,,,,,,,outpatient,
AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,500026952,26952,CPT,450,,,,,,,VA,VA,,8265,3719.25,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
"CODEINE-GUAIFENESIN, 5 mL",5000J3490GUAIF,J3490,CPT,636,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,AETNA,AETNA,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,BCBS,BCBS,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,CIGNA,CIGNA,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,HUMANA,HUMANA,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,UHC,UHC,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,500086664,86664,CPT,300,,,,,,,VA,VA,,241,108.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,AETNA,AETNA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,BCBS,BCBS,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,CIGNA,CIGNA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,HUMANA,HUMANA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,UHC,UHC,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,500086665,86665,CPT,300,,,,,,,VA,VA,,143,64.35,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,AETNA,AETNA,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,BCBS,BCBS,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,CIGNA,CIGNA,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,HUMANA,HUMANA,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,UHC,UHC,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,500086644,86644,CPT,300,,,,,,,VA,VA,,227,102.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,500086645,86645,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,AETNA,AETNA,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,BCBS,BCBS,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,CIGNA,CIGNA,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,HUMANA,HUMANA,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,UHC,UHC,,283,127.35,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,500086235,86235,CPT,300,,,,,,,VA,VA,,283,127.35,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,500086162,86162,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
"Tenecteplase (TNKase), 1 mg",5000J3101,J3101,CPT,636,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,AETNA,AETNA,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,BCBS,BCBS,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,CIGNA,CIGNA,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,HUMANA,HUMANA,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,UHC,UHC,,5435,2445.75,,,,,,,,outpatient,
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,500070492,70492,CPT,351,,,,,,,VA,VA,,5435,2445.75,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,AETNA,AETNA,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,BCBS,BCBS,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,CIGNA,CIGNA,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,HUMANA,HUMANA,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,UHC,UHC,,2220,999,,,,,,,,outpatient,
TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,500088233,88233,CPT,309,,,,,,,VA,VA,,2220,999,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,AETNA,AETNA,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,BCBS,BCBS,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,CIGNA,CIGNA,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,HUMANA,HUMANA,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,UHC,UHC,,1966,884.7,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,500088262,88262,CPT,309,,,,,,,VA,VA,,1966,884.7,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,AETNA,AETNA,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,BCBS,BCBS,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,CIGNA,CIGNA,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,HUMANA,HUMANA,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,UHC,UHC,,421,189.45,,,,,,,,outpatient,
CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,500088291,88291,CPT,309,,,,,,,VA,VA,,421,189.45,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,AETNA,AETNA,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,BCBS,BCBS,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,CIGNA,CIGNA,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,HUMANA,HUMANA,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,UHC,UHC,,3223,1450.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,500011406,11406,CPT,450,,,,,,,VA,VA,,3223,1450.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,AETNA,AETNA,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,BCBS,BCBS,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,CIGNA,CIGNA,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,HUMANA,HUMANA,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,UHC,UHC,,123,55.35,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,500036410,36410,CPT,450,,,,,,,VA,VA,,123,55.35,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,AETNA,AETNA,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,BCBS,BCBS,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,CIGNA,CIGNA,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,HUMANA,HUMANA,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,UHC,UHC,,519,233.55,,,,,,,,outpatient,
XTRNL ECG & 48 HR RECORDING,500093225,93225,CPT,731,,,,,,,VA,VA,,519,233.55,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",500086654,86654,CPT,300,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",500086652,86652,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,AETNA,AETNA,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,BCBS,BCBS,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,CIGNA,CIGNA,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,HUMANA,HUMANA,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,UHC,UHC,,740,333,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT,500093226,93226,CPT,731,,,,,,,VA,VA,,740,333,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,AETNA,AETNA,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,BCBS,BCBS,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,CIGNA,CIGNA,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,HUMANA,HUMANA,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,UHC,UHC,,2995,1347.75,,,,,,,,outpatient,
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,500040831,40831,CPT,450,,,,,,,VA,VA,,2995,1347.75,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,AETNA,AETNA,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,BCBS,BCBS,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,CIGNA,CIGNA,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,HUMANA,HUMANA,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,UHC,UHC,,4986,2243.7,,,,,,,,outpatient,
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,500027788,27788,CPT,450,,,,,,,VA,VA,,4986,2243.7,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
"Sterile saline or water, metered dose dispenser, 10 ml",5000A4218,A4218,CPT,270,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,AETNA,AETNA,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,BCBS,BCBS,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,CIGNA,CIGNA,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,HUMANA,HUMANA,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,UHC,UHC,,534,240.3,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,500087255,87255,CPT,300,,,,,,,VA,VA,,534,240.3,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,AETNA,AETNA,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,BCBS,BCBS,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,CIGNA,CIGNA,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,HUMANA,HUMANA,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,UHC,UHC,,78,35.1,,,,,,,,outpatient,
Acyclovir 500mg/10mL IV,5000J0133,J0133,CPT,250,,,,,,,VA,VA,,78,35.1,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,500087272,87272,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,AETNA,AETNA,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,BCBS,BCBS,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,CIGNA,CIGNA,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,HUMANA,HUMANA,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,UHC,UHC,,2115,951.75,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,500076641,76641,CPT,402,,,,,,,VA,VA,,2115,951.75,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,AETNA,AETNA,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,BCBS,BCBS,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,CIGNA,CIGNA,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,HUMANA,HUMANA,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,UHC,UHC,,1206,542.7,,,,,,,,outpatient,
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",5000L1812,L1812,CPT,272,,,,,,,VA,VA,,1206,542.7,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,AETNA,AETNA,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,BCBS,BCBS,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,CIGNA,CIGNA,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,HUMANA,HUMANA,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,UHC,UHC,,2175,978.75,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,500076604,76604,CPT,402,,,,,,,VA,VA,,2175,978.75,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
Thiamine (Vitamin B-1),500084425,84425,CPT,300,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,AETNA,AETNA,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,BCBS,BCBS,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,CIGNA,CIGNA,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,HUMANA,HUMANA,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,UHC,UHC,,323,145.35,,,,,,,,outpatient,
VITAL CAPACITY TOTAL SEPARATE PROCEDURE,500094150,94150,CPT,450,,,,,,,VA,VA,,323,145.35,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,AETNA,AETNA,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,BCBS,BCBS,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,CIGNA,CIGNA,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,HUMANA,HUMANA,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,UHC,UHC,,550,247.5,,,,,,,,outpatient,
Betamethasone Sodium Phosphate & Acetate 5mL,5000J0702,J0702,CPT,250,,,,,,,VA,VA,,550,247.5,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,AETNA,AETNA,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,BCBS,BCBS,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,CIGNA,CIGNA,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,HUMANA,HUMANA,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,UHC,UHC,,251,112.95,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,500086800,86800,CPT,300,,,,,,,VA,VA,,251,112.95,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
LIDOCAINE WITH PRILOCAINE 2.5/2.5 30 GRAM TUBE,5000A6250LIDOPRILO,A6250,CPT,250,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,AETNA,AETNA,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,BCBS,BCBS,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,CIGNA,CIGNA,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,HUMANA,HUMANA,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,UHC,UHC,,642,288.9,,,,,,,,outpatient,
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,500011100,11100,CPT,450,,,,,,,VA,VA,,642,288.9,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,AETNA,AETNA,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,BCBS,BCBS,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,CIGNA,CIGNA,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,HUMANA,HUMANA,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,UHC,UHC,,260,117,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,500082135,82135,CPT,300,,,,,,,VA,VA,,260,117,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,AETNA,AETNA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,BCBS,BCBS,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,CIGNA,CIGNA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,HUMANA,HUMANA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,UHC,UHC,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,500084120,84120,CPT,300,,,,,,,VA,VA,,116,52.2,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Dexamethasone Sodium Phosphate 1mL,5000J7637,J7637,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
Antibody; Bartonella,500086611,86611,CPT,300,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,AETNA,AETNA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,BCBS,BCBS,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,CIGNA,CIGNA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,HUMANA,HUMANA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,UHC,UHC,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",500086812,86812,CPT,300,,,,,,,VA,VA,,204,91.8,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,AETNA,AETNA,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,BCBS,BCBS,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,CIGNA,CIGNA,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,HUMANA,HUMANA,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,UHC,UHC,,227,102.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,500086789,86789,CPT,300,,,,,,,VA,VA,,227,102.15,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,AETNA,AETNA,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,BCBS,BCBS,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,CIGNA,CIGNA,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,HUMANA,HUMANA,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,UHC,UHC,,3953,1778.85,,,,,,,,outpatient,
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,500024576,24576,CPT,450,,,,,,,VA,VA,,3953,1778.85,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,AETNA,AETNA,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,BCBS,BCBS,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,CIGNA,CIGNA,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,HUMANA,HUMANA,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,UHC,UHC,,638,287.1,,,,,,,,outpatient,
CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,500017340,17340,CPT,450,,,,,,,VA,VA,,638,287.1,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,AETNA,AETNA,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,BCBS,BCBS,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,CIGNA,CIGNA,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,HUMANA,HUMANA,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,UHC,UHC,,2022,909.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,500023330,23330,CPT,450,,,,,,,VA,VA,,2022,909.9,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,AETNA,AETNA,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,BCBS,BCBS,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,CIGNA,CIGNA,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,HUMANA,HUMANA,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,UHC,UHC,,2805,1262.25,,,,,,,,outpatient,
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,500041252,41252,CPT,450,,,,,,,VA,VA,,2805,1262.25,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,500090700,90700,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
"DIHYDROERGOTAMINE MESYLATE (D.H.E 45) INJ, PER 1MG",5000J1110,J1110,CPT,636,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,AETNA,AETNA,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,BCBS,BCBS,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,CIGNA,CIGNA,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,HUMANA,HUMANA,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,UHC,UHC,,310,139.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),500083630,83630,CPT,300,,,,,,,VA,VA,,310,139.5,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,500086157,86157,CPT,300,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,500086704,86704,CPT,300,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Hyosyne 1 mL PO,5000J8499HYOS,J8499,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Benztropine Mesylate (Cogentin) 0.5 mg PO,5000J8499COGEN,J8499,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Amoxicillin/Clavulanate 875mg/125mg tab,5000J8499AMOX,J8499,CPT,636,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,AETNA,AETNA,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,BCBS,BCBS,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,CIGNA,CIGNA,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,HUMANA,HUMANA,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,UHC,UHC,,213,95.85,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,500083519,83519,CPT,300,,,,,,,VA,VA,,213,95.85,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,500086255,86255,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,AETNA,AETNA,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,BCBS,BCBS,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,CIGNA,CIGNA,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,HUMANA,HUMANA,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,UHC,UHC,,147,66.15,,,,,,,,outpatient,
D5 1/2 NS 1000mL Infusion,5000D5NS1000,S5010,CPT,260,,,,,,,VA,VA,,147,66.15,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,AETNA,AETNA,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,BCBS,BCBS,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,CIGNA,CIGNA,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,HUMANA,HUMANA,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,UHC,UHC,,2374,1068.3,,,,,,,,outpatient,
US GUIDANCE NEEDLE PLACEMENT IMG S&I,500076942US,76942,CPT,450,,,,,,,VA,VA,,2374,1068.3,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,AETNA,AETNA,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,BCBS,BCBS,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,CIGNA,CIGNA,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,HUMANA,HUMANA,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,UHC,UHC,,316,142.2,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,500087510,87510,CPT,300,,,,,,,VA,VA,,316,142.2,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,500087278,87278,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
"Terbutaline Sulfate, injection, up to 1mg",5000J3105,J3105,CPT,636,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
"NICODERM, Nicotine Patch ",5000S4990,S4990,CPT,272,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,AETNA,AETNA,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,BCBS,BCBS,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,CIGNA,CIGNA,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,HUMANA,HUMANA,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,UHC,UHC,,847,381.15,,,,,,,,outpatient,
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500031231,31231,CPT,450,,,,,,,VA,VA,,847,381.15,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
Valproic Acid/Depacon (Valproate Sodium) Inj 100 mg,5000J3490VALACINJ,J3490,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
"Chlordiazepoxide HCL (Librium), 25 mg ",5000CHLORHCL,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,AETNA,AETNA,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,BCBS,BCBS,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,CIGNA,CIGNA,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,HUMANA,HUMANA,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,UHC,UHC,,1913,860.85,,,,,,,,outpatient,
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,500020520,20520,CPT,450,,,,,,,VA,VA,,1913,860.85,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
"Tranexamic Acid, 100 mg inj",5000TRANACID,J3490,CPT,636,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,AETNA,AETNA,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,BCBS,BCBS,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,CIGNA,CIGNA,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,HUMANA,HUMANA,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,UHC,UHC,,297,133.65,,,,,,,,outpatient,
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,500011056,11056,CPT,450,,,,,,,VA,VA,,297,133.65,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
"Ofirmev - Acetaminophen inj, 10mg/mL",5000J0131,J0131,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,AETNA,AETNA,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,BCBS,BCBS,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,CIGNA,CIGNA,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,HUMANA,HUMANA,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,UHC,UHC,,6956,3130.2,,,,,,,,outpatient,
CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,500025520,25520,CPT,450,,,,,,,VA,VA,,6956,3130.2,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
IAAD IA GIARDIA,500087329,87329,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,AETNA,AETNA,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,BCBS,BCBS,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,CIGNA,CIGNA,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,HUMANA,HUMANA,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,UHC,UHC,,196,88.2,,,,,,,,outpatient,
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",5000Q4044,Q4044,CPT,270,,,,,,,VA,VA,,196,88.2,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,AETNA,AETNA,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,BCBS,BCBS,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,CIGNA,CIGNA,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,HUMANA,HUMANA,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,UHC,UHC,,559,251.55,,,,,,,,outpatient,
"Injection, benztropine mesylate, per 1 mg",5000J0515,J0515,CPT,636,,,,,,,VA,VA,,559,251.55,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,AETNA,AETNA,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,BCBS,BCBS,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,CIGNA,CIGNA,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,HUMANA,HUMANA,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,UHC,UHC,,3242,1458.9,,,,,,,,outpatient,
"Acetazolamide Sodium; injection, up to 500 mg",5000J1120,J1120,CPT,636,,,,,,,VA,VA,,3242,1458.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,AETNA,AETNA,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,BCBS,BCBS,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,UHC,UHC,,1262,567.9,,,,,,,,outpatient,
"APRACLONIDINE HYDROCHLORIDE, 5 mg/mL",5000APRACLON,J8499,CPT,636,,,,,,,VA,VA,,1262,567.9,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,AETNA,AETNA,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,BCBS,BCBS,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,UHC,UHC,,594,267.3,,,,,,,,outpatient,
"PREDNISOLONE ACETATE; drops, 10mg/mL",6000PREDNISOL,J8499,CPT,636,,,,,,,VA,VA,,594,267.3,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,AETNA,AETNA,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,BCBS,BCBS,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,CIGNA,CIGNA,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,HUMANA,HUMANA,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,UHC,UHC,,316,142.2,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,500087660,87660,CPT,300,,,,,,,VA,VA,,316,142.2,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
Hydrocodone Bitartrate and Acetaminophen; LORTAB 2.5/108mg per 5mL,5000J8499LOR,J8499,CPT,636,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,AETNA,AETNA,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,BCBS,BCBS,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,CIGNA,CIGNA,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,HUMANA,HUMANA,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,UHC,UHC,,6103,2746.35,,,,,,,,outpatient,
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",500026735,26735,CPT,450,,,,,,,VA,VA,,6103,2746.35,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
IMMUNIZATION ADMIN EACH ADD,500090472,90472,CPT,263,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,500087290,87290,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
"FOLIC ACID, 1mg/mL, injection",5000J3490FOLACD,J3490,CPT,636,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
"Acetylcysteine (ACETADOTE), 100 mg/mL injection",5000J0132,J0132,CPT,250,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
"D5LR - 5% dextrose in lactated ringers infusion, up to 1000 cc",5000J7121,J7121,CPT,636,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,AETNA,AETNA,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,BCBS,BCBS,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,CIGNA,CIGNA,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,HUMANA,HUMANA,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,UHC,UHC,,8941,4023.45,,,,,,,,outpatient,
REPAIR OF TRAUMATIC CORPOREAL TEAR(S),500054437,54437,CPT,450,,,,,,,VA,VA,,8941,4023.45,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,AETNA,AETNA,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,BCBS,BCBS,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,CIGNA,CIGNA,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,HUMANA,HUMANA,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,UHC,UHC,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,500071046,71046,CPT,324,,,,,,,VA,VA,,1198,539.1,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,AETNA,AETNA,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,BCBS,BCBS,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,CIGNA,CIGNA,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,HUMANA,HUMANA,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,UHC,UHC,,780,351,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,500071045,71045,CPT,324,,,,,,,VA,VA,,780,351,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
"Tussin Liquid, GUAIFENESIN; 200 mg/10mL",5000J8499GUA200,J8499,CPT,636,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,AETNA,AETNA,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,BCBS,BCBS,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,CIGNA,CIGNA,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,HUMANA,HUMANA,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,UHC,UHC,,1072,482.4,,,,,,,,outpatient,
RADEX ABD 1 VIEW,500074018,74018,CPT,320,,,,,,,VA,VA,,1072,482.4,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,AETNA,AETNA,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,BCBS,BCBS,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,CIGNA,CIGNA,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,HUMANA,HUMANA,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,UHC,UHC,,857,385.65,,,,,,,,outpatient,
N BLOCK INJ BRACHIAL PLEXUS,500064415,64415,CPT,450,,,,,,,VA,VA,,857,385.65,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,AETNA,AETNA,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,BCBS,BCBS,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,CIGNA,CIGNA,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,HUMANA,HUMANA,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,UHC,UHC,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,500074019,74019,CPT,320,,,,,,,VA,VA,,1310,589.5,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,AETNA,AETNA,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,BCBS,BCBS,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,CIGNA,CIGNA,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,HUMANA,HUMANA,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,UHC,UHC,,958,431.1,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,500074021,74021,CPT,320,,,,,,,VA,VA,,958,431.1,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,AETNA,AETNA,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,BCBS,BCBS,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,CIGNA,CIGNA,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,HUMANA,HUMANA,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,UHC,UHC,,1503,676.35,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,500011402,11402,CPT,450,,,,,,,VA,VA,,1503,676.35,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,500080335,80335,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,AETNA,AETNA,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,BCBS,BCBS,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,CIGNA,CIGNA,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,HUMANA,HUMANA,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,UHC,UHC,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,500071047,71047,CPT,324,,,,,,,VA,VA,,958,431.1,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,AETNA,AETNA,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,BCBS,BCBS,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,CIGNA,CIGNA,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,HUMANA,HUMANA,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,UHC,UHC,,823,370.35,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,500071048,71048,CPT,324,,,,,,,VA,VA,,823,370.35,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,AETNA,AETNA,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,BCBS,BCBS,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,CIGNA,CIGNA,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,HUMANA,HUMANA,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,UHC,UHC,,233,104.85,,,,,,,,outpatient,
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,500041899,41899,CPT,450,,,,,,,VA,VA,,233,104.85,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
PSEUDOEPHEDRINE PO,5000PSEUEPHE,J3490,CPT,636,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,AETNA,AETNA,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,BCBS,BCBS,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,CIGNA,CIGNA,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,HUMANA,HUMANA,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,UHC,UHC,,92,41.4,,,,,,,,outpatient,
"Phytonadione (Vitamin K), per 1 MG; inj",5000J3430,J3430,CPT,250,,,,,,,VA,VA,,92,41.4,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,AETNA,AETNA,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,BCBS,BCBS,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,CIGNA,CIGNA,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,HUMANA,HUMANA,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,UHC,UHC,,3002,1350.9,,,,,,,,outpatient,
RMVL FECAL IMPACTION/FB SPX UNDER ANES,500045915,45915,CPT,450,,,,,,,VA,VA,,3002,1350.9,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,500087449,87449,CPT,300,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,AETNA,AETNA,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,BCBS,BCBS,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,CIGNA,CIGNA,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,HUMANA,HUMANA,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,UHC,UHC,,235,105.75,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,500087103,87103,CPT,999,,,,,,,VA,VA,,235,105.75,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,AETNA,AETNA,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,BCBS,BCBS,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,CIGNA,CIGNA,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,HUMANA,HUMANA,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,UHC,UHC,,847,381.15,,,,,,,,outpatient,
INJ RETROGRADE URETHROCSTOGRAPY,500051610,51610,CPT,450,,,,,,,VA,VA,,847,381.15,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,500084466,84466,CPT,300,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Sulfamethoxazole + Trimethoprim 800-160mg PO,5000J8499SULFA,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,AETNA,AETNA,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,BCBS,BCBS,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,CIGNA,CIGNA,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,HUMANA,HUMANA,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,UHC,UHC,,4142,1863.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,500093306,93306,CPT,731,,,,,,,VA,VA,,4142,1863.9,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,AETNA,AETNA,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,BCBS Federal,BCBS Federal,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,BCBS,BCBS,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,CIGNA,CIGNA,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,HUMANA,HUMANA,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,UHC,UHC,,4093,1841.85,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,500095816,95816,CPT,986,,,,,,,VA,VA,,4093,1841.85,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,AETNA,AETNA,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,BCBS Federal,BCBS Federal,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,BCBS,BCBS,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,CIGNA,CIGNA,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,HUMANA,HUMANA,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,UHC,UHC,,3742,1683.9,,,,,,,,outpatient,
DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,500095957,95957,CPT,986,,,,,,,VA,VA,,3742,1683.9,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,AETNA,AETNA,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,BCBS Federal,BCBS Federal,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,BCBS,BCBS,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,CIGNA,CIGNA,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,HUMANA,HUMANA,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,UHC,UHC,,499,224.55,,,,,,,,outpatient,
Continuous airway pressure (CPAP) device,5000E0601,E0601,CPT,290,,,,,,,VA,VA,,499,224.55,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,AETNA,AETNA,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,BCBS,BCBS,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,UHC,UHC,,89,40.05,,,,,,,,outpatient,
Bactroban,5000J3490BACT,J3490,CPT,272,,,,,,,VA,VA,,89,40.05,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,AETNA,AETNA,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,BCBS,BCBS,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,CIGNA,CIGNA,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,HUMANA,HUMANA,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,UHC,UHC,,386,173.7,,,,,,,,outpatient,
ADRENOCORTICOTROPIC HORMONE ACTH,500082024,82024,CPT,300,,,,,,,VA,VA,,386,173.7,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,AETNA,AETNA,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,BCBS,BCBS,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,CIGNA,CIGNA,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,HUMANA,HUMANA,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,UHC,UHC,,231,103.95,,,,,,,,outpatient,
Cortisol; total (Random),500082533,82533,CPT,300,,,,,,,VA,VA,,231,103.95,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,AETNA,AETNA,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,BCBS,BCBS,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,CIGNA,CIGNA,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,HUMANA,HUMANA,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,UHC,UHC,,187,84.15,,,,,,,,outpatient,
ANTIBODY BORDETELLA,500086615,86615,CPT,300,,,,,,,VA,VA,,187,84.15,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,AETNA,AETNA,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,BCBS,BCBS,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,CIGNA,CIGNA,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,HUMANA,HUMANA,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,UHC,UHC,,3926,1766.7,,,,,,,,outpatient,
COLPORRHAPHY SUTURE INJURY VAGINA,500057200,57200,CPT,450,,,,,,,VA,VA,,3926,1766.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,AETNA,AETNA,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,BCBS,BCBS,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,CIGNA,CIGNA,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,HUMANA,HUMANA,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,UHC,UHC,,206,92.7,,,,,,,,outpatient,
MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,500051798,51798,CPT,450,,,,,,,VA,VA,,206,92.7,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,AETNA,AETNA,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,BCBS Federal,BCBS Federal,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,BCBS,BCBS,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,CIGNA,CIGNA,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,HUMANA,HUMANA,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,UHC,UHC,,1637,736.65,,,,,,,,outpatient,
CT LIMITED/LOCALIZED FOLLOW UP STUDY,500076380,76380,CPT,350,,,,,,,VA,VA,,1637,736.65,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
IAAD IA SHIGA-LIKE TOXIN,500087427,87427,CPT,999,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,500085613,85613,CPT,300,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
THROMBIN TIME PLASMA,500085670,85670,CPT,300,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 80MG,5000ATOR80,J8499,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,AETNA,AETNA,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,BCBS,BCBS,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,CIGNA,CIGNA,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,HUMANA,HUMANA,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,UHC,UHC,,3380,1521,,,,,,,,outpatient,
I&D SHOULDER DEEP ABSCESS/HEMATOMA,500023030,23030,CPT,450,,,,,,,VA,VA,,3380,1521,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,AETNA,AETNA,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,BCBS,BCBS,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,CIGNA,CIGNA,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,HUMANA,HUMANA,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,UHC,UHC,,4301,1935.45,,,,,,,,outpatient,
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,500023075,23075,CPT,450,,,,,,,VA,VA,,4301,1935.45,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,AETNA,AETNA,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,BCBS,BCBS,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,CIGNA,CIGNA,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,HUMANA,HUMANA,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,UHC,UHC,,1063,478.35,,,,,,,,outpatient,
OBSTETRIC PANEL,500080081,80081,CPT,300,,,,,,,VA,VA,,1063,478.35,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,AETNA,AETNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,BCBS,BCBS,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,CIGNA,CIGNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,HUMANA,HUMANA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,UHC,UHC,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,500086304,86304,CPT,300,,,,,,,VA,VA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,AETNA,AETNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,BCBS,BCBS,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,CIGNA,CIGNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,HUMANA,HUMANA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,UHC,UHC,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,500086300,86300,CPT,300,,,,,,,VA,VA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,AETNA,AETNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,BCBS,BCBS,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,CIGNA,CIGNA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,HUMANA,HUMANA,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,UHC,UHC,,296,133.2,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,500086301,86301,CPT,300,,,,,,,VA,VA,,296,133.2,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,AETNA,AETNA,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,BCBS,BCBS,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,CIGNA,CIGNA,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,HUMANA,HUMANA,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,UHC,UHC,,269,121.05,,,,,,,,outpatient,
CARCINOEMBRYONIC ANTIGEN CEA,500082378,82378,CPT,300,,,,,,,VA,VA,,269,121.05,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,AETNA,AETNA,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,BCBS,BCBS,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,CIGNA,CIGNA,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,HUMANA,HUMANA,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,UHC,UHC,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,500083718,83718,CPT,300,,,,,,,VA,VA,,116,52.2,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,500083721,83721,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,AETNA,AETNA,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,BCBS,BCBS,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,CIGNA,CIGNA,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,HUMANA,HUMANA,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,UHC,UHC,,261,117.45,,,,,,,,outpatient,
Prostate Cancer Screening; Prostate Specific Antigen test (PSA),5000G0103,G0103,CPT,450,,,,,,,VA,VA,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,AETNA,AETNA,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,BCBS,BCBS,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,CIGNA,CIGNA,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,HUMANA,HUMANA,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,UHC,UHC,,261,117.45,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,500084152,84152,CPT,301,,,,,,,VA,VA,,261,117.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,AETNA,AETNA,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,BCBS,BCBS,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,CIGNA,CIGNA,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,HUMANA,HUMANA,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,UHC,UHC,,1821,819.45,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,500087631,87631,CPT,300,,,,,,,VA,VA,,1821,819.45,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,AETNA,AETNA,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,BCBS,BCBS,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,CIGNA,CIGNA,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,HUMANA,HUMANA,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,UHC,UHC,,1208,543.6,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,500087502,87502,CPT,300,,,,,,,VA,VA,,1208,543.6,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,AETNA,AETNA,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,BCBS,BCBS,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,CIGNA,CIGNA,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,HUMANA,HUMANA,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,UHC,UHC,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,500080165,80165,CPT,300,,,,,,,VA,VA,,192,86.4,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,AETNA,AETNA,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,BCBS,BCBS,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,CIGNA,CIGNA,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,HUMANA,HUMANA,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,UHC,UHC,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE THEOPHYLLINE,500080198,80198,CPT,300,,,,,,,VA,VA,,201,90.45,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,AETNA,AETNA,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,BCBS,BCBS,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,CIGNA,CIGNA,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,HUMANA,HUMANA,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,UHC,UHC,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENOBARBITAL,500080184,80184,CPT,300,,,,,,,VA,VA,,176,79.2,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,AETNA,AETNA,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,BCBS,BCBS,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,CIGNA,CIGNA,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,HUMANA,HUMANA,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,UHC,UHC,,233,104.85,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE GENTAMICIN,500080170,80170,CPT,300,,,,,,,VA,VA,,233,104.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,500087116,87116,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,AETNA,AETNA,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,BCBS,BCBS,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,CIGNA,CIGNA,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,HUMANA,HUMANA,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,UHC,UHC,,109,49.05,,,,,,,,outpatient,
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,500087101,87101,CPT,300,,,,,,,VA,VA,,109,49.05,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,500087073,87073,CPT,300,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,AETNA,AETNA,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,BCBS,BCBS,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,CIGNA,CIGNA,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,HUMANA,HUMANA,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,UHC,UHC,,244,109.8,,,,,,,,outpatient,
MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,500083873,83873,CPT,300,,,,,,,VA,VA,,244,109.8,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,500082043,82043,CPT,300,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,AETNA,AETNA,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,BCBS,BCBS,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,CIGNA,CIGNA,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,HUMANA,HUMANA,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,UHC,UHC,,52,23.4,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,500084156,84156,CPT,300,,,,,,,VA,VA,,52,23.4,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,500084300,84300,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,AETNA,AETNA,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,BCBS,BCBS,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,CIGNA,CIGNA,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,HUMANA,HUMANA,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,UHC,UHC,,73,32.85,,,,,,,,outpatient,
CREATININE OTHER SOURCE,500082570,82570,CPT,300,,,,,,,VA,VA,,73,32.85,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
Sodium Chloride and Potassium Chloride IV 20 MeQ/1000 mL bag,5000POTCHL20ME,J3490,CPT,250,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,AETNA,AETNA,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,BCBS,BCBS,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,CIGNA,CIGNA,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,HUMANA,HUMANA,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,UHC,UHC,,2391,1075.95,,,,,,,,outpatient,
REPAIR LACERATION PALATE </2 CM,500042180,42180,CPT,450,,,,,,,VA,VA,,2391,1075.95,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
CARAFATE 1GM TAB,5000CARAF1GM,J8499,CPT,250,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,AETNA,AETNA,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,BCBS,BCBS,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,CIGNA,CIGNA,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,HUMANA,HUMANA,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,UHC,UHC,,498,224.1,,,,,,,,outpatient,
IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,500087496,87496,CPT,300,,,,,,,VA,VA,,498,224.1,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
COLCHICINE - COLCRYS 0.6mg PO,5000COLCH,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,AETNA,AETNA,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,BCBS,BCBS,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,CIGNA,CIGNA,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,HUMANA,HUMANA,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,UHC,UHC,,279,125.55,,,,,,,,outpatient,
LACTOFERRIN FECAL QUANTITATIVE,500083631,83631,CPT,300,,,,,,,VA,VA,,279,125.55,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,AETNA,AETNA,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,BCBS,BCBS,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,CIGNA,CIGNA,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,HUMANA,HUMANA,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,UHC,UHC,,196,88.2,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,500087254,87254,CPT,300,,,,,,,VA,VA,,196,88.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,AETNA,AETNA,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,BCBS,BCBS,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,CIGNA,CIGNA,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,HUMANA,HUMANA,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,UHC,UHC,,1362,612.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,500011401,11401,CPT,450,,,,,,,VA,VA,,1362,612.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,AETNA,AETNA,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,BCBS,BCBS,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,CIGNA,CIGNA,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,HUMANA,HUMANA,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,UHC,UHC,,6242,2808.9,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,500093925,93925,CPT,921,,,,,,,VA,VA,,6242,2808.9,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,AETNA,AETNA,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,BCBS,BCBS,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,CIGNA,CIGNA,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,HUMANA,HUMANA,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,UHC,UHC,,4795,2157.75,,,,,,,,outpatient,
CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,500024675,24675,CPT,450,,,,,,,VA,VA,,4795,2157.75,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
"INJECTION, INTRAMUSCULAR OR SUBCUTANEOUS",OPLAB96372,96372,CPT,262,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,AETNA,AETNA,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,BCBS,BCBS,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,CIGNA,CIGNA,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,HUMANA,HUMANA,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,UHC,UHC,,1897,399,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73200,73200,CPT,352,,,,,,,VA,VA,,1897,399,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,AETNA,AETNA,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,BCBS,BCBS,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,CIGNA,CIGNA,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,HUMANA,HUMANA,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,UHC,UHC,,3592,499,,,,,,,,outpatient,
Ct Abdomen & pelvis W/contrast,OPLAB74177,74177,CPT,352,,,,,,,VA,VA,,3592,499,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,AETNA,AETNA,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,BCBS,BCBS,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,CIGNA,CIGNA,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,HUMANA,HUMANA,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,UHC,UHC,,1502,399,,,,,,,,outpatient,
CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,OPLAB70486,70486,CPT,351,,,,,,,VA,VA,,1502,399,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
MAGNESIUM OXIDE 400mg PO,5000MAGOXIDE,J8499,CPT,636,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
FAT/LIPIDS FECES QUALITATIVE,500082705,82705,CPT,300,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,AETNA,AETNA,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,BCBS,BCBS,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,CIGNA,CIGNA,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,HUMANA,HUMANA,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,UHC,UHC,,12689,5710.05,,,,,,,,outpatient,
POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,500095783,95783,CPT,920,,,,,,,VA,VA,,12689,5710.05,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,AETNA,AETNA,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,BCBS,BCBS,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,CIGNA,CIGNA,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,HUMANA,HUMANA,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,UHC,UHC,,8534,3840.3,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,500095811,95811,CPT,920,,,,,,,VA,VA,,8534,3840.3,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,AETNA,AETNA,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,BCBS Federal,BCBS Federal,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,BCBS,BCBS,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,CIGNA,CIGNA,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,HUMANA,HUMANA,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,UHC,UHC,,760,342,,,,,,,,outpatient,
CPAP VENTILATION CPAP INITIATION&MGMT,500094660,94660,CPT,410,,,,,,,VA,VA,,760,342,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,AETNA,AETNA,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,BCBS,BCBS,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,CIGNA,CIGNA,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,HUMANA,HUMANA,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,UHC,UHC,,446,200.7,,,,,,,,outpatient,
SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,500092100,92100,CPT,450,,,,,,,VA,VA,,446,200.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,AETNA,AETNA,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,BCBS,BCBS,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,CIGNA,CIGNA,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,HUMANA,HUMANA,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,UHC,UHC,,586,263.7,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,500083970,83970,CPT,300,,,,,,,VA,VA,,586,263.7,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
"LIDOCAINE PATCH 5%, 700mg",5000LIDPTCH,C9285,CPT,250,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",5000J3121,J3121,CPT,636,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,AETNA,AETNA,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,BCBS,BCBS,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,CIGNA,CIGNA,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,HUMANA,HUMANA,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,UHC,UHC,,1440,648,,,,,,,,outpatient,
"Laryngoscopy direct, with or without tracheoscopy; for aspiration",500031515,31515,CPT,450,,,,,,,VA,VA,,1440,648,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
"WARFARIN SODIUM, COUMADIN 10MG TAB",5000COUMA,J8499,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,500087481,87481,CPT,300,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,AETNA,AETNA,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,BCBS,BCBS,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,CIGNA,CIGNA,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,HUMANA,HUMANA,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,UHC,UHC,,185,83.25,,,,,,,,outpatient,
IAADIADOO NOT OTHERWISE SPECIFIED,500087899,87899,CPT,300,,,,,,,VA,VA,,185,83.25,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,AETNA,AETNA,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,BCBS,BCBS,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,CIGNA,CIGNA,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,HUMANA,HUMANA,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,UHC,UHC,,1833,824.85,,,,,,,,outpatient,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,500069020,69020,CPT,450,,,,,,,VA,VA,,1833,824.85,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,AETNA,AETNA,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,BCBS,BCBS,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,CIGNA,CIGNA,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,HUMANA,HUMANA,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,UHC,UHC,,399,179.55,,,,,,,,outpatient,
DRUG SCREEN ANALGESICS NON-OPIOID 3-5,500080330,80330,CPT,300,,,,,,,VA,VA,,399,179.55,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,AETNA,AETNA,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,BCBS,BCBS,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,CIGNA,CIGNA,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,HUMANA,HUMANA,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,UHC,UHC,,123,55.35,,,,,,,,outpatient,
RENAL FUNCTION PANEL,500080069,80069,CPT,300,,,,,,,VA,VA,,123,55.35,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,AETNA,AETNA,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,BCBS,BCBS,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,CIGNA,CIGNA,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,HUMANA,HUMANA,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,UHC,UHC,,73,32.85,,,,,,,,outpatient,
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,500086902,86902,CPT,300,,,,,,,VA,VA,,73,32.85,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,AETNA,AETNA,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,BCBS,BCBS,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,CIGNA,CIGNA,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,HUMANA,HUMANA,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,UHC,UHC,,287,129.15,,,,,,,,outpatient,
ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,500086870,86870,CPT,300,,,,,,,VA,VA,,287,129.15,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,AETNA,AETNA,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,BCBS,BCBS,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,CIGNA,CIGNA,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,HUMANA,HUMANA,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,UHC,UHC,,292,131.4,,,,,,,,outpatient,
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",OPLAB62272,62272,CPT,450,,,,,,,VA,VA,,292,131.4,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,AETNA,AETNA,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,BCBS Federal,BCBS Federal,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,BCBS,BCBS,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,CIGNA,CIGNA,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,HUMANA,HUMANA,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,UHC,UHC,,227,102.15,,,,,,,,outpatient,
IV PUSH THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,OPLAB96374,96374,CPT,262,,,,,,,VA,VA,,227,102.15,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
iV PUSH ADD DRUG THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,OPLAB96375,96375,CPT,269,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,AETNA,AETNA,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,BCBS Federal,BCBS Federal,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,BCBS,BCBS,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,CIGNA,CIGNA,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,HUMANA,HUMANA,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,UHC,UHC,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG W/SI&R,500093015,93015,CPT,482,,,,,,,VA,VA,,924,415.8,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,AETNA,AETNA,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,BCBS Federal,BCBS Federal,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,BCBS,BCBS,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,CIGNA,CIGNA,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,HUMANA,HUMANA,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,UHC,UHC,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,500093017,93017,CPT,482,,,,,,,VA,VA,,447,201.15,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,AETNA,AETNA,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,BCBS Federal,BCBS Federal,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,BCBS,BCBS,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,CIGNA,CIGNA,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,HUMANA,HUMANA,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,UHC,UHC,,191,85.95,,,,,,,,outpatient,
CV STRS TST XERS&/OR RX CONT ECG I&R ONLY,500093018,93018,CPT,482,,,,,,,VA,VA,,191,85.95,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,AETNA,AETNA,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,BCBS,BCBS,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,CIGNA,CIGNA,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,HUMANA,HUMANA,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,UHC,UHC,,380,171,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,500086361,86361,CPT,300,,,,,,,VA,VA,,380,171,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,AETNA,AETNA,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,BCBS,BCBS,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,CIGNA,CIGNA,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,HUMANA,HUMANA,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,UHC,UHC,,2896,1303.2,,,,,,,,outpatient,
REPAIR INCOMPLETE CIRCUMCISION,500054163,54163,CPT,450,,,,,,,VA,VA,,2896,1303.2,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,500085460,85460,CPT,300,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,AETNA,AETNA,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,BCBS,BCBS,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,CIGNA,CIGNA,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,HUMANA,HUMANA,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,UHC,UHC,,174,78.3,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,500086671,86671,CPT,300,,,,,,,VA,VA,,174,78.3,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,AETNA,AETNA,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,BCBS,BCBS,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,CIGNA,CIGNA,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,HUMANA,HUMANA,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,UHC,UHC,,188,84.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,500080183,80183,CPT,300,,,,,,,VA,VA,,188,84.6,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,AETNA,AETNA,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,BCBS,BCBS,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,CIGNA,CIGNA,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,HUMANA,HUMANA,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,UHC,UHC,,4021,399,,,,,,,,outpatient,
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,OPLAB74178,74178,CPT,352,,,,,,,VA,VA,,4021,399,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,AETNA,AETNA,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,BCBS,BCBS,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,CIGNA,CIGNA,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,HUMANA,HUMANA,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,UHC,UHC,,894,402.3,,,,,,,,outpatient,
LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,500088305,88305,CPT,300,,,,,,,VA,VA,,894,402.3,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,AETNA,AETNA,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,BCBS,BCBS,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,CIGNA,CIGNA,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,HUMANA,HUMANA,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,UHC,UHC,,2470,1111.5,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,500093350,93350,CPT,999,,,,,,,VA,VA,,2470,1111.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
IAAD IA ESCHERICHIA COLI 0157,500087335,87335,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
IAAD IA ENTAMOEBA HISTOLYTICA GRP,500087337,87337,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
HYDROCODONE AND ACETAMINOPHEN 2.5-108MG/5ML ELIXIR,5000HYDROACET,J3490,CPT,250,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,AETNA,AETNA,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,BCBS,BCBS,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,CIGNA,CIGNA,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,HUMANA,HUMANA,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,UHC,UHC,,185,83.25,,,,,,,,outpatient,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",500086658,86658,CPT,300,,,,,,,VA,VA,,185,83.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,AETNA,AETNA,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,BCBS,BCBS,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,CIGNA,CIGNA,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,HUMANA,HUMANA,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,UHC,UHC,,25,11.25,,,,,,,,outpatient,
"Injection, oxytocin, up to 10 units (10units/mL)",5000J2590,J2590,CPT,636,,,,,,,VA,VA,,25,11.25,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,AETNA,AETNA,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,BCBS,BCBS,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,CIGNA,CIGNA,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,HUMANA,HUMANA,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,UHC,UHC,,236,106.2,,,,,,,,outpatient,
CAFFEINE AND SODIUM BENZOATE - 2mL vial - 250mg inj,5000J0706,J0706,CPT,250,,,,,,,VA,VA,,236,106.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,AETNA,AETNA,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,BCBS,BCBS,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,CIGNA,CIGNA,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,HUMANA,HUMANA,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,UHC,UHC,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,500099155,99155,CPT,450,,,,,,,VA,VA,,1256,565.2,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,AETNA,AETNA,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,BCBS,BCBS,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,CIGNA,CIGNA,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,HUMANA,HUMANA,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,UHC,UHC,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,500099157,99157,CPT,450,,,,,,,VA,VA,,751,337.95,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,AETNA,AETNA,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,BCBS,BCBS,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,CIGNA,CIGNA,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,HUMANA,HUMANA,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,UHC,UHC,,985,443.25,,,,,,,,outpatient,
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,500099156,99156,CPT,450,,,,,,,VA,VA,,985,443.25,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
ASSAY OF COPPER,500082525,82525,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
CERULOPLASMIN,500082390,82390,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,AETNA,AETNA,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,BCBS,BCBS,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,CIGNA,CIGNA,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,HUMANA,HUMANA,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,UHC,UHC,,955,429.75,,,,,,,,outpatient,
SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,500075809,75809,CPT,320,,,,,,,VA,VA,,955,429.75,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,500083516,83516,CPT,300,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,500086256,86256,CPT,300,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,AETNA,AETNA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,BCBS,BCBS,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,CIGNA,CIGNA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,HUMANA,HUMANA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,UHC,UHC,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,500085300,85300,CPT,300,,,,,,,VA,VA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,500085301,85301,CPT,300,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,AETNA,AETNA,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,BCBS,BCBS,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,CIGNA,CIGNA,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,HUMANA,HUMANA,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,UHC,UHC,,251,112.95,,,,,,,,outpatient,
CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,500085220,85220,CPT,300,,,,,,,VA,VA,,251,112.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ANTIGEN,500085302,85302,CPT,300,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,AETNA,AETNA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,BCBS,BCBS,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,CIGNA,CIGNA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,HUMANA,HUMANA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,UHC,UHC,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,500085303,85303,CPT,300,,,,,,,VA,VA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S TOTAL,500085305,85305,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,AETNA,AETNA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,BCBS,BCBS,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,CIGNA,CIGNA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,HUMANA,HUMANA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,UHC,UHC,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,500085306,85306,CPT,300,,,,,,,VA,VA,,218,98.1,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,AETNA,AETNA,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,BCBS,BCBS,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,CIGNA,CIGNA,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,HUMANA,HUMANA,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,UHC,UHC,,361,162.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,500086146,86146,CPT,300,,,,,,,VA,VA,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,AETNA,AETNA,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,BCBS,BCBS,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,CIGNA,CIGNA,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,HUMANA,HUMANA,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,UHC,UHC,,361,162.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,500086147,86147,CPT,300,,,,,,,VA,VA,,361,162.45,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,AETNA,AETNA,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,BCBS,BCBS,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,CIGNA,CIGNA,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,HUMANA,HUMANA,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,UHC,UHC,,228,102.6,,,,,,,,outpatient,
ANTI-PHOSPHATIDYLSERINE ANTIBODY,500086148,86148,CPT,300,,,,,,,VA,VA,,228,102.6,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Augmentin 200 mg/5 ml,5000AUGM200,J8499,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
"ANTACID (ADVANCE), single dose",5000ANTACID,J8499,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,AETNA,AETNA,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,BCBS,BCBS,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,CIGNA,CIGNA,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,HUMANA,HUMANA,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,UHC,UHC,,2220,999,,,,,,,,outpatient,
INITIAL OBSERVATION CARE/DAY 50 MINUTES,500099219,99219,CPT,762,,,,,,,VA,VA,,2220,999,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,AETNA,AETNA,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,BCBS,BCBS,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,CIGNA,CIGNA,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,HUMANA,HUMANA,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,UHC,UHC,,2602,1170.9,,,,,,,,outpatient,
EM for Observation or inpatient hospital care,500099234,99234,CPT,762,,,,,,,VA,VA,,2602,1170.9,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,AETNA,AETNA,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,BCBS,BCBS,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,CIGNA,CIGNA,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,HUMANA,HUMANA,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,UHC,UHC,,1356,610.2,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,500011440,11440,CPT,450,,,,,,,VA,VA,,1356,610.2,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,AETNA,AETNA,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,BCBS,BCBS,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,CIGNA,CIGNA,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,HUMANA,HUMANA,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,UHC,UHC,,2337,1051.65,,,,,,,,outpatient,
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,500011443,11443,CPT,450,,,,,,,VA,VA,,2337,1051.65,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,AETNA,AETNA,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,BCBS,BCBS,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,CIGNA,CIGNA,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,HUMANA,HUMANA,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,UHC,UHC,,1702,765.9,,,,,,,,outpatient,
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,500040800,40800,CPT,450,,,,,,,VA,VA,,1702,765.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,AETNA,AETNA,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,BCBS,BCBS,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,CIGNA,CIGNA,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,HUMANA,HUMANA,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,UHC,UHC,,850,382.5,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,500073523,73523,CPT,320,,,,,,,VA,VA,,850,382.5,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
"PSEUDOEPHEDRINE HYDROCHLORIDE Extended-Release Tablets, SUDAFED, 120MG ",5000PSEUHYD120,J8499,CPT,636,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
"ACETYLCYSTEINE 200MG, oral solution",5000ACETYL,J3490,CPT,250,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
LIDOCAINE AND PRILOCAINE - 2.5% Topical Cream Tube 5 GM,5000LIDPRIL5GM,A6250,CPT,636,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
MiraLAX Powder Polythylene Glycol 17 GM,5000MIRALAX,J8499,CPT,636,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,AETNA,AETNA,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,BCBS,BCBS,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,CIGNA,CIGNA,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,HUMANA,HUMANA,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,UHC,UHC,,168,75.6,,,,,,,,outpatient,
ANTIBODY SALMONELLA,500086768,86768,CPT,300,,,,,,,VA,VA,,168,75.6,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,AETNA,AETNA,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,BCBS,BCBS,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,UHC,UHC,,654,294.3,,,,,,,,outpatient,
Xofluza (Baloxavir Marboxil) 40mg (2 tabs),5000XOFLUZA,J8499,CPT,636,,,,,,,VA,VA,,654,294.3,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Acetylcysteine (Mucolytic Agent) 20% 200mg/mL ,5000J7608,J7608,CPT,636,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,AETNA,AETNA,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,BCBS,BCBS,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,UHC,UHC,,52,23.4,,,,,,,,outpatient,
Caramide Peroxide 6.5% wax drops,5000J3490CAR,J8499,CPT,636,,,,,,,VA,VA,,52,23.4,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
"Olanzapine (Zyprexa), long-acting, 1 mg injection",5000J2358,J2358,CPT,250,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
NITRATEST PHENAPHTHAZINE PAPER,5000A4649NITR,A4649,CPT,270,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
MUPIROCIN (BACTROBAN) 2% OINTMENT,5000J8499MUP,J8499,CPT,636,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,AETNA,AETNA,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,BCBS,BCBS,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,CIGNA,CIGNA,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,HUMANA,HUMANA,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,UHC,UHC,,2382,529,,,,,,,,outpatient,
MRI ANY JT LXTR C-MATRL,OPLAB73721,73721,CPT,616,,,,,,,VA,VA,,2382,529,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,AETNA,AETNA,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,BCBS,BCBS,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,CIGNA,CIGNA,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,HUMANA,HUMANA,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,UHC,UHC,,2167,499,,,,,,,,outpatient,
CT SOFT TISS NCK C+ MATRL,OPLAB70491,70491,CPT,351,,,,,,,VA,VA,,2167,499,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,AETNA,AETNA,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,BCBS,BCBS,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,CIGNA,CIGNA,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,HUMANA,HUMANA,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,UHC,UHC,,335,150.75,,,,,,,,outpatient,
TOBACCO USE CESSATION INTENSIVE >10 MINUTES,500099407,99407,CPT,999,,,,,,,VA,VA,,335,150.75,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,AETNA,AETNA,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,BCBS,BCBS,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,CIGNA,CIGNA,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,HUMANA,HUMANA,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,UHC,UHC,,844,379.8,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,500081241,81241,CPT,300,,,,,,,VA,VA,,844,379.8,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,AETNA,AETNA,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,BCBS,BCBS,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,CIGNA,CIGNA,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,HUMANA,HUMANA,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,UHC,UHC,,230,103.5,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,500085598,85598,CPT,300,,,,,,,VA,VA,,230,103.5,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,AETNA,AETNA,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,BCBS,BCBS,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,CIGNA,CIGNA,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,HUMANA,HUMANA,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,UHC,UHC,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII AHG 1 STAGE,500085240,85240,CPT,305,,,,,,,VA,VA,,254,114.3,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,AETNA,AETNA,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,BCBS,BCBS,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,CIGNA,CIGNA,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,HUMANA,HUMANA,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,UHC,UHC,,326,146.7,,,,,,,,outpatient,
CLOTTING FACTOR VIII VW FACTOR ANTIGEN,500085246,85246,CPT,300,,,,,,,VA,VA,,326,146.7,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,AETNA,AETNA,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,BCBS,BCBS,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,CIGNA,CIGNA,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,HUMANA,HUMANA,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,UHC,UHC,,229,103.05,,,,,,,,outpatient,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",500085247,85247,CPT,300,,,,,,,VA,VA,,229,103.05,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
Carbamazepine (Tegretol) 100 MG chew tab,5000CARB100,J8499,CPT,250,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,AETNA,AETNA,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,BCBS,BCBS,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,CIGNA,CIGNA,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,HUMANA,HUMANA,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,UHC,UHC,,272,122.4,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,500084305,84305,CPT,300,,,,,,,VA,VA,,272,122.4,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Cepacol (Benzocaine) PO ,5000CEPAC,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
MUCINEX DM ER (Guaifenesin & Dextromethorphan HBr) 600 MG - 30 MG tab,5000J8499MUCI,J8499,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
Calcium Carbonate Chew (TUMS) 500MG PO,5000CALCARB,J8499,CPT,272,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,AETNA,AETNA,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,BCBS,BCBS,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,CIGNA,CIGNA,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,HUMANA,HUMANA,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,UHC,UHC,,8643,3889.35,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,500073218,73218,CPT,610,,,,,,,VA,VA,,8643,3889.35,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
OXYCODONE AND ACETAMINOPHEN (PERCOCET) 5 MG,5000OXYACE,J8499,CPT,250,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Glipizide (Glucotrol) 5 MG PO,5000J8499GLIP,J8499,CPT,636,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,AETNA,AETNA,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,BCBS,BCBS,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,CIGNA,CIGNA,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,HUMANA,HUMANA,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,UHC,UHC,,492,221.4,,,,,,,,outpatient,
CANALITH REPOSITIONING PROCEDURE,500095992,95992,CPT,450,,,,,,,VA,VA,,492,221.4,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,AETNA,AETNA,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,BCBS,BCBS,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,CIGNA,CIGNA,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,HUMANA,HUMANA,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,UHC,UHC,,877,394.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,500064447,64447,CPT,450,,,,,,,VA,VA,,877,394.65,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,AETNA,AETNA,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,BCBS,BCBS,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,CIGNA,CIGNA,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,HUMANA,HUMANA,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,UHC,UHC,,1723,775.35,,,,,,,,outpatient,
CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,500028665,28665,CPT,450,,,,,,,VA,VA,,1723,775.35,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
ATORVASTATIN (LIPITOR) 10 mg TAB,5000ATOR10,J8499,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,AETNA,AETNA,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,BCBS,BCBS,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,CIGNA,CIGNA,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,HUMANA,HUMANA,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,UHC,UHC,,1786,803.7,,,,,,,,outpatient,
OP CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,5000OP70492,70492,CPT,351,,,,,,,VA,VA,,1786,803.7,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
Ofloxacin (Floxin) 0.3% OTIC drops,5000J8499OFL,J8499,CPT,250,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,AETNA,AETNA,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,BCBS,BCBS,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,CIGNA,CIGNA,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,HUMANA,HUMANA,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,UHC,UHC,,1488,669.6,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,500076706,76706,CPT,402,,,,,,,VA,VA,,1488,669.6,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Clonazepam 0.5mg; tab,5000J8499CLON,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Gabapentin 300mg; cap,5000J8499GABA,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
Suboxone Films 8mg,5000J8499SUBO,J8499,CPT,250,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Lamotrigine (Lamictal) 100mg; tab,5000J8499LAMO,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Gabapentin (Neuronitin) 800mg; tab,5000J8499GAB800,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
"Sertraline (Zoloft) 100mg, tab",5000J8499SERT,J8499,CPT,250,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Amitriptyline Hydrochloride (Elavil) 25mg; tab,5000J8499AMIT,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Clonazepam (Klonopin) 1mg; tab,5000J8499CLON1,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Cyanocobalamin (Vitamin 12) 1000 mcg/1ml,5000J8499CYAN,J8499,CPT,250,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Levothyroxine Sodium 25mcg tab,5000J8499LEVOSDM,J8499,CPT,250,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,AETNA,AETNA,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,BCBS,BCBS,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,CIGNA,CIGNA,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,HUMANA,HUMANA,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,UHC,UHC,,6002,2700.9,,,,,,,,outpatient,
RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,500054600,54600,CPT,450,,,,,,,VA,VA,,6002,2700.9,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,AETNA,AETNA,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,BCBS,BCBS,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,CIGNA,CIGNA,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,HUMANA,HUMANA,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,UHC,UHC,,1557,700.65,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,500093979,93979,CPT,921,,,,,,,VA,VA,,1557,700.65,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Carvedilol (Coreg) 6.25 mg; tab,5000J8499CARV,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Meloxicam (Mobic) 15 mg; tab,5000J8499MELO,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Xarelto (Rivaroxaban) 10 mg; tab,5000J8499XAR,J8499,CPT,250,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
Phosphate Powder w/Nak (PHOS-NAK),5000J8499PHOS,J8499,CPT,250,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Hydroxychloroquine (Plaquenil) 200 mg; tab,5000J8499HYDPLA,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Propanolol Hydrochloride 10 mg; tab,5000J8499PROP,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Trazodone (Desyrel) 50 mg; tab,5000J8499TRAZ,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,AETNA,AETNA,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,BCBS,BCBS,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,CIGNA,CIGNA,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,HUMANA,HUMANA,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,UHC,UHC,,653,293.85,,,,,,,,outpatient,
MTHFR GENE ANALYSIS COMMON VARIANTS,500081291,81291,CPT,300,,,,,,,VA,VA,,653,293.85,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Phenobarbital 20 mg/5 mL,5000J8499PHENO,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,AETNA,AETNA,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,BCBS,BCBS,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,CIGNA,CIGNA,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,HUMANA,HUMANA,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,UHC,UHC,,917,412.65,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PUDENDAL NERVE,500064430,64430,CPT,450,,,,,,,VA,VA,,917,412.65,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,AETNA,AETNA,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,BCBS,BCBS,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,CIGNA,CIGNA,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,HUMANA,HUMANA,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,UHC,UHC,,933,419.85,,,,,,,,outpatient,
INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,500064520,64520,CPT,450,,,,,,,VA,VA,,933,419.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,AETNA,AETNA,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,BCBS,BCBS,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,CIGNA,CIGNA,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,HUMANA,HUMANA,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,UHC,UHC,,653,293.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,500064418,64418,CPT,450,,,,,,,VA,VA,,653,293.85,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,AETNA,AETNA,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,BCBS,BCBS,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,CIGNA,CIGNA,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,HUMANA,HUMANA,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,UHC,UHC,,1069,481.05,,,,,,,,outpatient,
INJECTION ANES AGENT SPHENOPALATINE GANGLION,500064505,64505,CPT,450,,,,,,,VA,VA,,1069,481.05,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
Naltrexone Hydrochloride 50 mg; tab,5000J8499NALT50,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Trazodone Hydrochloride 100 mg; tab,5000J8499TRAZ100,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Naproxen 500mg; tab,5000J8499NAP,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Olanzapine 10 mg; tab,5000J8499OLAN,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Escitalopram 10 mg; tab,5000J8499ESCI,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Bupropion SR Hydrochloride 100 mg; tab,5000J8499BUPR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Alprazolam 0.5 mg; tab,5000J8499ALPRA,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Lithium Carbonate ER 450 mg; tab,5000J8499LITH,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Divalproex Sodium 500 mg; tab,5000J8499DIVA,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Paroxetine Hydrochloride Hemihydrate 20 mg; tab,5000J8499PARO,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,AETNA,AETNA,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,BCBS,BCBS,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,CIGNA,CIGNA,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,HUMANA,HUMANA,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,UHC,UHC,,128,57.6,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,500086635,86635,CPT,300,,,,,,,VA,VA,,128,57.6,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J2185MERO,J2185,CPT,250,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
Albuked (Albumin) 25% 100 mL; vial,5000J8499ALBU,J8499,CPT,250,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,500086003,86003,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,AETNA,AETNA,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,BCBS,BCBS,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,CIGNA,CIGNA,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,HUMANA,HUMANA,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,UHC,UHC,,9574,4308.3,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,500072197,72197,CPT,610,,,,,,,VA,VA,,9574,4308.3,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Sucralfate (Carafate) 1GM; tab,5000J8499SUCRA,J8499,CPT,250,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,AETNA,AETNA,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,BCBS Federal,BCBS Federal,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,BCBS,BCBS,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,CIGNA,CIGNA,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,HUMANA,HUMANA,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,UHC,UHC,,1800,810,,,,,,,,outpatient,
CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,500093660,93660,CPT,943,,,,,,,VA,VA,,1800,810,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,AETNA,AETNA,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,BCBS,BCBS,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,CIGNA,CIGNA,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,HUMANA,HUMANA,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,UHC,UHC,,3220,1449,,,,,,,,outpatient,
Vivitrol 380 mg; IM ,5000J2315VIVIT,J2315,CPT,636,,,,,,,VA,VA,,3220,1449,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
Optiray 350 mg/mL contrast,5000OPTI350,J3490,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Spironolactone (Aldactone) 25 MG; tab,5000J8499SPIR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Clotrimazole (Canesten) Cream 1%,5000A6250CLOTR,A6250,CPT,636,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Cordarone Amiodarone Hydrochloride 200 MG; tab,5000J8499AMIO,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
Prednisolone Acetate 1% Ophthalmic Drops; 5mL bottle,5000J8499PRED,J8499,CPT,250,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,AETNA,AETNA,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,BCBS,BCBS,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,UHC,UHC,,790,355.5,,,,,,,,outpatient,
Visipaque 320 mg/mL; Iodinated contrast (100 mL volume bottle),5000Q9967VISI,Q9967,CPT,636,,,,,,,VA,VA,,790,355.5,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,AETNA,AETNA,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,BCBS Federal,BCBS Federal,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,BCBS,BCBS,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,CIGNA,CIGNA,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,HUMANA,HUMANA,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,UHC,UHC,,125,56.25,,,,,,,,outpatient,
"Athletic training evaluation, low complexity (School Physical)",500097169SP,97169,CPT,951,,,,,,,VA,VA,,125,56.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
Buprenorphine HCL (Subutex) 2 mg; tab,5000J8499BUPREHCL,J8499,CPT,250,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,AETNA,AETNA,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,BCBS,BCBS,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,CIGNA,CIGNA,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,HUMANA,HUMANA,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,UHC,UHC,,138,62.1,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,500086753,86753,CPT,300,,,,,,,VA,VA,,138,62.1,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,500087640,87640,CPT,300,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,500087542,87542,CPT,300,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,500087486,87486,CPT,300,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,AETNA,AETNA,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,BCBS,BCBS,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,CIGNA,CIGNA,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,HUMANA,HUMANA,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,UHC,UHC,,303,136.35,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,500087582,87582,CPT,300,,,,,,,VA,VA,,303,136.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,500087651,87651,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,500083993,83993,CPT,300,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,500082656,82656,CPT,300,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,AETNA,AETNA,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,BCBS,BCBS,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,CIGNA,CIGNA,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,HUMANA,HUMANA,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,UHC,UHC,,178,80.1,,,,,,,,outpatient,
IAAD IA HPYLORI STOOL,500087338,87338,CPT,300,,,,,,,VA,VA,,178,80.1,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,AETNA,AETNA,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,BCBS,BCBS,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,CIGNA,CIGNA,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,HUMANA,HUMANA,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,UHC,UHC,,6339,2852.55,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,500073718,73718,CPT,616,,,,,,,VA,VA,,6339,2852.55,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,AETNA,AETNA,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,BCBS,BCBS,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,CIGNA,CIGNA,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,HUMANA,HUMANA,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,UHC,UHC,,1000,450,,,,,,,,outpatient,
TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,500086481,86481,CPT,300,,,,,,,VA,VA,,1000,450,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Oxycodone Hydrochloride 5 MG,5000J8499OXYHYD,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
Gentamicin Sulfate (GENTAK) DRP 0.3%,5000J8499GENTSUL,J8499,CPT,250,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,AETNA,AETNA,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,BCBS,BCBS,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,CIGNA,CIGNA,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,HUMANA,HUMANA,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,UHC,UHC,,999,449.55,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,500010005,10005,CPT,450,,,,,,,VA,VA,,999,449.55,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,AETNA,AETNA,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,BCBS,BCBS,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,CIGNA,CIGNA,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,HUMANA,HUMANA,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,UHC,UHC,,569,256.05,,,,,,,,outpatient,
PUNCH BIOPSY SKIN SINGLE LESION,500011104,11104,CPT,450,,,,,,,VA,VA,,569,256.05,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,AETNA,AETNA,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,BCBS,BCBS,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,CIGNA,CIGNA,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,HUMANA,HUMANA,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,UHC,UHC,,2073,932.85,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,500019083,19083,CPT,450,,,,,,,VA,VA,,2073,932.85,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,AETNA,AETNA,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,BCBS,BCBS,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,CIGNA,CIGNA,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,HUMANA,HUMANA,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,UHC,UHC,,670,301.5,,,,,,,,outpatient,
BIOPSY MUSCLE PERCUTANEOUS NEEDLE,500020206,20206,CPT,450,,,,,,,VA,VA,,670,301.5,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,AETNA,AETNA,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,BCBS,BCBS,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,CIGNA,CIGNA,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,HUMANA,HUMANA,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,UHC,UHC,,1224,550.8,,,,,,,,outpatient,
BIOPSY BONE TROCAR/NEEDLE DEEP,500020225,20225,CPT,450,,,,,,,VA,VA,,1224,550.8,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,AETNA,AETNA,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,BCBS,BCBS,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,CIGNA,CIGNA,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,HUMANA,HUMANA,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,UHC,UHC,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,500022513,22513,CPT,450,,,,,,,VA,VA,,5941,2673.45,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,AETNA,AETNA,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,BCBS,BCBS,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,CIGNA,CIGNA,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,HUMANA,HUMANA,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,UHC,UHC,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,500022514,22514,CPT,450,,,,,,,VA,VA,,5536,2491.2,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,AETNA,AETNA,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,BCBS,BCBS,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,CIGNA,CIGNA,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,HUMANA,HUMANA,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,UHC,UHC,,2563,1153.35,,,,,,,,outpatient,
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,500022515,22515,CPT,450,,,,,,,VA,VA,,2563,1153.35,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,AETNA,AETNA,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,BCBS,BCBS,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,CIGNA,CIGNA,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,HUMANA,HUMANA,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,UHC,UHC,,1041,468.45,,,,,,,,outpatient,
BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,500032405,32405,CPT,450,,,,,,,VA,VA,,1041,468.45,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,AETNA,AETNA,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,BCBS,BCBS,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,CIGNA,CIGNA,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,HUMANA,HUMANA,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,UHC,UHC,,1285,578.25,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,500032555,32555,CPT,450,,,,,,,VA,VA,,1285,578.25,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,AETNA,AETNA,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,BCBS,BCBS,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,CIGNA,CIGNA,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,HUMANA,HUMANA,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,UHC,UHC,,556,250.2,,,,,,,,outpatient,
NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,500036005,36005,CPT,450,,,,,,,VA,VA,,556,250.2,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,AETNA,AETNA,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,BCBS,BCBS,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,CIGNA,CIGNA,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,HUMANA,HUMANA,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,UHC,UHC,,1999,899.55,,,,,,,,outpatient,
SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,500036012,36012,CPT,450,,,,,,,VA,VA,,1999,899.55,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,AETNA,AETNA,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,BCBS,BCBS,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,CIGNA,CIGNA,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,HUMANA,HUMANA,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,UHC,UHC,,1402,630.9,,,,,,,,outpatient,
INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,500036013,36013,CPT,450,,,,,,,VA,VA,,1402,630.9,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,AETNA,AETNA,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,BCBS,BCBS,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,CIGNA,CIGNA,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,HUMANA,HUMANA,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,UHC,UHC,,1039,467.55,,,,,,,,outpatient,
INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,500036140,36140,CPT,450,,,,,,,VA,VA,,1039,467.55,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,AETNA,AETNA,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,BCBS,BCBS,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,CIGNA,CIGNA,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,HUMANA,HUMANA,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,UHC,UHC,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,500036223,36223,CPT,450,,,,,,,VA,VA,,3636,1636.2,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,AETNA,AETNA,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,BCBS,BCBS,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,CIGNA,CIGNA,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,HUMANA,HUMANA,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,UHC,UHC,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,500036225,36225,CPT,450,,,,,,,VA,VA,,3627,1632.15,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,AETNA,AETNA,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,BCBS,BCBS,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,CIGNA,CIGNA,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,HUMANA,HUMANA,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,UHC,UHC,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,500036245,36245,CPT,450,,,,,,,VA,VA,,2737,1231.65,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,AETNA,AETNA,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,BCBS,BCBS,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,CIGNA,CIGNA,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,HUMANA,HUMANA,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,UHC,UHC,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,500036247,36247,CPT,450,,,,,,,VA,VA,,3487,1569.15,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,AETNA,AETNA,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,BCBS,BCBS,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,CIGNA,CIGNA,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,HUMANA,HUMANA,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,UHC,UHC,,566,254.7,,,,,,,,outpatient,
SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,500036248,36248,CPT,450,,,,,,,VA,VA,,566,254.7,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,AETNA,AETNA,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,BCBS,BCBS,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,CIGNA,CIGNA,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,HUMANA,HUMANA,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,UHC,UHC,,3216,1447.2,,,,,,,,outpatient,
ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,500036475,36475,CPT,450,,,,,,,VA,VA,,3216,1447.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,AETNA,AETNA,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,BCBS,BCBS,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,CIGNA,CIGNA,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,HUMANA,HUMANA,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,UHC,UHC,,3871,1741.95,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,500036561,36561,CPT,450,,,,,,,VA,VA,,3871,1741.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,AETNA,AETNA,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,BCBS,BCBS,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,CIGNA,CIGNA,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,HUMANA,HUMANA,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,UHC,UHC,,4400,1980,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,500036573,36573,CPT,450,,,,,,,VA,VA,,4400,1980,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,AETNA,AETNA,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,BCBS,BCBS,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,CIGNA,CIGNA,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,HUMANA,HUMANA,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,UHC,UHC,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,500036589,36589,CPT,450,,,,,,,VA,VA,,1576,709.2,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,AETNA,AETNA,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,BCBS,BCBS,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,CIGNA,CIGNA,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,HUMANA,HUMANA,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,UHC,UHC,,2181,981.45,,,,,,,,outpatient,
RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500036590,36590,CPT,450,,,,,,,VA,VA,,2181,981.45,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,AETNA,AETNA,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,BCBS,BCBS,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,CIGNA,CIGNA,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,HUMANA,HUMANA,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,UHC,UHC,,423,190.35,,,,,,,,outpatient,
CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,500036598,36598,CPT,450,,,,,,,VA,VA,,423,190.35,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,AETNA,AETNA,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,BCBS,BCBS,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,CIGNA,CIGNA,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,HUMANA,HUMANA,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,UHC,UHC,,4532,2039.4,,,,,,,,outpatient,
PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,500037187,37187,CPT,450,,,,,,,VA,VA,,4532,2039.4,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,AETNA,AETNA,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,BCBS,BCBS,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,CIGNA,CIGNA,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,HUMANA,HUMANA,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,UHC,UHC,,185,83.25,,,,,,,,outpatient,
ASSAY OF GROWTH HORMONE HUMAN,500083003,83003,CPT,300,,,,,,,VA,VA,,185,83.25,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,AETNA,AETNA,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,BCBS,BCBS,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,CIGNA,CIGNA,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,HUMANA,HUMANA,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,UHC,UHC,,2582,1161.9,,,,,,,,outpatient,
INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,500037191,37191,CPT,260,,,,,,,VA,VA,,2582,1161.9,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,AETNA,AETNA,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,BCBS,BCBS,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,CIGNA,CIGNA,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,HUMANA,HUMANA,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,UHC,UHC,,3950,1777.5,,,,,,,,outpatient,
REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037192,37192,CPT,260,,,,,,,VA,VA,,3950,1777.5,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,AETNA,AETNA,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,BCBS,BCBS,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,CIGNA,CIGNA,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,HUMANA,HUMANA,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,UHC,UHC,,4038,1817.1,,,,,,,,outpatient,
RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,500037193,37193,CPT,260,,,,,,,VA,VA,,4038,1817.1,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,AETNA,AETNA,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,BCBS,BCBS,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,CIGNA,CIGNA,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,HUMANA,HUMANA,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,UHC,UHC,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,500037211,37211,CPT,450,,,,,,,VA,VA,,4451,2002.95,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,AETNA,AETNA,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,BCBS,BCBS,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,CIGNA,CIGNA,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,HUMANA,HUMANA,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,UHC,UHC,,3898,1754.1,,,,,,,,outpatient,
THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,500037212,37212,CPT,450,,,,,,,VA,VA,,3898,1754.1,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,AETNA,AETNA,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,BCBS,BCBS,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,CIGNA,CIGNA,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,HUMANA,HUMANA,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,UHC,UHC,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,500037224,37224,CPT,450,,,,,,,VA,VA,,5129,2308.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,AETNA,AETNA,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,BCBS,BCBS,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,CIGNA,CIGNA,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,HUMANA,HUMANA,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,UHC,UHC,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,500037226,37226,CPT,450,,,,,,,VA,VA,,6015,2706.75,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,AETNA,AETNA,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,BCBS,BCBS,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,CIGNA,CIGNA,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,HUMANA,HUMANA,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,UHC,UHC,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,500037227,37227,CPT,450,,,,,,,VA,VA,,8389,3775.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,AETNA,AETNA,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,BCBS,BCBS,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,CIGNA,CIGNA,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,HUMANA,HUMANA,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,UHC,UHC,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,500037228,37228,CPT,450,,,,,,,VA,VA,,6266,2819.7,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,AETNA,AETNA,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,BCBS,BCBS,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,CIGNA,CIGNA,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,HUMANA,HUMANA,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,UHC,UHC,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,500037229,37229,CPT,450,,,,,,,VA,VA,,8149,3667.05,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,AETNA,AETNA,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,BCBS,BCBS,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,CIGNA,CIGNA,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,HUMANA,HUMANA,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,UHC,UHC,,2320,1044,,,,,,,,outpatient,
REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,500037232,37232,CPT,450,,,,,,,VA,VA,,2320,1044,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,AETNA,AETNA,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,BCBS,BCBS,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,CIGNA,CIGNA,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,HUMANA,HUMANA,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,UHC,UHC,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,500037241,37241,CPT,450,,,,,,,VA,VA,,5108,2298.6,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,AETNA,AETNA,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,BCBS,BCBS,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,CIGNA,CIGNA,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,HUMANA,HUMANA,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,UHC,UHC,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,500037243,37243,CPT,450,,,,,,,VA,VA,,6513,2930.85,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,AETNA,AETNA,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,BCBS,BCBS,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,CIGNA,CIGNA,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,HUMANA,HUMANA,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,UHC,UHC,,7700,3465,,,,,,,,outpatient,
VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,500037244,37244,CPT,450,,,,,,,VA,VA,,7700,3465,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,AETNA,AETNA,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,BCBS,BCBS,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,CIGNA,CIGNA,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,HUMANA,HUMANA,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,UHC,UHC,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,500037248,37248,CPT,450,,,,,,,VA,VA,,3444,1549.8,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,AETNA,AETNA,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,BCBS,BCBS,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,CIGNA,CIGNA,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,HUMANA,HUMANA,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,UHC,UHC,,1678,755.1,,,,,,,,outpatient,
TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,500037249,37249,CPT,450,,,,,,,VA,VA,,1678,755.1,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,AETNA,AETNA,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,BCBS,BCBS,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,CIGNA,CIGNA,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,HUMANA,HUMANA,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,UHC,UHC,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,500037252,37252,CPT,450,,,,,,,VA,VA,,1050,472.5,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,AETNA,AETNA,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,BCBS,BCBS,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,CIGNA,CIGNA,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,HUMANA,HUMANA,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,UHC,UHC,,844,379.8,,,,,,,,outpatient,
INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,500037253,37253,CPT,450,,,,,,,VA,VA,,844,379.8,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,AETNA,AETNA,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,BCBS,BCBS,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,CIGNA,CIGNA,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,HUMANA,HUMANA,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,UHC,UHC,,805,362.25,,,,,,,,outpatient,
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,500038505,38505,CPT,450,,,,,,,VA,VA,,805,362.25,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,AETNA,AETNA,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,BCBS,BCBS,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,CIGNA,CIGNA,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,HUMANA,HUMANA,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,UHC,UHC,,618,278.1,,,,,,,,outpatient,
BIOPSY SALIVARY GLAND NEEDLE,500042400,42400,CPT,450,,,,,,,VA,VA,,618,278.1,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,AETNA,AETNA,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,BCBS,BCBS,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,CIGNA,CIGNA,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,HUMANA,HUMANA,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,UHC,UHC,,1029,463.05,,,,,,,,outpatient,
BIOPSY LIVER NEEDLE PERCUTANEOUS,500047000,47000,CPT,450,,,,,,,VA,VA,,1029,463.05,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Prednisone (Deltasone) 20 MG tab,5000J8499PREDELT,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,500082747,82747,CPT,300,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,AETNA,AETNA,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,BCBS,BCBS,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,CIGNA,CIGNA,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,HUMANA,HUMANA,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,UHC,UHC,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,500011043,11043,CPT,450,,,,,,,VA,VA,,1770,796.5,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,AETNA,AETNA,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,BCBS,BCBS,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,CIGNA,CIGNA,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,HUMANA,HUMANA,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,UHC,UHC,,2616,1177.2,,,,,,,,outpatient,
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,500011044,11044,CPT,450,,,,,,,VA,VA,,2616,1177.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,AETNA,AETNA,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,BCBS,BCBS,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,CIGNA,CIGNA,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,HUMANA,HUMANA,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,UHC,UHC,,11016,4957.2,,,,,,,,outpatient,
INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,500011960,11960,CPT,450,,,,,,,VA,VA,,11016,4957.2,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,AETNA,AETNA,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,BCBS,BCBS,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,CIGNA,CIGNA,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,HUMANA,HUMANA,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,UHC,UHC,,7201,3240.45,,,,,,,,outpatient,
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,500014040,14040,CPT,450,,,,,,,VA,VA,,7201,3240.45,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,AETNA,AETNA,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,BCBS,BCBS,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,CIGNA,CIGNA,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,HUMANA,HUMANA,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,UHC,UHC,,3056,1375.2,,,,,,,,outpatient,
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,500015004,15004,CPT,450,,,,,,,VA,VA,,3056,1375.2,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,AETNA,AETNA,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,BCBS,BCBS,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,CIGNA,CIGNA,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,HUMANA,HUMANA,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,UHC,UHC,,527,237.15,,,,,,,,outpatient,
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,500015274,15274,CPT,450,,,,,,,VA,VA,,527,237.15,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,AETNA,AETNA,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,BCBS,BCBS,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,CIGNA,CIGNA,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,HUMANA,HUMANA,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,UHC,UHC,,2483,1117.35,,,,,,,,outpatient,
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,500015777,15777,CPT,450,,,,,,,VA,VA,,2483,1117.35,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,AETNA,AETNA,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,BCBS,BCBS,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,CIGNA,CIGNA,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,HUMANA,HUMANA,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,UHC,UHC,,660,297,,,,,,,,outpatient,
INJECTION THERAPEUTIC CARPAL TUNNEL,500020526,20526,CPT,450,,,,,,,VA,VA,,660,297,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,AETNA,AETNA,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,BCBS,BCBS,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,CIGNA,CIGNA,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,HUMANA,HUMANA,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,UHC,UHC,,1287,579.15,,,,,,,,outpatient,
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,500020931,20931,CPT,450,,,,,,,VA,VA,,1287,579.15,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,AETNA,AETNA,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,BCBS,BCBS,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,CIGNA,CIGNA,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,HUMANA,HUMANA,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,UHC,UHC,,1931,868.95,,,,,,,,outpatient,
AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,500020937,20937,CPT,450,,,,,,,VA,VA,,1931,868.95,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,AETNA,AETNA,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,BCBS,BCBS,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,CIGNA,CIGNA,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,HUMANA,HUMANA,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,UHC,UHC,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,500022551,22551,CPT,450,,,,,,,VA,VA,,19626,8831.7,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,AETNA,AETNA,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,BCBS,BCBS,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,CIGNA,CIGNA,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,HUMANA,HUMANA,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,UHC,UHC,,4597,2068.65,,,,,,,,outpatient,
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,500022552,22552,CPT,450,,,,,,,VA,VA,,4597,2068.65,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,500084270,84270,CPT,300,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Hydralazine Hydrochloride (Apresoline) 25 MG; tab,5000J8499HYDRA,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,AETNA,AETNA,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,BCBS,BCBS,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,CIGNA,CIGNA,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,HUMANA,HUMANA,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,UHC,UHC,,981,441.45,,,,,,,,outpatient,
BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,500049180,49180,CPT,450,,,,,,,VA,VA,,981,441.45,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,AETNA,AETNA,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,BCBS,BCBS,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,CIGNA,CIGNA,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,HUMANA,HUMANA,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,UHC,UHC,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY LUMBAR,500022558,22558,CPT,450,,,,,,,VA,VA,,17619,7928.55,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,AETNA,AETNA,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,BCBS,BCBS,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,CIGNA,CIGNA,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,HUMANA,HUMANA,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,UHC,UHC,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,500022585,22585,CPT,450,,,,,,,VA,VA,,3777,1699.65,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,AETNA,AETNA,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,BCBS,BCBS,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,CIGNA,CIGNA,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,HUMANA,HUMANA,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,UHC,UHC,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,500022612,22612,CPT,450,,,,,,,VA,VA,,18235,8205.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,AETNA,AETNA,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,BCBS,BCBS,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,CIGNA,CIGNA,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,HUMANA,HUMANA,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,UHC,UHC,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,500022614,22614,CPT,450,,,,,,,VA,VA,,4513,2030.85,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,AETNA,AETNA,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,BCBS,BCBS,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,CIGNA,CIGNA,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,HUMANA,HUMANA,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,UHC,UHC,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY LUMBAR,500022630,22630,CPT,450,,,,,,,VA,VA,,18095,8142.75,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,AETNA,AETNA,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,BCBS,BCBS,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,CIGNA,CIGNA,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,HUMANA,HUMANA,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,UHC,UHC,,3710,1669.5,,,,,,,,outpatient,
ARTHRODESIS POSTERIOR INTERBODY EA ADDL,500022632,22632,CPT,450,,,,,,,VA,VA,,3710,1669.5,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,AETNA,AETNA,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,BCBS,BCBS,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,CIGNA,CIGNA,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,HUMANA,HUMANA,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,UHC,UHC,,21300,9585,,,,,,,,outpatient,
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,500022633,22633,CPT,450,,,,,,,VA,VA,,21300,9585,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,AETNA,AETNA,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,BCBS,BCBS,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,CIGNA,CIGNA,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,HUMANA,HUMANA,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,UHC,UHC,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR NON-SEGMENTAL INSTRUMENTATION,500022840,22840,CPT,450,,,,,,,VA,VA,,8775,3948.75,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,AETNA,AETNA,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,BCBS,BCBS,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,CIGNA,CIGNA,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,HUMANA,HUMANA,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,UHC,UHC,,8821,3969.45,,,,,,,,outpatient,
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,500022842,22842,CPT,450,,,,,,,VA,VA,,8821,3969.45,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,AETNA,AETNA,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,BCBS,BCBS,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,CIGNA,CIGNA,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,HUMANA,HUMANA,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,UHC,UHC,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,500022845,22845,CPT,450,,,,,,,VA,VA,,8425,3791.25,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,AETNA,AETNA,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,BCBS,BCBS,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,CIGNA,CIGNA,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,HUMANA,HUMANA,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,UHC,UHC,,8749,3937.05,,,,,,,,outpatient,
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,500022846,22846,CPT,450,,,,,,,VA,VA,,8749,3937.05,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,AETNA,AETNA,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,BCBS,BCBS,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,CIGNA,CIGNA,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,HUMANA,HUMANA,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,UHC,UHC,,8003,3601.35,,,,,,,,outpatient,
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,500022852,22852,CPT,450,,,,,,,VA,VA,,8003,3601.35,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,AETNA,AETNA,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,BCBS,BCBS,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,CIGNA,CIGNA,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,HUMANA,HUMANA,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,UHC,UHC,,15529,6988.05,,,,,,,,outpatient,
ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,500027280,27280,CPT,450,,,,,,,VA,VA,,15529,6988.05,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,AETNA,AETNA,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,BCBS,BCBS,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,CIGNA,CIGNA,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,HUMANA,HUMANA,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,UHC,UHC,,2136,961.2,,,,,,,,outpatient,
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,500027605,27605,CPT,450,,,,,,,VA,VA,,2136,961.2,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,AETNA,AETNA,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,BCBS,BCBS,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,CIGNA,CIGNA,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,HUMANA,HUMANA,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,UHC,UHC,,7447,3351.15,,,,,,,,outpatient,
ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,500027610,27610,CPT,450,,,,,,,VA,VA,,7447,3351.15,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,AETNA,AETNA,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,BCBS,BCBS,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,CIGNA,CIGNA,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,HUMANA,HUMANA,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,UHC,UHC,,5171,2326.95,,,,,,,,outpatient,
ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,500027620,27620,CPT,450,,,,,,,VA,VA,,5171,2326.95,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,AETNA,AETNA,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,BCBS,BCBS,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,CIGNA,CIGNA,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,HUMANA,HUMANA,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,UHC,UHC,,4254,1914.3,,,,,,,,outpatient,
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,500027658,27658,CPT,450,,,,,,,VA,VA,,4254,1914.3,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,AETNA,AETNA,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,BCBS,BCBS,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,CIGNA,CIGNA,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,HUMANA,HUMANA,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,UHC,UHC,,4852,2183.4,,,,,,,,outpatient,
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,500027680,27680,CPT,450,,,,,,,VA,VA,,4852,2183.4,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,AETNA,AETNA,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,BCBS,BCBS,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,CIGNA,CIGNA,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,HUMANA,HUMANA,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,UHC,UHC,,5200,2340,,,,,,,,outpatient,
GASTROCNEMIUS RECESSION,500027687,27687,CPT,450,,,,,,,VA,VA,,5200,2340,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,AETNA,AETNA,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,BCBS,BCBS,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,CIGNA,CIGNA,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,HUMANA,HUMANA,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,UHC,UHC,,3374,1518.3,,,,,,,,outpatient,
FASCIOTOMY FOOT&/TOE,500028008,28008,CPT,450,,,,,,,VA,VA,,3374,1518.3,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,AETNA,AETNA,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,BCBS,BCBS,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,CIGNA,CIGNA,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,HUMANA,HUMANA,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,UHC,UHC,,4144,1864.8,,,,,,,,outpatient,
ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,500028020,28020,CPT,450,,,,,,,VA,VA,,4144,1864.8,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,AETNA,AETNA,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,BCBS,BCBS,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,CIGNA,CIGNA,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,HUMANA,HUMANA,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,UHC,UHC,,4087,1839.15,,,,,,,,outpatient,
RELEASE TARSAL TUNNEL,500028035,28035,CPT,450,,,,,,,VA,VA,,4087,1839.15,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,AETNA,AETNA,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,BCBS,BCBS,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,CIGNA,CIGNA,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,HUMANA,HUMANA,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,UHC,UHC,,4113,1850.85,,,,,,,,outpatient,
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,500028060,28060,CPT,450,,,,,,,VA,VA,,4113,1850.85,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,AETNA,AETNA,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,BCBS,BCBS,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,CIGNA,CIGNA,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,HUMANA,HUMANA,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,UHC,UHC,,3310,1489.5,,,,,,,,outpatient,
EXC/CURTG CST/B9 TUM PHALANGES FOOT,500028108,28108,CPT,450,,,,,,,VA,VA,,3310,1489.5,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,AETNA,AETNA,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,BCBS,BCBS,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,CIGNA,CIGNA,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,HUMANA,HUMANA,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,UHC,UHC,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY PRTL 5TH METAR HEAD SPX,500028110,28110,CPT,450,,,,,,,VA,VA,,3336,1501.2,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,AETNA,AETNA,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,BCBS,BCBS,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,CIGNA,CIGNA,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,HUMANA,HUMANA,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,UHC,UHC,,4763,2143.35,,,,,,,,outpatient,
OSTECTOMY CALCANEUS,500028118,28118,CPT,450,,,,,,,VA,VA,,4763,2143.35,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,AETNA,AETNA,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,BCBS,BCBS,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,CIGNA,CIGNA,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,HUMANA,HUMANA,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,UHC,UHC,,3622,1629.9,,,,,,,,outpatient,
REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,500028208,28208,CPT,450,,,,,,,VA,VA,,3622,1629.9,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,AETNA,AETNA,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,BCBS,BCBS,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,CIGNA,CIGNA,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,HUMANA,HUMANA,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,UHC,UHC,,3258,1466.1,,,,,,,,outpatient,
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,500028230,28230,CPT,450,,,,,,,VA,VA,,3258,1466.1,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,AETNA,AETNA,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,BCBS,BCBS,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,CIGNA,CIGNA,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,HUMANA,HUMANA,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,UHC,UHC,,3026,1361.7,,,,,,,,outpatient,
TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,500028234,28234,CPT,450,,,,,,,VA,VA,,3026,1361.7,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,AETNA,AETNA,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,BCBS,BCBS,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,CIGNA,CIGNA,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,HUMANA,HUMANA,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,UHC,UHC,,4349,1957.05,,,,,,,,outpatient,
CORRECTION HAMMERTOE,500028285,28285,CPT,450,,,,,,,VA,VA,,4349,1957.05,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,AETNA,AETNA,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,BCBS,BCBS,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,CIGNA,CIGNA,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,HUMANA,HUMANA,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,UHC,UHC,,5291,2380.95,,,,,,,,outpatient,
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT,500028289,28289,CPT,450,,,,,,,VA,VA,,5291,2380.95,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,AETNA,AETNA,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,BCBS,BCBS,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,CIGNA,CIGNA,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,HUMANA,HUMANA,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,UHC,UHC,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL,500028292,28292,CPT,450,,,,,,,VA,VA,,5577,2509.65,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,AETNA,AETNA,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,BCBS,BCBS,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,CIGNA,CIGNA,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,HUMANA,HUMANA,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,UHC,UHC,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,500028296,28296,CPT,450,,,,,,,VA,VA,,5910,2659.5,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,AETNA,AETNA,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,BCBS,BCBS,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,CIGNA,CIGNA,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,HUMANA,HUMANA,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,UHC,UHC,,6696,3013.2,,,,,,,,outpatient,
CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT,500028299,28299,CPT,450,,,,,,,VA,VA,,6696,3013.2,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,AETNA,AETNA,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,BCBS,BCBS,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,CIGNA,CIGNA,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,HUMANA,HUMANA,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,UHC,UHC,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,500028306,28306,CPT,450,,,,,,,VA,VA,,4623,2080.35,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,AETNA,AETNA,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,BCBS,BCBS,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,CIGNA,CIGNA,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,HUMANA,HUMANA,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,UHC,UHC,,4351,1957.95,,,,,,,,outpatient,
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,500028308,28308,CPT,450,,,,,,,VA,VA,,4351,1957.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,AETNA,AETNA,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,BCBS,BCBS,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,CIGNA,CIGNA,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,HUMANA,HUMANA,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,UHC,UHC,,7811,3514.95,,,,,,,,outpatient,
OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,500028585,28585,CPT,450,,,,,,,VA,VA,,7811,3514.95,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,AETNA,AETNA,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,BCBS,BCBS,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,CIGNA,CIGNA,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,HUMANA,HUMANA,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,UHC,UHC,,216,97.2,,,,,,,,outpatient,
STRAPPING THORAX,500029200,29200,CPT,450,,,,,,,VA,VA,,216,97.2,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
STRAPPING HIP,500029520,29520,CPT,450,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,AETNA,AETNA,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,BCBS,BCBS,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,CIGNA,CIGNA,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,HUMANA,HUMANA,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,UHC,UHC,,7688,3459.6,,,,,,,,outpatient,
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,500029891,29891,CPT,450,,,,,,,VA,VA,,7688,3459.6,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,AETNA,AETNA,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,BCBS,BCBS,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,CIGNA,CIGNA,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,HUMANA,HUMANA,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,UHC,UHC,,4919,2213.55,,,,,,,,outpatient,
ENDOSCOPIC PLANTAR FASCIOTOMY,500029893,29893,CPT,450,,,,,,,VA,VA,,4919,2213.55,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,AETNA,AETNA,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,BCBS,BCBS,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,CIGNA,CIGNA,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,HUMANA,HUMANA,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,UHC,UHC,,6438,2897.1,,,,,,,,outpatient,
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,500029898,29898,CPT,450,,,,,,,VA,VA,,6438,2897.1,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,AETNA,AETNA,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,BCBS,BCBS,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,CIGNA,CIGNA,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,HUMANA,HUMANA,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,UHC,UHC,,792,356.4,,,,,,,,outpatient,
DIAGNOSTIC BONE MARROW ASPIRATIONS,500038220,38220,CPT,450,,,,,,,VA,VA,,792,356.4,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
INJECTION EPIDURAL BLOOD/CLOT PATCH,500062273,62273,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,AETNA,AETNA,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,BCBS,BCBS,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,CIGNA,CIGNA,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,HUMANA,HUMANA,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,UHC,UHC,,6659,2996.55,,,,,,,,outpatient,
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,500062287,62287,CPT,320,,,,,,,VA,VA,,6659,2996.55,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,AETNA,AETNA,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,BCBS,BCBS,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,CIGNA,CIGNA,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,HUMANA,HUMANA,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,UHC,UHC,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,500062290,62290,CPT,450,,,,,,,VA,VA,,1918,863.1,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,AETNA,AETNA,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,BCBS,BCBS,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,CIGNA,CIGNA,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,HUMANA,HUMANA,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,UHC,UHC,,1855,834.75,,,,,,,,outpatient,
INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,500062291,62291,CPT,450,,,,,,,VA,VA,,1855,834.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,AETNA,AETNA,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,BCBS,BCBS,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,CIGNA,CIGNA,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,HUMANA,HUMANA,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,UHC,UHC,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,500063030,63030,CPT,450,,,,,,,VA,VA,,11155,5019.75,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,AETNA,AETNA,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,BCBS,BCBS,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,CIGNA,CIGNA,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,HUMANA,HUMANA,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,UHC,UHC,,2206,992.7,,,,,,,,outpatient,
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,500063035,63035,CPT,450,,,,,,,VA,VA,,2206,992.7,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,AETNA,AETNA,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,BCBS,BCBS,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,CIGNA,CIGNA,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,HUMANA,HUMANA,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,UHC,UHC,,14892,6701.4,,,,,,,,outpatient,
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,500063042,63042,CPT,450,,,,,,,VA,VA,,14892,6701.4,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,AETNA,AETNA,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,BCBS,BCBS,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,CIGNA,CIGNA,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,HUMANA,HUMANA,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,UHC,UHC,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,500063045,63045,CPT,450,,,,,,,VA,VA,,14771,6646.95,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,AETNA,AETNA,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,BCBS,BCBS,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,CIGNA,CIGNA,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,HUMANA,HUMANA,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,UHC,UHC,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,500063047,63047,CPT,450,,,,,,,VA,VA,,12647,5691.15,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,AETNA,AETNA,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,BCBS,BCBS,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,CIGNA,CIGNA,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,HUMANA,HUMANA,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,UHC,UHC,,2438,1097.1,,,,,,,,outpatient,
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,500063048,63048,CPT,450,,,,,,,VA,VA,,2438,1097.1,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,AETNA,AETNA,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,BCBS,BCBS,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,CIGNA,CIGNA,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,HUMANA,HUMANA,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,UHC,UHC,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,500063055,63055,CPT,450,,,,,,,VA,VA,,18745,8435.25,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,AETNA,AETNA,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,BCBS,BCBS,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,CIGNA,CIGNA,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,HUMANA,HUMANA,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,UHC,UHC,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,500063056,63056,CPT,450,,,,,,,VA,VA,,17114,7701.3,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,AETNA,AETNA,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,BCBS,BCBS,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,CIGNA,CIGNA,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,HUMANA,HUMANA,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,UHC,UHC,,3683,1657.35,,,,,,,,outpatient,
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,500063057,63057,CPT,450,,,,,,,VA,VA,,3683,1657.35,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,AETNA,AETNA,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,BCBS,BCBS,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,CIGNA,CIGNA,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,HUMANA,HUMANA,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,UHC,UHC,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,500063075,63075,CPT,450,,,,,,,VA,VA,,15534,6990.3,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,AETNA,AETNA,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,BCBS,BCBS,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,CIGNA,CIGNA,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,HUMANA,HUMANA,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,UHC,UHC,,2845,1280.25,,,,,,,,outpatient,
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,500063076,63076,CPT,450,,,,,,,VA,VA,,2845,1280.25,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,AETNA,AETNA,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,BCBS,BCBS,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,CIGNA,CIGNA,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,HUMANA,HUMANA,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,UHC,UHC,,4712,2120.4,,,,,,,,outpatient,
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,500063650,63650,CPT,450,,,,,,,VA,VA,,4712,2120.4,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,AETNA,AETNA,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,BCBS,BCBS,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,CIGNA,CIGNA,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,HUMANA,HUMANA,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,UHC,UHC,,3705,1667.25,,,,,,,,outpatient,
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,500063661,63661,CPT,450,,,,,,,VA,VA,,3705,1667.25,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,AETNA,AETNA,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,BCBS,BCBS,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,CIGNA,CIGNA,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,HUMANA,HUMANA,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,UHC,UHC,,5156,2320.2,,,,,,,,outpatient,
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,500063663,63663,CPT,450,,,,,,,VA,VA,,5156,2320.2,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,AETNA,AETNA,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,BCBS,BCBS,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,CIGNA,CIGNA,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,HUMANA,HUMANA,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,UHC,UHC,,4129,1858.05,,,,,,,,outpatient,
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,500063685,63685,CPT,450,,,,,,,VA,VA,,4129,1858.05,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,AETNA,AETNA,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,BCBS,BCBS,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,CIGNA,CIGNA,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,HUMANA,HUMANA,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,UHC,UHC,,4257,1915.65,,,,,,,,outpatient,
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,500063688,63688,CPT,450,,,,,,,VA,VA,,4257,1915.65,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,AETNA,AETNA,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,BCBS,BCBS,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,CIGNA,CIGNA,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,HUMANA,HUMANA,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,UHC,UHC,,12500,5625,,,,,,,,outpatient,
DURAL GRAFT SPINAL,500063710,63710,CPT,450,,,,,,,VA,VA,,12500,5625,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,AETNA,AETNA,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,BCBS,BCBS,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,CIGNA,CIGNA,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,HUMANA,HUMANA,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,UHC,UHC,,5455,2454.75,,,,,,,,outpatient,
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,500049587,49587,CPT,450,,,,,,,VA,VA,,5455,2454.75,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,AETNA,AETNA,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,BCBS,BCBS,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,CIGNA,CIGNA,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,HUMANA,HUMANA,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,UHC,UHC,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,500064413,64413,CPT,450,,,,,,,VA,VA,,930,418.5,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,AETNA,AETNA,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,BCBS,BCBS,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,CIGNA,CIGNA,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,HUMANA,HUMANA,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,UHC,UHC,,766,344.7,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,500064420,64420,CPT,450,,,,,,,VA,VA,,766,344.7,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,AETNA,AETNA,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,BCBS,BCBS,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,CIGNA,CIGNA,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,HUMANA,HUMANA,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,UHC,UHC,,1053,473.85,,,,,,,,outpatient,
MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,500064421,64421,CPT,450,,,,,,,VA,VA,,1053,473.85,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,AETNA,AETNA,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,BCBS,BCBS,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,CIGNA,CIGNA,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,HUMANA,HUMANA,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,UHC,UHC,,1084,487.8,,,,,,,,outpatient,
INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,500064425,64425,CPT,450,,,,,,,VA,VA,,1084,487.8,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,AETNA,AETNA,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,BCBS,BCBS,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,CIGNA,CIGNA,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,HUMANA,HUMANA,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,UHC,UHC,,833,374.85,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,500064445,64445,CPT,450,,,,,,,VA,VA,,833,374.85,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,AETNA,AETNA,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,BCBS,BCBS,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,CIGNA,CIGNA,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,HUMANA,HUMANA,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,UHC,UHC,,377,169.65,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,500084588,84588,CPT,300,,,,,,,VA,VA,,377,169.65,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,AETNA,AETNA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,BCBS,BCBS,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,CIGNA,CIGNA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,HUMANA,HUMANA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,UHC,UHC,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,500064479,64479,CPT,450,,,,,,,VA,VA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,500064480,64480,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,AETNA,AETNA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,BCBS,BCBS,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,CIGNA,CIGNA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,HUMANA,HUMANA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,UHC,UHC,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,500064483,64483,CPT,450,,,,,,,VA,VA,,7600,3420,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,500064484,64484,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,AETNA,AETNA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,BCBS,BCBS,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,CIGNA,CIGNA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,HUMANA,HUMANA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,UHC,UHC,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,500064490,64490,CPT,450,,,,,,,VA,VA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,500064491,64491,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,500064492,64492,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,AETNA,AETNA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,BCBS,BCBS,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,CIGNA,CIGNA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,HUMANA,HUMANA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,UHC,UHC,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,500064493,64493,CPT,450,,,,,,,VA,VA,,7600,3420,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,500064494,64494,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,AETNA,AETNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,BCBS,BCBS,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,CIGNA,CIGNA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,HUMANA,HUMANA,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,UHC,UHC,,3500,1575,,,,,,,,outpatient,
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,500064495,64495,CPT,450,,,,,,,VA,VA,,3500,1575,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,AETNA,AETNA,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,BCBS,BCBS,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,CIGNA,CIGNA,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,HUMANA,HUMANA,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,UHC,UHC,,850,382.5,,,,,,,,outpatient,
NJX ANES STELLATE GANGLION CRV SYMPATHETIC,500064510,64510,CPT,450,,,,,,,VA,VA,,850,382.5,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,AETNA,AETNA,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,BCBS,BCBS,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,CIGNA,CIGNA,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,HUMANA,HUMANA,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,UHC,UHC,,1436,646.2,,,,,,,,outpatient,
INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,500064517,64517,CPT,450,,,,,,,VA,VA,,1436,646.2,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,AETNA,AETNA,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,BCBS,BCBS,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,CIGNA,CIGNA,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,HUMANA,HUMANA,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,UHC,UHC,,1104,496.8,,,,,,,,outpatient,
FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,500077003,77003,CPT,450,,,,,,,VA,VA,,1104,496.8,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,AETNA,AETNA,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,BCBS,BCBS,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,CIGNA,CIGNA,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,HUMANA,HUMANA,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,UHC,UHC,,1049,472.05,,,,,,,,outpatient,
INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,500064530,64530,CPT,450,,,,,,,VA,VA,,1049,472.05,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,AETNA,AETNA,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,BCBS,BCBS,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,CIGNA,CIGNA,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,HUMANA,HUMANA,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,UHC,UHC,,3921,1764.45,,,,,,,,outpatient,
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,500064555,64555,CPT,450,,,,,,,VA,VA,,3921,1764.45,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,AETNA,AETNA,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,BCBS,BCBS,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,CIGNA,CIGNA,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,HUMANA,HUMANA,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,UHC,UHC,,3807,1713.15,,,,,,,,outpatient,
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,500064575,64575,CPT,450,,,,,,,VA,VA,,3807,1713.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,AETNA,AETNA,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,BCBS,BCBS,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,CIGNA,CIGNA,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,HUMANA,HUMANA,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,UHC,UHC,,1847,831.15,,,,,,,,outpatient,
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,500064590,64590,CPT,450,,,,,,,VA,VA,,1847,831.15,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,AETNA,AETNA,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,BCBS,BCBS,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,CIGNA,CIGNA,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,HUMANA,HUMANA,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,UHC,UHC,,2643,1189.35,,,,,,,,outpatient,
DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,500064600,64600,CPT,450,,,,,,,VA,VA,,2643,1189.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Triamterene Hydrochlorothiazide (Dyazide) 25 mg capsule,5000J8499TRIAMT,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,AETNA,AETNA,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,BCBS,BCBS,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,CIGNA,CIGNA,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,HUMANA,HUMANA,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,UHC,UHC,,748,336.6,,,,,,,,outpatient,
HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,500083013,83013,CPT,300,,,,,,,VA,VA,,748,336.6,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,AETNA,AETNA,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,BCBS,BCBS,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,CIGNA,CIGNA,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,HUMANA,HUMANA,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,UHC,UHC,,4007,1803.15,,,,,,,,outpatient,
DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,500064605,64605,CPT,450,,,,,,,VA,VA,,4007,1803.15,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,AETNA,AETNA,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,BCBS,BCBS,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,CIGNA,CIGNA,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,HUMANA,HUMANA,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,UHC,UHC,,1414,636.3,,,,,,,,outpatient,
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,500064615,64615,CPT,450,,,,,,,VA,VA,,1414,636.3,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,AETNA,AETNA,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,BCBS,BCBS,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,CIGNA,CIGNA,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,HUMANA,HUMANA,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,UHC,UHC,,1256,565.2,,,,,,,,outpatient,
CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,500064616,64616,CPT,450,,,,,,,VA,VA,,1256,565.2,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,AETNA,AETNA,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,BCBS,BCBS,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,CIGNA,CIGNA,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,HUMANA,HUMANA,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,UHC,UHC,,1994,897.3,,,,,,,,outpatient,
DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,500064620,64620,CPT,450,,,,,,,VA,VA,,1994,897.3,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,AETNA,AETNA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,BCBS,BCBS,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,CIGNA,CIGNA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,HUMANA,HUMANA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,UHC,UHC,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,500064633,64633,CPT,450,,,,,,,VA,VA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,AETNA,AETNA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,BCBS,BCBS,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,CIGNA,CIGNA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,HUMANA,HUMANA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,UHC,UHC,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,500064634,64634,CPT,450,,,,,,,VA,VA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,AETNA,AETNA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,BCBS,BCBS,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,CIGNA,CIGNA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,HUMANA,HUMANA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,UHC,UHC,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,500064635,64635,CPT,450,,,,,,,VA,VA,,6000,2700,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,AETNA,AETNA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,BCBS,BCBS,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,CIGNA,CIGNA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,HUMANA,HUMANA,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,UHC,UHC,,3000,1350,,,,,,,,outpatient,
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,500064636,64636,CPT,450,,,,,,,VA,VA,,3000,1350,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,AETNA,AETNA,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,BCBS,BCBS,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,CIGNA,CIGNA,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,HUMANA,HUMANA,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,UHC,UHC,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,500064642,64642,CPT,450,,,,,,,VA,VA,,1237,556.65,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,AETNA,AETNA,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,BCBS,BCBS,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,CIGNA,CIGNA,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,HUMANA,HUMANA,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,UHC,UHC,,825,371.25,,,,,,,,outpatient,
CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,500064643,64643,CPT,450,,,,,,,VA,VA,,825,371.25,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,AETNA,AETNA,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,BCBS,BCBS,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,CIGNA,CIGNA,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,HUMANA,HUMANA,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,UHC,UHC,,1858,836.1,,,,,,,,outpatient,
DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,500064680,64680,CPT,450,,,,,,,VA,VA,,1858,836.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,AETNA,AETNA,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,BCBS,BCBS,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,CIGNA,CIGNA,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,HUMANA,HUMANA,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,UHC,UHC,,3678,1655.1,,,,,,,,outpatient,
NEUROPLASTY NERVE HAND/FOOT,500064704,64704,CPT,450,,,,,,,VA,VA,,3678,1655.1,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,AETNA,AETNA,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,BCBS,BCBS,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,CIGNA,CIGNA,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,HUMANA,HUMANA,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,UHC,UHC,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,500064708,64708,CPT,450,,,,,,,VA,VA,,5730,2578.5,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,AETNA,AETNA,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,BCBS,BCBS,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,CIGNA,CIGNA,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,HUMANA,HUMANA,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,UHC,UHC,,6668,3000.6,,,,,,,,outpatient,
NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,500064712,64712,CPT,450,,,,,,,VA,VA,,6668,3000.6,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,AETNA,AETNA,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,BCBS,BCBS,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,CIGNA,CIGNA,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,HUMANA,HUMANA,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,UHC,UHC,,8313,3740.85,,,,,,,,outpatient,
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,500064784,64784,CPT,450,,,,,,,VA,VA,,8313,3740.85,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,AETNA,AETNA,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,BCBS,BCBS,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,CIGNA,CIGNA,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,HUMANA,HUMANA,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,UHC,UHC,,12074,5433.3,,,,,,,,outpatient,
NERVE GRAFT 1 STRAND ARM/LEG <4 CM,500064892,64892,CPT,450,,,,,,,VA,VA,,12074,5433.3,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,AETNA,AETNA,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,BCBS,BCBS,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,CIGNA,CIGNA,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,HUMANA,HUMANA,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,UHC,UHC,,535,240.75,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,500072202,72202,CPT,320,,,,,,,VA,VA,,535,240.75,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,AETNA,AETNA,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,BCBS,BCBS,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,CIGNA,CIGNA,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,HUMANA,HUMANA,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,UHC,UHC,,1388,624.6,,,,,,,,outpatient,
EPIDUROGRAPY RS&I,500072275,72275,CPT,320,,,,,,,VA,VA,,1388,624.6,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,AETNA,AETNA,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,BCBS,BCBS,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,CIGNA,CIGNA,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,HUMANA,HUMANA,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,UHC,UHC,,1324,595.8,,,,,,,,outpatient,
DISKOGRAPY CERVICAL/THORACIC RS&I,500072285,72285,CPT,320,,,,,,,VA,VA,,1324,595.8,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG -MEDICARE,5000J3490CLIN,J3490,CPT,250,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
"PEPCID - INJECTION, FAMOTIDINE, 20 MG -MEDICARE",5000J3490FAMO,J3490,CPT,636,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,AETNA,AETNA,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,BCBS,BCBS,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,CIGNA,CIGNA,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,HUMANA,HUMANA,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,UHC,UHC,,1156,520.2,,,,,,,,outpatient,
DISKOGRAPY LUMBAR RS&I,500072295,72295,CPT,320,,,,,,,VA,VA,,1156,520.2,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,AETNA,AETNA,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,BCBS,BCBS,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,CIGNA,CIGNA,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,HUMANA,HUMANA,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,UHC,UHC,,530,238.5,,,,,,,,outpatient,
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,500076000,76000,CPT,320,,,,,,,VA,VA,,530,238.5,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,AETNA,AETNA,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,BCBS,BCBS,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,CIGNA,CIGNA,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,HUMANA,HUMANA,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,UHC,UHC,,1016,457.2,,,,,,,,outpatient,
FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,500077001,77001,CPT,320,,,,,,,VA,VA,,1016,457.2,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,AETNA,AETNA,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,BCBS,BCBS,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,CIGNA,CIGNA,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,HUMANA,HUMANA,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,UHC,UHC,,1140,513,,,,,,,,outpatient,
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,500077002,77002,CPT,320,,,,,,,VA,VA,,1140,513,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,AETNA,AETNA,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,BCBS,BCBS,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,CIGNA,CIGNA,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,HUMANA,HUMANA,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,UHC,UHC,,78,35.1,,,,,,,,outpatient,
OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN,500082042,82042,CPT,300,,,,,,,VA,VA,,78,35.1,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,500084080,84080,CPT,300,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
ASSAY OF THYROXINE BINDING GLOBULIN,500084442,84442,CPT,300,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,500086905,86905,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,500087071,87071,CPT,300,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,500087106,87106,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,500087186,87186,CPT,300,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,500087206,87206,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,AETNA,AETNA,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,BCBS,BCBS,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,CIGNA,CIGNA,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,HUMANA,HUMANA,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,UHC,UHC,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 45 MINUTES,500090834,90834,CPT,961,,,,,,,VA,VA,,941,423.45,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,AETNA,AETNA,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,BCBS,BCBS,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,CIGNA,CIGNA,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,HUMANA,HUMANA,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,UHC,UHC,,1413,635.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 60 MINUTES,500090837,90837,CPT,961,,,,,,,VA,VA,,1413,635.85,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,AETNA,AETNA,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,BCBS,BCBS,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,CIGNA,CIGNA,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,HUMANA,HUMANA,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,UHC,UHC,,398,179.1,,,,,,,,outpatient,
SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,500094010,94010,CPT,450,,,,,,,VA,VA,,398,179.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,AETNA,AETNA,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,BCBS,BCBS,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,CIGNA,CIGNA,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,HUMANA,HUMANA,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,UHC,UHC,,1555,699.75,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,500095806,95806,CPT,450,,,,,,,VA,VA,,1555,699.75,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,AETNA,AETNA,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,BCBS Federal,BCBS Federal,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,BCBS,BCBS,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,CIGNA,CIGNA,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,HUMANA,HUMANA,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,UHC,UHC,,3297,1483.65,,,,,,,,outpatient,
MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,500095950,95950,CPT,986,,,,,,,VA,VA,,3297,1483.65,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,AETNA,AETNA,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,BCBS,BCBS,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,CIGNA,CIGNA,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,HUMANA,HUMANA,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,UHC,UHC,,474,213.3,,,,,,,,outpatient,
ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,500095972,95972,CPT,920,,,,,,,VA,VA,,474,213.3,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,AETNA,AETNA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,BCBS,BCBS,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,CIGNA,CIGNA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,HUMANA,HUMANA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,UHC,UHC,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,500096150,96150,CPT,450,,,,,,,VA,VA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,500096152,96152,CPT,450,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,AETNA,AETNA,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,BCBS,BCBS,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,CIGNA,CIGNA,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,HUMANA,HUMANA,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,UHC,UHC,,306,137.7,,,,,,,,outpatient,
IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,500096523,96523,CPT,450,,,,,,,VA,VA,,306,137.7,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,AETNA,AETNA,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,BCBS,BCBS,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,CIGNA,CIGNA,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,HUMANA,HUMANA,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,UHC,UHC,,168,75.6,,,,,,,,outpatient,
APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN,500097032,97032,CPT,450,,,,,,,VA,VA,,168,75.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,AETNA,AETNA,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,BCBS,BCBS,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,CIGNA,CIGNA,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,HUMANA,HUMANA,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,UHC,UHC,,348,156.6,,,,,,,,outpatient,
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,500097110,97110,CPT,450,,,,,,,VA,VA,,348,156.6,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,AETNA,AETNA,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,BCBS,BCBS,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,CIGNA,CIGNA,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,HUMANA,HUMANA,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,UHC,UHC,,395,177.75,,,,,,,,outpatient,
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,500097112,97112,CPT,450,,,,,,,VA,VA,,395,177.75,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,AETNA,AETNA,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,BCBS,BCBS,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,CIGNA,CIGNA,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,HUMANA,HUMANA,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,UHC,UHC,,387,174.15,,,,,,,,outpatient,
SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,500097535,97535,CPT,450,,,,,,,VA,VA,,387,174.15,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,AETNA,AETNA,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,BCBS,BCBS,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,CIGNA,CIGNA,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,HUMANA,HUMANA,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,UHC,UHC,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,500098940,98940,CPT,450,,,,,,,VA,VA,,256,115.2,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,AETNA,AETNA,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,BCBS,BCBS,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,CIGNA,CIGNA,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,HUMANA,HUMANA,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,UHC,UHC,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,500098941,98941,CPT,450,,,,,,,VA,VA,,392,176.4,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,500098943,98943,CPT,450,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,AETNA,AETNA,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,BCBS,BCBS,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,CIGNA,CIGNA,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,HUMANA,HUMANA,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,UHC,UHC,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,500099202,99202,CPT,450,,,,,,,VA,VA,,570,256.5,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,AETNA,AETNA,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,BCBS,BCBS,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,CIGNA,CIGNA,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,HUMANA,HUMANA,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,UHC,UHC,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES,500099203,99203,CPT,450,,,,,,,VA,VA,,857,385.65,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,AETNA,AETNA,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,BCBS,BCBS,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,CIGNA,CIGNA,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,HUMANA,HUMANA,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,UHC,UHC,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES,500099204,99204,CPT,450,,,,,,,VA,VA,,1452,653.4,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,AETNA,AETNA,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,BCBS,BCBS,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,CIGNA,CIGNA,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,HUMANA,HUMANA,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,UHC,UHC,,1895,852.75,,,,,,,,outpatient,
OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES,500099205,99205,CPT,450,,,,,,,VA,VA,,1895,852.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 5 MINUTES,500099211,99211,CPT,450,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,AETNA,AETNA,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,BCBS,BCBS,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,CIGNA,CIGNA,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,HUMANA,HUMANA,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,UHC,UHC,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 10 MINUTES,500099212,99212,CPT,450,,,,,,,VA,VA,,287,129.15,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,AETNA,AETNA,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,BCBS,BCBS,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,CIGNA,CIGNA,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,HUMANA,HUMANA,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,UHC,UHC,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 15 MINUTES,500099213,99213,CPT,450,,,,,,,VA,VA,,575,258.75,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,AETNA,AETNA,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,BCBS,BCBS,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,CIGNA,CIGNA,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,HUMANA,HUMANA,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,UHC,UHC,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 25 MINUTES,500099214,99214,CPT,450,,,,,,,VA,VA,,886,398.7,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,AETNA,AETNA,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,BCBS,BCBS,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,CIGNA,CIGNA,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,HUMANA,HUMANA,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,UHC,UHC,,1249,562.05,,,,,,,,outpatient,
OFFICE OUTPATIENT VISIT 40 MINUTES,500099215,99215,CPT,450,,,,,,,VA,VA,,1249,562.05,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,AETNA,AETNA,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,BCBS,BCBS,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,CIGNA,CIGNA,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,HUMANA,HUMANA,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,UHC,UHC,,1092,491.4,,,,,,,,outpatient,
SUB GRFT F/S/N/H/F/G/M/D <100SCM 1ST 25 SCM,500015275,15275,CPT,450,,,,,,,VA,VA,,1092,491.4,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,AETNA,AETNA,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,BCBS,BCBS,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,CIGNA,CIGNA,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,HUMANA,HUMANA,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,UHC,UHC,,3531,1588.95,,,,,,,,outpatient,
EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,500028090,28090,CPT,450,,,,,,,VA,VA,,3531,1588.95,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,AETNA,AETNA,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,BCBS,BCBS,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,CIGNA,CIGNA,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,HUMANA,HUMANA,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,UHC,UHC,,12781,5751.45,,,,,,,,outpatient,
RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,500028171,28171,CPT,450,,,,,,,VA,VA,,12781,5751.45,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,AETNA,AETNA,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,BCBS,BCBS,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,CIGNA,CIGNA,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,HUMANA,HUMANA,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,UHC,UHC,,1104,496.8,,,,,,,,outpatient,
IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,500049405,49405,CPT,450,,,,,,,VA,VA,,1104,496.8,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,AETNA,AETNA,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,BCBS Federal,BCBS Federal,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,BCBS,BCBS,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,CIGNA,CIGNA,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,HUMANA,HUMANA,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,UHC,UHC,,2376,1069.2,,,,,,,,outpatient,
INSERT GASTROSTOMY TUBE PERCUTANEOUS,500049440,49440,CPT,750,,,,,,,VA,VA,,2376,1069.2,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,AETNA,AETNA,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,BCBS Federal,BCBS Federal,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,BCBS,BCBS,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,CIGNA,CIGNA,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,HUMANA,HUMANA,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,UHC,UHC,,765,344.25,,,,,,,,outpatient,
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,500049450,49450,CPT,750,,,,,,,VA,VA,,765,344.25,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,AETNA,AETNA,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,BCBS,BCBS,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,CIGNA,CIGNA,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,HUMANA,HUMANA,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,UHC,UHC,,1479,665.55,,,,,,,,outpatient,
RENAL BIOPSY PRQ TROCAR/NEEDLE,500050200,50200,CPT,450,,,,,,,VA,VA,,1479,665.55,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,AETNA,AETNA,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,BCBS,BCBS,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,CIGNA,CIGNA,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,HUMANA,HUMANA,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,UHC,UHC,,622,279.9,,,,,,,,outpatient,
RMVL NFROS TUBE REQ FLUORO GUIDANCE,500050389,50389,CPT,450,,,,,,,VA,VA,,622,279.9,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,AETNA,AETNA,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,BCBS,BCBS,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,CIGNA,CIGNA,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,HUMANA,HUMANA,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,UHC,UHC,,2385,1073.25,,,,,,,,outpatient,
PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,500050432,50432,CPT,450,,,,,,,VA,VA,,2385,1073.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,AETNA,AETNA,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,BCBS,BCBS,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,CIGNA,CIGNA,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,HUMANA,HUMANA,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,UHC,UHC,,905,407.25,,,,,,,,outpatient,
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,500060100,60100,CPT,450,,,,,,,VA,VA,,905,407.25,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,AETNA,AETNA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,BCBS,BCBS,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,CIGNA,CIGNA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,HUMANA,HUMANA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,UHC,UHC,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,500062323,62323,CPT,450,,,,,,,VA,VA,,7500,3375,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,AETNA,AETNA,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,BCBS,BCBS,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,CIGNA,CIGNA,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,HUMANA,HUMANA,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,UHC,UHC,,959,431.55,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT PHRENIC NERVE,500064410,64410,CPT,450,,,,,,,VA,VA,,959,431.55,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,AETNA,AETNA,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,BCBS,BCBS,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,CIGNA,CIGNA,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,HUMANA,HUMANA,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,UHC,UHC,,643,289.35,,,,,,,,outpatient,
TAP BLOCK UNILATERAL BY INJECTION(S),500064486,64486,CPT,450,,,,,,,VA,VA,,643,289.35,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,AETNA,AETNA,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,BCBS,BCBS,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,CIGNA,CIGNA,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,HUMANA,HUMANA,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,UHC,UHC,,1485,668.25,,,,,,,,outpatient,
AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,500075625,75625,CPT,300,,,,,,,VA,VA,,1485,668.25,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,AETNA,AETNA,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,BCBS,BCBS,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,CIGNA,CIGNA,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,HUMANA,HUMANA,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,UHC,UHC,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,500075710,75710,CPT,300,,,,,,,VA,VA,,1883,847.35,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,AETNA,AETNA,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,BCBS,BCBS,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,CIGNA,CIGNA,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,HUMANA,HUMANA,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,UHC,UHC,,2008,903.6,,,,,,,,outpatient,
ANGIOGRAPHY EXTREMITY BILATERAL RS&I,500075716,75716,CPT,300,,,,,,,VA,VA,,2008,903.6,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Levetiracetam (Keppra) 500 mg ,5000J8499LEVE,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,AETNA,AETNA,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,BCBS,BCBS,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,CIGNA,CIGNA,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,HUMANA,HUMANA,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,UHC,UHC,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,500075726,75726,CPT,300,,,,,,,VA,VA,,1627,732.15,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,AETNA,AETNA,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,BCBS,BCBS,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,CIGNA,CIGNA,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,HUMANA,HUMANA,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,UHC,UHC,,1745,785.25,,,,,,,,outpatient,
ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,500075736,75736,CPT,300,,,,,,,VA,VA,,1745,785.25,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,AETNA,AETNA,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,BCBS,BCBS,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,CIGNA,CIGNA,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,HUMANA,HUMANA,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,UHC,UHC,,1659,746.55,,,,,,,,outpatient,
ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,500075746,75746,CPT,300,,,,,,,VA,VA,,1659,746.55,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,AETNA,AETNA,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,BCBS,BCBS,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,CIGNA,CIGNA,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,HUMANA,HUMANA,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,UHC,UHC,,928,417.6,,,,,,,,outpatient,
ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,500075774,75774,CPT,300,,,,,,,VA,VA,,928,417.6,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,AETNA,AETNA,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,BCBS,BCBS,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,CIGNA,CIGNA,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,HUMANA,HUMANA,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,UHC,UHC,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY UNILATERAL RS&I,500075820,75820,CPT,300,,,,,,,VA,VA,,1255,564.75,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,AETNA,AETNA,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,BCBS,BCBS,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,CIGNA,CIGNA,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,HUMANA,HUMANA,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,UHC,UHC,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY EXTREMITY BILATERAL RS&I,500075822,75822,CPT,300,,,,,,,VA,VA,,1467,660.15,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,AETNA,AETNA,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,BCBS,BCBS,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,CIGNA,CIGNA,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,HUMANA,HUMANA,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,UHC,UHC,,1466,659.7,,,,,,,,outpatient,
VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,500075825,75825,CPT,300,,,,,,,VA,VA,,1466,659.7,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
Magnesium Citrate (Citroma) 17.5 mg/300 mL,5000J8499MAGCIT,J8499,CPT,250,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,AETNA,AETNA,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,BCBS,BCBS,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,CIGNA,CIGNA,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,HUMANA,HUMANA,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,UHC,UHC,,761,342.45,,,,,,,,outpatient,
REMOVAL INTRAUTERINE DEVICE IUD,500058301,58301,CPT,450,,,,,,,VA,VA,,761,342.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,AETNA,AETNA,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,BCBS,BCBS,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,CIGNA,CIGNA,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,HUMANA,HUMANA,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,UHC,UHC,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,500075827,75827,CPT,300,,,,,,,VA,VA,,1521,684.45,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,AETNA,AETNA,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,BCBS,BCBS,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,CIGNA,CIGNA,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,HUMANA,HUMANA,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,UHC,UHC,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,500075831,75831,CPT,300,,,,,,,VA,VA,,1530,688.5,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,AETNA,AETNA,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,BCBS,BCBS,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,CIGNA,CIGNA,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,HUMANA,HUMANA,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,UHC,UHC,,1811,814.95,,,,,,,,outpatient,
VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,500075833,75833,CPT,300,,,,,,,VA,VA,,1811,814.95,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,AETNA,AETNA,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,BCBS,BCBS,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,CIGNA,CIGNA,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,HUMANA,HUMANA,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,UHC,UHC,,1703,766.35,,,,,,,,outpatient,
CT GUIDANCE NEEDLE PLACEMENT,500077012,77012,CPT,300,,,,,,,VA,VA,,1703,766.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,AETNA,AETNA,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,BCBS,BCBS,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,CIGNA,CIGNA,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,HUMANA,HUMANA,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,UHC,UHC,,1583,712.35,,,,,,,,outpatient,
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,500010030,10030,CPT,450,,,,,,,VA,VA,,1583,712.35,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,AETNA,AETNA,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,BCBS,BCBS,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,CIGNA,CIGNA,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,HUMANA,HUMANA,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,UHC,UHC,,4213,1895.85,,,,,,,,outpatient,
ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,500020982,20982,CPT,450,,,,,,,VA,VA,,4213,1895.85,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
Hydrocortisone Cream 2.5% - Topical,5000A6250HYDRO,A6250,CPT,250,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,AETNA,AETNA,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,BCBS,BCBS,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,CIGNA,CIGNA,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,HUMANA,HUMANA,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,UHC,UHC,,1164,523.8,,,,,,,,outpatient,
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,500075571,75571,CPT,300,,,,,,,VA,VA,,1164,523.8,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,AETNA,AETNA,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,BCBS,BCBS,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,CIGNA,CIGNA,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,HUMANA,HUMANA,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,UHC,UHC,,1742,783.9,,,,,,,,outpatient,
SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,500036014,36014,CPT,450,,,,,,,VA,VA,,1742,783.9,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,AETNA,AETNA,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,BCBS,BCBS,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,CIGNA,CIGNA,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,HUMANA,HUMANA,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,UHC,UHC,,1850,832.5,,,,,,,,outpatient,
ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,500075743,75743,CPT,300,,,,,,,VA,VA,,1850,832.5,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
Cefdinir (Omnicef) 300 mg; cap,5000J8499CEFD,J8499,CPT,250,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,AETNA,AETNA,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,BCBS,BCBS,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,CIGNA,CIGNA,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,HUMANA,HUMANA,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,UHC,UHC,,188,84.6,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,500083835,83835,CPT,300,,,,,,,VA,VA,,188,84.6,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,AETNA,AETNA,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,BCBS,BCBS,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,CIGNA,CIGNA,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,HUMANA,HUMANA,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,UHC,UHC,,3503,1576.35,,,,,,,,outpatient,
OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,500037238,37238,CPT,450,,,,,,,VA,VA,,3503,1576.35,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,AETNA,AETNA,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,BCBS,BCBS,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,CIGNA,CIGNA,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,HUMANA,HUMANA,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,UHC,UHC,,574,258.3,,,,,,,,outpatient,
ASPIRATION AND/OR INJECTION THYROID CYST,500060300,60300,CPT,450,,,,,,,VA,VA,,574,258.3,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
"Hyoscyamine, (Levsin) Sublingual Tab, .125 mg ",5000J8499LEVS,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
Hydrocodone/Acetaminophen 7.5mg/15mLs ,5000J8499HYDROB,J8499,CPT,250,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
METHIMAZOLE (TAPAZOLE) TAB 5MG ,5000J8499MET,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,AETNA,AETNA,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,BCBS,BCBS,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,CIGNA,CIGNA,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,HUMANA,HUMANA,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,UHC,UHC,,1584,712.8,,,,,,,,outpatient,
CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,500096416,96416,CPT,450,,,,,,,VA,VA,,1584,712.8,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,AETNA,AETNA,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,BCBS,BCBS,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,CIGNA,CIGNA,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,HUMANA,HUMANA,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,UHC,UHC,,343,154.35,,,,,,,,outpatient,
CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,500096415,96415,CPT,450,,,,,,,VA,VA,,343,154.35,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,AETNA,AETNA,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,BCBS,BCBS,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,CIGNA,CIGNA,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,HUMANA,HUMANA,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,UHC,UHC,,1644,739.8,,,,,,,,outpatient,
REFILLING & MAINTENANCE PORTABLE PUMP,500096521,96521,CPT,450,,,,,,,VA,VA,,1644,739.8,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,AETNA,AETNA,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,BCBS,BCBS,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,CIGNA,CIGNA,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,HUMANA,HUMANA,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,UHC,UHC,,946,425.7,,,,,,,,outpatient,
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,500087536,87536,CPT,300,,,,,,,VA,VA,,946,425.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,500082105,82105,CPT,300,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,AETNA,AETNA,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,BCBS,BCBS,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,CIGNA,CIGNA,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,HUMANA,HUMANA,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,UHC,UHC,,390,175.5,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,500087500,87500,CPT,300,,,,,,,VA,VA,,390,175.5,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,AETNA,AETNA,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,BCBS,BCBS,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,CIGNA,CIGNA,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,HUMANA,HUMANA,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,UHC,UHC,,1425,641.25,,,,,,,,outpatient,
NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,500087505,87505,CPT,300,,,,,,,VA,VA,,1425,641.25,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Cymbalta (Duloxetine Hydrochloride) 30 MG,5000J8499CYM,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,AETNA,AETNA,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,BCBS,BCBS,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,CIGNA,CIGNA,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,HUMANA,HUMANA,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,UHC,UHC,,312,140.4,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,500084207,84207,CPT,300,,,,,,,VA,VA,,312,140.4,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,AETNA,AETNA,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,BCBS,BCBS,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,UHC,UHC,,279,125.55,,,,,,,,outpatient,
Tranexamic Acid (Cyklokapron) 1000 mg/10 mL; inj,5000J3490TRANE,J3490,CPT,250,,,,,,,VA,VA,,279,125.55,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Buspirone 5 mg; tab,5000J8499BUSP,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,AETNA,AETNA,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,BCBS,BCBS,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,CIGNA,CIGNA,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,HUMANA,HUMANA,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,UHC,UHC,,1580,711,,,,,,,,outpatient,
CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,500096413,96413,CPT,450,,,,,,,VA,VA,,1580,711,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Metoprolol Tartrate (Lopressor) 5 MG/5 mL,5000J3490METO,J3490,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Lidocaine Hcl (Lidocaine 2%) Mdv 2% 20 mL,5000J3490LIDO,J3490,CPT,250,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,AETNA,AETNA,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,BCBS Federal,BCBS Federal,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,BCBS,BCBS,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,CIGNA,CIGNA,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,HUMANA,HUMANA,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,UHC,UHC,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,500095827,95827,CPT,740,,,,,,,VA,VA,,6272,2822.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,AETNA,AETNA,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,BCBS,BCBS,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,CIGNA,CIGNA,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,HUMANA,HUMANA,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,UHC,UHC,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,500095812,95812,CPT,920,,,,,,,VA,VA,,3663,1648.35,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,AETNA,AETNA,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,BCBS,BCBS,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,CIGNA,CIGNA,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,HUMANA,HUMANA,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,UHC,UHC,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,500095813,95813,CPT,920,,,,,,,VA,VA,,4552,2048.4,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,AETNA,AETNA,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,BCBS,BCBS,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,CIGNA,CIGNA,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,HUMANA,HUMANA,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,UHC,UHC,,4814,2166.3,,,,,,,,outpatient,
ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,500095819,95819,CPT,920,,,,,,,VA,VA,,4814,2166.3,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,AETNA,AETNA,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,BCBS,BCBS,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,CIGNA,CIGNA,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,HUMANA,HUMANA,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,UHC,UHC,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,500095801,95801,CPT,920,,,,,,,VA,VA,,1025,461.25,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,AETNA,AETNA,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,BCBS,BCBS,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,CIGNA,CIGNA,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,HUMANA,HUMANA,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,UHC,UHC,,1910,859.5,,,,,,,,outpatient,
SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,500095800,95800,CPT,920,,,,,,,VA,VA,,1910,859.5,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
POTASSIUM URINE,500084133,84133,CPT,300,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,AETNA,AETNA,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,BCBS,BCBS,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,CIGNA,CIGNA,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,HUMANA,HUMANA,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,UHC,UHC,,950,427.5,,,,,,,,outpatient,
Direct admission of patient for hospital observation care,5000G0379,G0379,CPT,760,,,,,,,VA,VA,,950,427.5,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 2 MG,5000J8499NICOGUM2,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Nicotine Gum; 4 MG,5000J8499NICOGUM4,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,AETNA,AETNA,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,BCBS,BCBS,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,CIGNA,CIGNA,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,HUMANA,HUMANA,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,UHC,UHC,,390,175.5,,,,,,,,outpatient,
IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,500087535,87535,CPT,300,,,,,,,VA,VA,,390,175.5,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
Hydrocodone/APAP 7.2/325 MG Elixir,5000J8499HYDROAPAP,J8499,CPT,250,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,AETNA,AETNA,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,BCBS,BCBS,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,CIGNA,CIGNA,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,HUMANA,HUMANA,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,UHC,UHC,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT RED BLOOD CELL AUTOMATED,500085041,85041,CPT,305,,,,,,,VA,VA,,34,15.3,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 25 MG; tab,5000J8499SERO,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
Seroquel (Quetiapine) 100 MG; tab,5000J8499SERO100,J8499,CPT,250,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Terazosin 1 MG; cap,5000J8499TERA,J8499,CPT,250,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Terazosin 5 MG; cap,5000J8499TERA5,J8499,CPT,250,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Glimepriride (Amaryl) 2 MG; tab,5000J8499GLIM,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Aripiprazole (Abilify) 10 MG,5000J8499ABIL,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
"Insulin for administration through dme (i.e., insulin pump) per 50 units",5000J1817,J1817,CPT,636,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,AETNA,AETNA,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,BCBS,BCBS,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,CIGNA,CIGNA,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,HUMANA,HUMANA,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,UHC,UHC,,522,234.9,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,500086360,86360,CPT,300,,,,,,,VA,VA,,522,234.9,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,500084540,84540,CPT,300,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
"Mag-Al + simeth, (Mylanta) Susp 200-200-20 MG",5000J8499MAGAL,J8499,CPT,250,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Penicillin V Potassium (Penicillin VK) 500 MG,5000J8499PENI,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
Aspirin 300 mg; suppository,5000J8498ASPI,J8498,CPT,250,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Simvastatin 20 MG; PO,5000J8499SIM,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,AETNA,AETNA,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,BCBS,BCBS,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,CIGNA,CIGNA,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,HUMANA,HUMANA,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,UHC,UHC,,7947,3576.15,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,500093229,93229,CPT,731,,,,,,,VA,VA,,7947,3576.15,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,5000A9575DOT10,A9575,CPT,250,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,AETNA,AETNA,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,BCBS,BCBS,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,UHC,UHC,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,5000A9575DOT15,A9575,CPT,250,,,,,,,VA,VA,,292,131.4,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,AETNA,AETNA,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,BCBS,BCBS,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,UHC,UHC,,390,175.5,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,5000A9575DOT20,A9575,CPT,250,,,,,,,VA,VA,,390,175.5,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec) 10 MG; tab,5000J8499ZYR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Cetirizine Hydrochloride (Zyrtec Liquid) 5 mL,5000J8499ZYRLIQ,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,5000J8499ZOF,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Nifedipine (Procardia) 30 MG; tab,5000J8499NIFE,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Donepezil (Aricept) 5 MG; tab,5000J8499DONE,J8499,CPT,250,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
Losartan Potassium (Cozaar) 50 MG; tab,5000J8499LOSAR,J8499,CPT,250,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
"Probiotics (Lactinex), tab",5000J8499PROBIO,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
Losartan Potassium 25 MG; tab,5000J8499LOSAR25,J8499,CPT,250,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
Donnatal 10 mL(GI),5000J8499DONN,J8499,CPT,250,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
MAALOX 30 ML(MYLANTA)(GI),5000J8499MAA,J8499,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
LIDOCAINE 10ML ORAL(GI),5000J8499LIDOC,J8499,CPT,636,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Temazepam (Restoril) 15 MG; PO,5000J8499TEMA,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
Linezolid (Zyvox) 600 MG; Tab,5000J8499LINE,J8499,CPT,250,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Sodium Chloride Inhalation Solution 0.9% 3 mL vial,5000J8499SODCHL,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
Triamcinolone Acetonide (Kenalog) Topical 0.1% 30 GM ,5000J3490TRIAM30,A6250,CPT,250,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,AETNA,AETNA,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,BCBS,BCBS,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,CIGNA,CIGNA,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,HUMANA,HUMANA,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,UHC,UHC,,230,103.5,,,,,,,,outpatient,
PREGNENOLONE,500084140,84140,CPT,300,,,,,,,VA,VA,,230,103.5,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,AETNA,AETNA,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,BCBS,BCBS,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,CIGNA,CIGNA,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,HUMANA,HUMANA,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,UHC,UHC,,359,161.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,500082671,82671,CPT,300,,,,,,,VA,VA,,359,161.55,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,AETNA,AETNA,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,BCBS,BCBS,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,CIGNA,CIGNA,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,HUMANA,HUMANA,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,UHC,UHC,,211,94.95,,,,,,,,outpatient,
ASSAY OF ARSENIC,500082175,82175,CPT,300,,,,,,,VA,VA,,211,94.95,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,AETNA,AETNA,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,BCBS,BCBS,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,CIGNA,CIGNA,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,HUMANA,HUMANA,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,UHC,UHC,,135,60.75,,,,,,,,outpatient,
ASSAY OF LEAD,500083655,83655,CPT,300,,,,,,,VA,VA,,135,60.75,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,AETNA,AETNA,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,BCBS,BCBS,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,CIGNA,CIGNA,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,HUMANA,HUMANA,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,UHC,UHC,,257,115.65,,,,,,,,outpatient,
CADMIUM,500082300,82300,CPT,300,,,,,,,VA,VA,,257,115.65,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,500083825,83825,CPT,300,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
"Sorbitol 70% solution, 30 mL PO",5000J8499SORB,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Fluoxetine (Prozac) 10 MG; tab,5000J8499FLUPRO,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Isosorbide Mononitrate (Imdur) 30 MG; tab,5000J8499ISOMON,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Oxcarbazepine (Trileptal) 150 MG; tab,5000J8499OXCAR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Prazosin (Minipress) 1 MG; tab,5000J8499PRAZ,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Topiramate (Topamax) 50MG PO; tab,5000J8499TOPI,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Vitamin C 500 MG; tab,5000J8499VITC,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,AETNA,AETNA,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,BCBS,BCBS,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,CIGNA,CIGNA,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,HUMANA,HUMANA,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,UHC,UHC,,2514,1131.3,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,500093978,93978,CPT,402,,,,,,,VA,VA,,2514,1131.3,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Acetaminophen Elixir Liquid 250 MG; PO,5000J8499ACETAELI,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,AETNA,AETNA,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,BCBS,BCBS,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,CIGNA,CIGNA,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,HUMANA,HUMANA,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,UHC,UHC,,4884,2197.8,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,500070549,70549,CPT,615,,,,,,,VA,VA,,4884,2197.8,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,AETNA,AETNA,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,BCBS,BCBS,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,CIGNA,CIGNA,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,HUMANA,HUMANA,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,UHC,UHC,,3762,1692.9,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,500070336,70336,CPT,320,,,,,,,VA,VA,,3762,1692.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) VL 1000 MG/10 mL ,5000J3490TRAACD,J3490,CPT,250,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,AETNA,AETNA,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,BCBS,BCBS,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,CIGNA,CIGNA,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,HUMANA,HUMANA,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,UHC,UHC,,296,133.2,,,,,,,,outpatient,
XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,500093228,93228,CPT,731,,,,,,,VA,VA,,296,133.2,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,AETNA,AETNA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,BCBS,BCBS,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,CIGNA,CIGNA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,HUMANA,HUMANA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,UHC,UHC,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,50000295T,0295T,CPT,731,,,,,,,VA,VA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,AETNA,AETNA,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,BCBS,BCBS,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,CIGNA,CIGNA,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,HUMANA,HUMANA,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,UHC,UHC,,532,239.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR INITIAL RECORDING AND CONNECT,50000296T,0296T,CPT,731,,,,,,,VA,VA,,532,239.4,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,AETNA,AETNA,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,BCBS,BCBS,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,CIGNA,CIGNA,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,HUMANA,HUMANA,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,UHC,UHC,,751,337.95,,,,,,,,outpatient,
EXTERNAL ECG SCANNING ANALYSIS REPORT MORE THAN 48 HOURS,50000297T,0297T,CPT,731,,,,,,,VA,VA,,751,337.95,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,AETNA,AETNA,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,BCBS,BCBS,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,CIGNA,CIGNA,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,HUMANA,HUMANA,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,UHC,UHC,,549,247.05,,,,,,,,outpatient,
XTRNL ECG CONTINUOUS RHYTHM W/I&R MORE THAN 48 HRS,50000298T,0298T,CPT,731,,,,,,,VA,VA,,549,247.05,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
ACTIVATED PROTEIN C APC RESISTANCE ASSAY,500085307,85307,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,AETNA,AETNA,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,BCBS,BCBS,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,CIGNA,CIGNA,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,HUMANA,HUMANA,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,UHC,UHC,,657,295.65,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,500081240,81240,CPT,300,,,,,,,VA,VA,,657,295.65,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,AETNA,AETNA,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,BCBS,BCBS,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,CIGNA,CIGNA,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,HUMANA,HUMANA,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,UHC,UHC,,3409,1534.05,,,,,,,,outpatient,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,500025650,25650,CPT,450,,,,,,,VA,VA,,3409,1534.05,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
ASSAY OF ZINC,500084630,84630,CPT,300,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,AETNA,AETNA,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,BCBS,BCBS,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,CIGNA,CIGNA,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,HUMANA,HUMANA,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,UHC,UHC,,428,192.6,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,500082652,82652,CPT,300,,,,,,,VA,VA,,428,192.6,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,AETNA,AETNA,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,BCBS,BCBS,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,CIGNA,CIGNA,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,HUMANA,HUMANA,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,UHC,UHC,,204,91.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,500086022,86022,CPT,300,,,,,,,VA,VA,,204,91.8,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,AETNA,AETNA,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,BCBS,BCBS,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,CIGNA,CIGNA,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,HUMANA,HUMANA,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,UHC,UHC,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,500043762,43762,CPT,450,,,,,,,VA,VA,,433,194.85,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,AETNA,AETNA,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,BCBS,BCBS,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,CIGNA,CIGNA,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,HUMANA,HUMANA,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,UHC,UHC,,959,431.55,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,500043763,43763,CPT,450,,,,,,,VA,VA,,959,431.55,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,AETNA,AETNA,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,BCBS Federal,BCBS Federal,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,BCBS,BCBS,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,CIGNA,CIGNA,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,HUMANA,HUMANA,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,UHC,UHC,,394,177.3,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,500036430,36430,CPT,391,,,,,,,VA,VA,,394,177.3,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,AETNA,AETNA,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,BCBS,BCBS,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,CIGNA,CIGNA,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,HUMANA,HUMANA,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,UHC,UHC,,3205,1442.25,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,500070540,70540,CPT,615,,,,,,,VA,VA,,3205,1442.25,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,AETNA,AETNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,BCBS,BCBS,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,CIGNA,CIGNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,HUMANA,HUMANA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,UHC,UHC,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,500086920,86920,CPT,300,,,,,,,VA,VA,,238,107.1,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,AETNA,AETNA,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,BCBS,BCBS,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,CIGNA,CIGNA,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,HUMANA,HUMANA,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,UHC,UHC,,4582,2061.9,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC W/O ANES,500027265,27265,CPT,450,,,,,,,VA,VA,,4582,2061.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,AETNA,AETNA,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,BCBS,BCBS,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,CIGNA,CIGNA,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,HUMANA,HUMANA,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,UHC,UHC,,1417,637.65,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVALUATION,500090791,90791,CPT,450,,,,,,,VA,VA,,1417,637.65,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,AETNA,AETNA,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,BCBS,BCBS,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,CIGNA,CIGNA,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,HUMANA,HUMANA,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,UHC,UHC,,280,126,,,,,,,,outpatient,
GROUP PSYCHOTHERAPY,500090853,90853,CPT,450,,,,,,,VA,VA,,280,126,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,AETNA,AETNA,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,BCBS,BCBS,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,CIGNA,CIGNA,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,HUMANA,HUMANA,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,UHC,UHC,,1185,533.25,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,500090847,90847,CPT,450,,,,,,,VA,VA,,1185,533.25,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,AETNA,AETNA,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,BCBS,BCBS,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,CIGNA,CIGNA,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,HUMANA,HUMANA,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,UHC,UHC,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,500090875,90875,CPT,450,,,,,,,VA,VA,,691,310.95,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,AETNA,AETNA,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,BCBS,BCBS,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,CIGNA,CIGNA,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,HUMANA,HUMANA,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,UHC,UHC,,1095,492.75,,,,,,,,outpatient,
INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,500090876,90876,CPT,450,,,,,,,VA,VA,,1095,492.75,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,AETNA,AETNA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,BCBS,BCBS,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,CIGNA,CIGNA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,HUMANA,HUMANA,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,UHC,UHC,,240,108,,,,,,,,outpatient,
HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,500096151,96151,CPT,450,,,,,,,VA,VA,,240,108,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Sumatriptan (Imitrex) 50 MG; PO,5000J8499SUMA,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,AETNA,AETNA,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,BCBS,BCBS,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,UHC,UHC,,68,30.6,,,,,,,,outpatient,
Flecainide Acetate (Tombocor) 50 MG; tab,5000J8499FLEACE,J8499,CPT,250,,,,,,,VA,VA,,68,30.6,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,AETNA,AETNA,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,BCBS,BCBS,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,UHC,UHC,,5.71,2.57,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000J3490METFLA,J3490,CPT,636,,,,,,,VA,VA,,5.71,2.57,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,500083921,83921,CPT,301,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
Valsartan 40 mg PO,5000J8499VALS,J8499,CPT,250,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Diltiazem HCL 120 mg PO,5000J8499DILHCL,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Tizanidine 4 mg PO; tab,5000J8499TIZ,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Adderall 20 mg; PO,5000J8499ADD,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Dilantin (Phenytoin) 100 mg,5000J8499DILA,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
"Potassium Chloride (Klor-Con, Liquid) Liq 20 meq/15 mL",5000J8499POTCHL,J8499,CPT,250,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,5000A9576,A9576,CPT,250,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,500086738,86738,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,500090674,90674,CPT,636,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,AETNA,AETNA,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,BCBS Federal,BCBS Federal,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,BCBS,BCBS,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,CIGNA,CIGNA,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,HUMANA,HUMANA,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,UHC,UHC,,387,174.15,,,,,,,,outpatient,
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI,500097802,97802,CPT,459,,,,,,,VA,VA,,387,174.15,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,AETNA,AETNA,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,BCBS,BCBS,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,CIGNA,CIGNA,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,HUMANA,HUMANA,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,UHC,UHC,,179,80.55,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,500083090,83090,CPT,301,,,,,,,VA,VA,,179,80.55,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,AETNA,AETNA,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,BCBS,BCBS,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,CIGNA,CIGNA,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,HUMANA,HUMANA,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,UHC,UHC,,609,274.05,,,,,,,,outpatient,
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,500020606,20606,CPT,450,,,,,,,VA,VA,,609,274.05,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Lyrica (Pregabalin) 50 mg; PO,5000J8499LYR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,AETNA,AETNA,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,BCBS,BCBS,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,UHC,UHC,,1088,489.6,,,,,,,,outpatient,
"Santyl Ointment (Collagenase) 250 U/GM, 30 GM tube",5000J8499SAN,J8499,CPT,250,,,,,,,VA,VA,,1088,489.6,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,AETNA,AETNA,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,BCBS,BCBS,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,CIGNA,CIGNA,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,HUMANA,HUMANA,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,UHC,UHC,,638,287.1,,,,,,,,outpatient,
CATHETER ASPIRATION NASOTRACHEAL SPX,500031720,31720,CPT,450,,,,,,,VA,VA,,638,287.1,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,500082103,82103,CPT,300,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,AETNA,AETNA,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,BCBS,BCBS,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,CIGNA,CIGNA,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,HUMANA,HUMANA,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,UHC,UHC,,702,315.9,,,,,,,,outpatient,
IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,500087634,87634,CPT,300,,,,,,,VA,VA,,702,315.9,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,AETNA,AETNA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,BCBS,BCBS,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,CIGNA,CIGNA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,HUMANA,HUMANA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,UHC,UHC,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,500086777,86777,CPT,300,,,,,,,VA,VA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,AETNA,AETNA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,BCBS,BCBS,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,CIGNA,CIGNA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,HUMANA,HUMANA,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,UHC,UHC,,144,64.8,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,500086778,86778,CPT,300,,,,,,,VA,VA,,144,64.8,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,AETNA,AETNA,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,BCBS,BCBS,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,CIGNA,CIGNA,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,HUMANA,HUMANA,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,UHC,UHC,,468,210.6,,,,,,,,outpatient,
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,500046600,46600,CPT,450,,,,,,,VA,VA,,468,210.6,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Ziprasidone HCl (Geodon) 20 mg; PO,5000J8499ZIPR,J8499,CPT,250,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,AETNA,AETNA,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,BCBS,BCBS,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,CIGNA,CIGNA,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,HUMANA,HUMANA,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,UHC,UHC,,149,67.05,,,,,,,,outpatient,
ASSAY OF ETHYLENE GLYCOL,500082693,82693,CPT,300,,,,,,,VA,VA,,149,67.05,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
ASSAY OF VOLATILES,500084600,84600,CPT,300,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Baclofen 10 MG; PO,5000J8499BACL,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,AETNA,AETNA,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,BCBS,BCBS,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,CIGNA,CIGNA,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,HUMANA,HUMANA,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,UHC,UHC,,6068,2730.6,,,,,,,,outpatient,
VULVECTOMY SIMPLE PARTIAL,500056620,56620,CPT,450,,,,,,,VA,VA,,6068,2730.6,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,AETNA,AETNA,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,BCBS,BCBS,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,UHC,UHC,,1896,853.2,,,,,,,,outpatient,
Promethazine Hcl + Codeine (Phenergan w/ Codeine) 10-6.25 mg/5 mL; Syrup,5000J8499PROME,J8499,CPT,250,,,,,,,VA,VA,,1896,853.2,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,AETNA,AETNA,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,BCBS,BCBS,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,UHC,UHC,,158,71.1,,,,,,,,outpatient,
Mirabegron (Myrbetriq) 50 mg; PO,5000J8499MIRA,J8499,CPT,250,,,,,,,VA,VA,,158,71.1,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Nabumetone 750 mg; PO,5000J8499NABU,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Effexor (Venlafaxine Hcl) 75 mg; tab,5000J8499EFFE,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,AETNA,AETNA,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,BCBS,BCBS,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,CIGNA,CIGNA,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,HUMANA,HUMANA,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,UHC,UHC,,4809,2164.05,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,500070543,70543,CPT,615,,,,,,,VA,VA,,4809,2164.05,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,500085370,85370,CPT,305,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,500087220,87220,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
Diclofenac Sodium 1%; ointment,5000A6250DICL,A6250,CPT,250,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
Fluticasone Propionate INH 50 mcg; nasal spray,5000J8499FLUINH,J8499,CPT,250,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Cholestyramine 4 gm; powder packet,5000J8499CHOL,J8499,CPT,250,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
Loestrin (Norethindrone Acetate) 1 mg,5000J8499LOES,J8499,CPT,250,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
Venlafaxine HCl 75 mg; capsule,5000J8499VEN,J8499,CPT,250,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,AETNA,AETNA,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,BCBS,BCBS,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,CIGNA,CIGNA,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,HUMANA,HUMANA,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,UHC,UHC,,218,98.1,,,,,,,,outpatient,
INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,500087809,87809,CPT,300,,,,,,,VA,VA,,218,98.1,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Benadryl Tab 25 mg Medicare,5000J8499BENTAB,J8499,CPT,257,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
PEPCID/FAMOTIDINE 20MG TAB - Medicare,5000J8499PEPTAB,J8499,CPT,250,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,AETNA,AETNA,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,BCBS,BCBS,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,CIGNA,CIGNA,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,HUMANA,HUMANA,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,UHC,UHC,,3605,1622.25,,,,,,,,outpatient,
INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,500036571,36571,CPT,450,,,,,,,VA,VA,,3605,1622.25,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,AETNA,AETNA,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,BCBS,BCBS,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,CIGNA,CIGNA,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,HUMANA,HUMANA,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,UHC,UHC,,4000,1800,,,,,,,,outpatient,
EXPLORATION PENETRATING WOUND SPX EXTREMITY,500020103,20103,CPT,450,,,,,,,VA,VA,,4000,1800,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,AETNA,AETNA,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,BCBS,BCBS,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,CIGNA,CIGNA,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,HUMANA,HUMANA,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,UHC,UHC,,1200,540,,,,,,,,outpatient,
Bronchoscope Disposable,5000A9999,A9999,CPT,272,,,,,,,VA,VA,,1200,540,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,AETNA,AETNA,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,BCBS,BCBS,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,UHC,UHC,,308,138.6,,,,,,,,outpatient,
Doxycycline 100 mg IV,5000J3490DOXY,J3490,CPT,272,,,,,,,VA,VA,,308,138.6,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,AETNA,AETNA,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,BCBS,BCBS,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,CIGNA,CIGNA,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,HUMANA,HUMANA,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,UHC,UHC,,4657,2095.65,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,500070546,70546,CPT,615,,,,,,,VA,VA,,4657,2095.65,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
2019 - nCoV diagnostic P,5000U0001,U0001,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
COVID-19 lab test non-CDC,5000U0002,U0002,CPT,306,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
DHA/EPA 200mg/300mg,5000J8499DHAEPA,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
CBD (Vesisorb) 334 mg,5000J8499CBD,J8499,CPT,250,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
NAC N-Acetyl-L-Cysteine 900 mg,5000J8499NAC,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Bumetanide (Bumex) 1 mg; PO,5000J8499BUME,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Finasteride 5 mg; PO,5000J8499FINA,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,500087635,87635,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,AETNA,AETNA,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,BCBS,BCBS,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,CIGNA,CIGNA,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,HUMANA,HUMANA,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,UHC,UHC,,201,90.45,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,500087650,87650,CPT,300,,,,,,,VA,VA,,201,90.45,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,AETNA,AETNA,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,BCBS,BCBS,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,CIGNA,CIGNA,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,HUMANA,HUMANA,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,UHC,UHC,,280,126,,,,,,,,outpatient,
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,500090732,90732,CPT,636,,,,,,,VA,VA,,280,126,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,AETNA,AETNA,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,BCBS,BCBS,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,CIGNA,CIGNA,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,HUMANA,HUMANA,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,UHC,UHC,,1919,863.55,,,,,,,,outpatient,
DRG OF SKENES GLAND ABSCESS OR CYST,500053060,53060,CPT,450,,,,,,,VA,VA,,1919,863.55,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,500087581,87581,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 75 mg; PO,5000J8499VOLT,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
Voltaren (diclofenac) 1% topical gel 100 gm tube,5000A6250VOLT,A6250,CPT,250,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,AETNA,AETNA,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,BCBS,BCBS,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,CIGNA,CIGNA,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,HUMANA,HUMANA,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,UHC,UHC,,4588,2064.6,,,,,,,,outpatient,
CLTX PROX FIBULA/SHFT FX W/MANJ,500027781,27781,CPT,450,,,,,,,VA,VA,,4588,2064.6,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
Medroxyprogesterone Acetate (Provera) 20 mg; PO,5000J8499MEDR,J8499,CPT,250,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,AETNA,AETNA,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,BCBS Federal,BCBS Federal,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,BCBS,BCBS,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,CIGNA,CIGNA,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,HUMANA,HUMANA,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,UHC,UHC,,149,67.05,,,,,,,,outpatient,
Brief check in by md/qhp,5000G2012,G2012,CPT,220,,,,,,,VA,VA,,149,67.05,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,AETNA,AETNA,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,BCBS,BCBS,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,CIGNA,CIGNA,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,HUMANA,HUMANA,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,UHC,UHC,,824,370.8,,,,,,,,outpatient,
SBSQ OBSERVATION CARE/DAY 25 MINUTES,500099225,99225,CPT,762,,,,,,,VA,VA,,824,370.8,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,AETNA,AETNA,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,BCBS,BCBS,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,CIGNA,CIGNA,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,HUMANA,HUMANA,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,UHC,UHC,,890,400.5,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,500099232,99232,CPT,760,,,,,,,VA,VA,,890,400.5,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Pravastatin 20 mg; PO,5000J8499PRAV,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,500080324,80324,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING BENZODIAZEPINES 13 OR MORE,500080347,80347,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING BUPRENORPHINE,500080348,80348,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING COCAINE,500080353,80353,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING FENTANYL,500080354,80354,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHADONE,500080358,80358,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,500080359,80359,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING OPIATES 1 OR MORE,500080361,80361,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING OXYCODONE,500080365,80365,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING TAPENTADOL,500080372,80372,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
DRUG SCREENING TRAMADOL,500080373,80373,CPT,300,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Pristiq (Desvenlafaxine) 50 mg; PO,5000J8499PRIS,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) - Medicare,5000J8499MUL,J8499,CPT,257,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,AETNA,AETNA,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,BCBS,BCBS,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,UHC,UHC,,178,80.1,,,,,,,,outpatient,
PROTONIX - PANTROPRAZOLE 40MG - Medicare,5000PROTMED,J3490,CPT,250,,,,,,,VA,VA,,178,80.1,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,500082373,82373,CPT,301,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,500083663,83663,CPT,301,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,500083664,83664,CPT,301,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,AETNA,AETNA,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,BCBS,BCBS,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,CIGNA,CIGNA,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,HUMANA,HUMANA,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,UHC,UHC,,83,37.35,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,500084078,84078,CPT,301,,,,,,,VA,VA,,83,37.35,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,500084160,84160,CPT,301,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,AETNA,AETNA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,BCBS,BCBS,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,CIGNA,CIGNA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,HUMANA,HUMANA,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,UHC,UHC,,171,76.95,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,500084591,84591,CPT,301,,,,,,,VA,VA,,171,76.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,500081005,81005,CPT,307,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,500081020,81020,CPT,307,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,500084578,84578,CPT,307,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,500084580,84580,CPT,307,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,AETNA,AETNA,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,BCBS,BCBS,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,CIGNA,CIGNA,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,HUMANA,HUMANA,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,UHC,UHC,,61,27.45,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,500084583,84583,CPT,307,,,,,,,VA,VA,,61,27.45,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,500085013,85013,CPT,305,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,500085004,85004,CPT,305,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,AETNA,AETNA,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,BCBS,BCBS,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,CIGNA,CIGNA,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,HUMANA,HUMANA,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,UHC,UHC,,34,15.3,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,500085008,85008,CPT,305,,,,,,,VA,VA,,34,15.3,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,500085009,85009,CPT,305,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,500085049,85049,CPT,305,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,500085046,85046,CPT,305,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,AETNA,AETNA,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,BCBS,BCBS,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,CIGNA,CIGNA,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,HUMANA,HUMANA,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,UHC,UHC,,1426,641.7,,,,,,,,outpatient,
PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,500032556,32556,CPT,450,,,,,,,VA,VA,,1426,641.7,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,AETNA,AETNA,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,BCBS,BCBS,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,CIGNA,CIGNA,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,HUMANA,HUMANA,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,UHC,UHC,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 8-14 classes,5000G0481,G0481,CPT,300,,,,,,,VA,VA,,1565.9,704.66,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,AETNA,AETNA,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,BCBS,BCBS,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,CIGNA,CIGNA,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,HUMANA,HUMANA,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,UHC,UHC,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def 22+ classes,5000G0483,G0483,CPT,300,,,,,,,VA,VA,,2469.2,1111.14,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
Drug test def simple all cl,5000G0659,G0659,CPT,300,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,AETNA,AETNA,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,BCBS Federal,BCBS Federal,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,BCBS,BCBS,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,CIGNA,CIGNA,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,HUMANA,HUMANA,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,UHC,UHC,,996,448.2,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,500099243,99243,CPT,509,,,,,,,VA,VA,,996,448.2,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,500080299,80299,CPT,300,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,AETNA,AETNA,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,BCBS,BCBS,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,UHC,UHC,,244,109.8,,,,,,,,outpatient,
Megace (Megestrol Acetate) 400 mg/10; PO,5000J8499MEGACE,J8499,CPT,250,,,,,,,VA,VA,,244,109.8,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,500082955,82955,CPT,300,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,500086769,86769,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,500086328,86328,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Methylphenidate (Ritalin) 5 mg; tab,5000J8499METHYL,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
Glucerna,5000J8499GLUCE,J8499,CPT,250,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,AETNA,AETNA,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,BCBS,BCBS,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,UHC,UHC,,547,246.15,,,,,,,,outpatient,
Betamethasone Dipropionate Gel (Diprolene Gel); 15 GM tube,5000A6250BETA,A6250,CPT,250,,,,,,,VA,VA,,547,246.15,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,AETNA,AETNA,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,BCBS,BCBS,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,CIGNA,CIGNA,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,HUMANA,HUMANA,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,UHC,UHC,,9714,4371.3,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,500073225,73225,CPT,610,,,,,,,VA,VA,,9714,4371.3,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,AETNA,AETNA,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,BCBS,BCBS,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,CIGNA,CIGNA,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,HUMANA,HUMANA,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,UHC,UHC,,1326,596.7,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,500041005,41005,CPT,450,,,,,,,VA,VA,,1326,596.7,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
Misoprostol (Cytotec) 100 mcg; tab,5000J8499MISO,J8499,CPT,250,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET - Medicare,5000J8499MOTMED,J8499,CPT,257,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
TYLENOL UP TO 1GM (1000MG) - Medicare,5000J8499TYLMED,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
ONDANSETRON 4 MG - Medicare,5000J8499ONDMED,J8499,CPT,250,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",5000C1751,C1751,CPT,270,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,AETNA,AETNA,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,BCBS,BCBS,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,CIGNA,CIGNA,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,HUMANA,HUMANA,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,UHC,UHC,,2990,1345.5,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,500041008,41008,CPT,450,,,,,,,VA,VA,,2990,1345.5,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,AETNA,AETNA,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,BCBS,BCBS,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,CIGNA,CIGNA,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,HUMANA,HUMANA,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,UHC,UHC,,5165,2324.25,,,,,,,,outpatient,
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,500049585,49585,CPT,450,,,,,,,VA,VA,,5165,2324.25,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
APPLICATION MODALITY 1/> AREAS INFRARED,500097026,97026,CPT,450,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,AETNA,AETNA,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,BCBS,BCBS,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,CIGNA,CIGNA,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,HUMANA,HUMANA,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,UHC,UHC,,13430,6043.5,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,500071552,71552,CPT,610,,,,,,,VA,VA,,13430,6043.5,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,AETNA,AETNA,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,BCBS,BCBS,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,CIGNA,CIGNA,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,HUMANA,HUMANA,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,UHC,UHC,,3255,1464.75,,,,,,,,outpatient,
RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,500044050,44050,CPT,450,,,,,,,VA,VA,,3255,1464.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,AETNA,AETNA,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,BCBS,BCBS,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,CIGNA,CIGNA,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,HUMANA,HUMANA,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,UHC,UHC,,2475,1113.75,,,,,,,,outpatient,
I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,500054700,54700,CPT,450,,,,,,,VA,VA,,2475,1113.75,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,AETNA,AETNA,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,BCBS,BCBS,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,CIGNA,CIGNA,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,HUMANA,HUMANA,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,UHC,UHC,,25,11.25,,,,,,,,outpatient,
Returned Item Fee,500099080,99080,CPT,999,,,,,,,VA,VA,,25,11.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,AETNA,AETNA,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,BCBS,BCBS,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,CIGNA,CIGNA,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,HUMANA,HUMANA,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,UHC,UHC,,103,46.35,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,500087341,87341,CPT,300,,,,,,,VA,VA,,103,46.35,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,AETNA,AETNA,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,BCBS,BCBS,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,CIGNA,CIGNA,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,HUMANA,HUMANA,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,UHC,UHC,,3747,1686.15,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,500090675,90675,CPT,636,,,,,,,VA,VA,,3747,1686.15,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,5000U0003,U0003,CPT,300,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
Acamprosate Calcium 333 mg; PO,5000J8499ACAMP,J8499,CPT,250,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
Rizatriptan (Maxalt ODT) 10 mg; PO,5000J8499RIZA,J8499,CPT,250,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Senna Lax (Senokot) 8.6 mg; tab,5000J8499SENN,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,AETNA,AETNA,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,BCBS,BCBS,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,CIGNA,CIGNA,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,HUMANA,HUMANA,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,UHC,UHC,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,500099221,99221,CPT,762,,,,,,,VA,VA,,1155,519.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,AETNA,AETNA,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,BCBS Federal,BCBS Federal,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,BCBS,BCBS,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,CIGNA,CIGNA,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,HUMANA,HUMANA,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,UHC,UHC,,2294,1032.3,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,500099223,99223,CPT,762,,,,,,,VA,VA,,2294,1032.3,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,AETNA,AETNA,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,BCBS,BCBS,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,CIGNA,CIGNA,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,HUMANA,HUMANA,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,UHC,UHC,,382,171.9,,,,,,,,outpatient,
ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,500099408,99408,CPT,999,,,,,,,VA,VA,,382,171.9,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,AETNA,AETNA,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,BCBS,BCBS,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,CIGNA,CIGNA,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,HUMANA,HUMANA,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,UHC,UHC,,1511,679.95,,,,,,,,outpatient,
Methylnaltrexone (Relistor) ; injection,5000J2212,J2212,CPT,250,,,,,,,VA,VA,,1511,679.95,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,500036400,36400,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,500086780,86780,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),500087426,87426,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,AETNA,AETNA,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,BCBS,BCBS,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,CIGNA,CIGNA,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,HUMANA,HUMANA,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,UHC,UHC,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing with stylet,5000B4081,B4081,CPT,270,,,,,,,VA,VA,,187,84.15,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
Nasogastric tubing without stylet,5000B4082,B4082,CPT,270,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
Fentanyl Citrate (Sublimaze) 100 mcg/2 mL; Nasal Spray,5000J8499FENTNAS,J8499,CPT,250,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
ACTIVATED CHARCOAL 25G,5000J3490CHAR,J8499,CPT,636,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
(Polytrim) Polymyxin B Sulfate / Trimethoprim ,5000J8499POLY,J8499,CPT,636,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,AETNA,AETNA,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,BCBS,BCBS,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,CIGNA,CIGNA,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,HUMANA,HUMANA,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,UHC,UHC,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,5000072081,72081,CPT,320,,,,,,,VA,VA,,759,341.55,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,AETNA,AETNA,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,BCBS,BCBS,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,CIGNA,CIGNA,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,HUMANA,HUMANA,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,UHC,UHC,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,5000072082,72082,CPT,320,,,,,,,VA,VA,,1226,551.7,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,AETNA,AETNA,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,BCBS,BCBS,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,CIGNA,CIGNA,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,HUMANA,HUMANA,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,UHC,UHC,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,5000072083,72083,CPT,320,,,,,,,VA,VA,,1477,664.65,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,AETNA,AETNA,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,BCBS,BCBS,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,CIGNA,CIGNA,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,HUMANA,HUMANA,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,UHC,UHC,,1721,774.45,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,5000072084,72084,CPT,320,,,,,,,VA,VA,,1721,774.45,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,AETNA,AETNA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,BCBS,BCBS,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,CIGNA,CIGNA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,HUMANA,HUMANA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,UHC,UHC,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,5000073565,73565,CPT,300,,,,,,,VA,VA,,231,103.95,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,AETNA,AETNA,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,BCBS,BCBS,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,CIGNA,CIGNA,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,HUMANA,HUMANA,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,UHC,UHC,,656,295.2,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,5000074450,74450,CPT,320,,,,,,,VA,VA,,656,295.2,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,5000082365,82365,CPT,300,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,5000084466,84466,CPT,300,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,5000087290,87290,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,5000087329,87329,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,5000087449,87449,CPT,300,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,AETNA,AETNA,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,BCBS,BCBS,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,CIGNA,CIGNA,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,HUMANA,HUMANA,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,UHC,UHC,,1102,495.9,,,,,,,,outpatient,
Radiologic examination; pharynx a/o cervical esophagus,OPLAB74210,74210,CPT,320,,,,,,,VA,VA,,1102,495.9,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
Blood Culture Pedi,OPLABL0001,87040,CPT,306,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
Blood Culture Adult,OPLABL0002,87040,CPT,306,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
Wound Culture Anaerobes/Aerobes,OPLABL0003,87070,CPT,300,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,AETNA,AETNA,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,BCBS,BCBS,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,CIGNA,CIGNA,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,HUMANA,HUMANA,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,UHC,UHC,,51,51,,,,,,,,outpatient,
Grey Top Lactic Acid Plasma Test,OPLABL0006,83605,CPT,300,,,,,,,VA,VA,,51,51,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,AETNA,AETNA,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,BCBS,BCBS,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,CIGNA,CIGNA,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,HUMANA,HUMANA,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,UHC,UHC,,20,20,,,,,,,,outpatient,
VENIPUNCTURE,OPLAB36415,36415,CPT,300,,,,,,,VA,VA,,20,20,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
CAPILLARY BLOOD DRAW,OPLAB36416,36416,CPT,300,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,OPLAB36591,36591,CPT,300,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,AETNA,AETNA,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,BCBS,BCBS,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,CIGNA,CIGNA,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,HUMANA,HUMANA,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,UHC,UHC,,420,189,,,,,,,,outpatient,
SPINAL TAP FLUID,OPLAB62270,62270,CPT,450,,,,,,,VA,VA,,420,189,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,AETNA,AETNA,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,BCBS,BCBS,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,CIGNA,CIGNA,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,HUMANA,HUMANA,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,UHC,UHC,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,OPLAB70100,70100,CPT,320,,,,,,,VA,VA,,266,119.7,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,AETNA,AETNA,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,BCBS,BCBS,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,CIGNA,CIGNA,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,HUMANA,HUMANA,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,UHC,UHC,,491,220.95,,,,,,,,outpatient,
RADEX MNDBL COMPL MINIMUM 4 VIEWS,OPLAB70110,70110,CPT,320,,,,,,,VA,VA,,491,220.95,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,AETNA,AETNA,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,BCBS,BCBS,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,CIGNA,CIGNA,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,HUMANA,HUMANA,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,UHC,UHC,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S < 3 VIEWS,OPLAB70140,70140,CPT,320,,,,,,,VA,VA,,286,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,AETNA,AETNA,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,BCBS,BCBS,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,CIGNA,CIGNA,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,HUMANA,HUMANA,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,UHC,UHC,,532,100,,,,,,,,outpatient,
RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,OPLAB70150,70150,CPT,320,,,,,,,VA,VA,,532,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,AETNA,AETNA,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,BCBS,BCBS,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,CIGNA,CIGNA,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,HUMANA,HUMANA,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,UHC,UHC,,434,100,,,,,,,,outpatient,
RADEX NSL B1S COMPL MINIMUM 3 VIEWS,OPLAB70160,70160,CPT,320,,,,,,,VA,VA,,434,100,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,AETNA,AETNA,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,BCBS,BCBS,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,CIGNA,CIGNA,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,HUMANA,HUMANA,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,UHC,UHC,,543,244.35,,,,,,,,outpatient,
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,OPLAB70200,70200,CPT,320,,,,,,,VA,VA,,543,244.35,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,AETNA,AETNA,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,BCBS,BCBS,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,CIGNA,CIGNA,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,HUMANA,HUMANA,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,UHC,UHC,,366,100,,,,,,,,outpatient,
"Radiologic examination, sinuses, paranasal, less than 3 views",OPLAB70210,70210,CPT,320,,,,,,,VA,VA,,366,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,AETNA,AETNA,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,BCBS,BCBS,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,CIGNA,CIGNA,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,HUMANA,HUMANA,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,UHC,UHC,,427,100,,,,,,,,outpatient,
RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,OPLAB70220,70220,CPT,320,,,,,,,VA,VA,,427,100,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,AETNA,AETNA,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,BCBS,BCBS,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,CIGNA,CIGNA,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,HUMANA,HUMANA,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,UHC,UHC,,287,129.15,,,,,,,,outpatient,
RADEX SKL < 4 VIEWS,OPLAB70250,70250,CPT,320,,,,,,,VA,VA,,287,129.15,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,AETNA,AETNA,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,BCBS,BCBS,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,CIGNA,CIGNA,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,HUMANA,HUMANA,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,UHC,UHC,,506,227.7,,,,,,,,outpatient,
RADEX SKL COMPL MINIMUM 4 VIEWS,OPLAB70260,70260,CPT,320,,,,,,,VA,VA,,506,227.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,AETNA,AETNA,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,BCBS,BCBS,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,CIGNA,CIGNA,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,HUMANA,HUMANA,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,UHC,UHC,,266,119.7,,,,,,,,outpatient,
RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,OPLAB70328,70328,CPT,320,,,,,,,VA,VA,,266,119.7,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,AETNA,AETNA,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,BCBS,BCBS,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,CIGNA,CIGNA,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,HUMANA,HUMANA,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,UHC,UHC,,600,270,,,,,,,,outpatient,
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,OPLAB70330,70330,CPT,320,,,,,,,VA,VA,,600,270,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
CEPHALOGRAM ORTHODONTIC,OPLAB70350,70350,CPT,320,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,AETNA,AETNA,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,BCBS,BCBS,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,CIGNA,CIGNA,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,HUMANA,HUMANA,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,UHC,UHC,,359,161.55,,,,,,,,outpatient,
RADEX OF NECK SOFT TISSUE,OPLAB70360,70360,CPT,320,,,,,,,VA,VA,,359,161.55,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
RADEX CH 1 VIEW FRNT,OPLAB71010,71010,CPT,324,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,AETNA,AETNA,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,BCBS,BCBS,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,CIGNA,CIGNA,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,HUMANA,HUMANA,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,UHC,UHC,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT,OPLAB71020,71020,CPT,324,,,,,,,VA,VA,,352,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,AETNA,AETNA,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,BCBS,BCBS,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,CIGNA,CIGNA,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,HUMANA,HUMANA,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,UHC,UHC,,330,100,,,,,,,,outpatient,
RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,OPLAB71022,71022,CPT,324,,,,,,,VA,VA,,330,100,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,AETNA,AETNA,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,BCBS,BCBS,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,CIGNA,CIGNA,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,HUMANA,HUMANA,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,UHC,UHC,,397,178.65,,,,,,,,outpatient,
RADEX CH COMPL MINIMUM 4 VIEWS,OPLAB71030,71030,CPT,324,,,,,,,VA,VA,,397,178.65,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,AETNA,AETNA,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,BCBS,BCBS,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,CIGNA,CIGNA,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,HUMANA,HUMANA,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,UHC,UHC,,295,115,,,,,,,,outpatient,
RADEX CHEST 1 VIEW,OPLAB71045,71045,CPT,324,,,,,,,VA,VA,,295,115,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,AETNA,AETNA,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,BCBS,BCBS,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,CIGNA,CIGNA,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,HUMANA,HUMANA,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,UHC,UHC,,382,150,,,,,,,,outpatient,
RADEX CHEST 2 VIEWS,OPLAB71046,71046,CPT,324,,,,,,,VA,VA,,382,150,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,AETNA,AETNA,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,BCBS,BCBS,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,CIGNA,CIGNA,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,HUMANA,HUMANA,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,UHC,UHC,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 3 VIEWS,OPLAB71047,71047,CPT,324,,,,,,,VA,VA,,479,215.55,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,AETNA,AETNA,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,BCBS,BCBS,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,CIGNA,CIGNA,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,HUMANA,HUMANA,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,UHC,UHC,,525,236.25,,,,,,,,outpatient,
RADEX CHEST 4+ VIEWS,OPLAB71048,71048,CPT,324,,,,,,,VA,VA,,525,236.25,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,AETNA,AETNA,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,BCBS,BCBS,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,CIGNA,CIGNA,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,HUMANA,HUMANA,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,UHC,UHC,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI 2 VIEWS,OPLAB71100,71100,CPT,320,,,,,,,VA,VA,,419,100,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,AETNA,AETNA,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,BCBS,BCBS,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,CIGNA,CIGNA,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,HUMANA,HUMANA,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,UHC,UHC,,479,215.55,,,,,,,,outpatient,
RADEX RIBS UNI W/POSTEROANT CHEST MIN 3 VIEWS,OPLAB71101,71101,CPT,320,,,,,,,VA,VA,,479,215.55,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,AETNA,AETNA,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,BCBS Federal,BCBS Federal,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,BCBS,BCBS,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,CIGNA,CIGNA,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,HUMANA,HUMANA,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,UHC,UHC,,498,100,,,,,,,,outpatient,
RADEX RIBS BI 3 VIEWS,OPLAB71110,71110,CPT,324,,,,,,,VA,VA,,498,100,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,AETNA,AETNA,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,BCBS,BCBS,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,CIGNA,CIGNA,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,HUMANA,HUMANA,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,UHC,UHC,,464,208.8,,,,,,,,outpatient,
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,OPLAB71111,71111,CPT,320,,,,,,,VA,VA,,464,208.8,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,AETNA,AETNA,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,BCBS,BCBS,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,CIGNA,CIGNA,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,HUMANA,HUMANA,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,UHC,UHC,,381,100,,,,,,,,outpatient,
RADEX STERNUM MINIMUM 2 VIEWS,OPLAB71120,71120,CPT,320,,,,,,,VA,VA,,381,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,AETNA,AETNA,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,BCBS,BCBS,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,CIGNA,CIGNA,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,HUMANA,HUMANA,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,UHC,UHC,,468,100,,,,,,,,outpatient,
RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,OPLAB71130,71130,CPT,320,,,,,,,VA,VA,,468,100,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,AETNA,AETNA,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,BCBS,BCBS,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,CIGNA,CIGNA,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,HUMANA,HUMANA,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,UHC,UHC,,238,107.1,,,,,,,,outpatient,
RADEX SPI 1 VIEW SPEC LVL,OPLAB72020,72020,CPT,320,,,,,,,VA,VA,,238,107.1,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,AETNA,AETNA,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,BCBS,BCBS,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,CIGNA,CIGNA,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,HUMANA,HUMANA,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,UHC,UHC,,449,100,,,,,,,,outpatient,
RADEX SPI CRV 2/3 VIEWS,OPLAB72040,72040,CPT,320,,,,,,,VA,VA,,449,100,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,AETNA,AETNA,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,BCBS,BCBS,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,CIGNA,CIGNA,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,HUMANA,HUMANA,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,UHC,UHC,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV MINIMUM 4 VIEWS,OPLAB72050,72050,CPT,320,,,,,,,VA,VA,,604,271.8,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,AETNA,AETNA,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,BCBS,BCBS,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,CIGNA,CIGNA,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,HUMANA,HUMANA,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,UHC,UHC,,706,317.7,,,,,,,,outpatient,
RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,OPLAB72052,72052,CPT,320,,,,,,,VA,VA,,706,317.7,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,AETNA,AETNA,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,BCBS,BCBS,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,CIGNA,CIGNA,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,HUMANA,HUMANA,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,UHC,UHC,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 2 VIEWS,OPLAB72070,72070,CPT,320,,,,,,,VA,VA,,374,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,AETNA,AETNA,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,BCBS,BCBS,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,CIGNA,CIGNA,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,HUMANA,HUMANA,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,UHC,UHC,,420,100,,,,,,,,outpatient,
RADEX SPI THRC 3 VIEWS,OPLAB72072,72072,CPT,320,,,,,,,VA,VA,,420,100,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,AETNA,AETNA,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,BCBS,BCBS,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,CIGNA,CIGNA,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,HUMANA,HUMANA,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,UHC,UHC,,405,182.25,,,,,,,,outpatient,
RADEX SPI THRC MINIMUM 4 VIEWS,OPLAB72074,72074,CPT,320,,,,,,,VA,VA,,405,182.25,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,AETNA,AETNA,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,BCBS,BCBS,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,CIGNA,CIGNA,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,HUMANA,HUMANA,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,UHC,UHC,,168,150,,,,,,,,outpatient,
X RAY EXAM TRUNK SPINE 2VWS,OPLAB72080,72080,CPT,320,,,,,,,VA,VA,,168,150,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,AETNA,AETNA,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,BCBS,BCBS,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,CIGNA,CIGNA,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,HUMANA,HUMANA,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,UHC,UHC,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,OPLAB72081,72081,CPT,320,,,,,,,VA,VA,,249,112.05,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,AETNA,AETNA,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,BCBS,BCBS,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,CIGNA,CIGNA,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,HUMANA,HUMANA,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,UHC,UHC,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,OPLAB72082,72082,CPT,320,,,,,,,VA,VA,,796,358.2,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,AETNA,AETNA,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,BCBS,BCBS,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,CIGNA,CIGNA,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,HUMANA,HUMANA,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,UHC,UHC,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,OPLAB72083,72083,CPT,320,,,,,,,VA,VA,,485,218.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,AETNA,AETNA,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,BCBS,BCBS,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,CIGNA,CIGNA,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,HUMANA,HUMANA,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,UHC,UHC,,565,254.25,,,,,,,,outpatient,
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,OPLAB72084,72084,CPT,320,,,,,,,VA,VA,,565,254.25,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,AETNA,AETNA,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,BCBS,BCBS,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,CIGNA,CIGNA,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,HUMANA,HUMANA,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,UHC,UHC,,453,100,,,,,,,,outpatient,
RADEX SPI LUMBOSAC 2/3 VIEWS,OPLAB72100,72100,CPT,320,,,,,,,VA,VA,,453,100,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,AETNA,AETNA,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,BCBS,BCBS,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,CIGNA,CIGNA,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,HUMANA,HUMANA,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,UHC,UHC,,581,261.45,,,,,,,,outpatient,
LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,OPLAB72110,72110,CPT,320,,,,,,,VA,VA,,581,261.45,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,AETNA,AETNA,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,BCBS,BCBS,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,CIGNA,CIGNA,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,HUMANA,HUMANA,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,UHC,UHC,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,OPLAB72114,72114,CPT,320,,,,,,,VA,VA,,702,315.9,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,AETNA,AETNA,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,BCBS,BCBS,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,CIGNA,CIGNA,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,HUMANA,HUMANA,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,UHC,UHC,,420,189,,,,,,,,outpatient,
RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,OPLAB72120,72120,CPT,320,,,,,,,VA,VA,,420,189,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,AETNA,AETNA,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,BCBS,BCBS,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,CIGNA,CIGNA,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,HUMANA,HUMANA,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,UHC,UHC,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS 1/2 VIEWS,OPLAB72170,72170,CPT,320,,,,,,,VA,VA,,317,142.65,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,AETNA,AETNA,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,BCBS,BCBS,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,CIGNA,CIGNA,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,HUMANA,HUMANA,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,UHC,UHC,,329,100,,,,,,,,outpatient,
RADEX PELVIS COMPL MINIMUM 3 VIEWS,OPLAB72190,72190,CPT,320,,,,,,,VA,VA,,329,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,AETNA,AETNA,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,BCBS,BCBS,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,CIGNA,CIGNA,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,HUMANA,HUMANA,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,UHC,UHC,,374,100,,,,,,,,outpatient,
RADEX SACROILIAC JNTS <3 VIEWS,OPLAB72200,72200,CPT,320,,,,,,,VA,VA,,374,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,AETNA,AETNA,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,BCBS,BCBS,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,CIGNA,CIGNA,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,HUMANA,HUMANA,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,UHC,UHC,,370,100,,,,,,,,outpatient,
RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,OPLAB72220,72220,CPT,320,,,,,,,VA,VA,,370,100,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,AETNA,AETNA,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,BCBS,BCBS,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,CIGNA,CIGNA,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,HUMANA,HUMANA,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,UHC,UHC,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY THRC RS&I,OPLAB72255,72255,CPT,320,,,,,,,VA,VA,,1988,894.6,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,AETNA,AETNA,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,BCBS,BCBS,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,CIGNA,CIGNA,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,HUMANA,HUMANA,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,UHC,UHC,,2209,994.05,,,,,,,,outpatient,
MYELOGRAPY LUMBOSAC RS&I,OPLAB72265,72265,CPT,320,,,,,,,VA,VA,,2209,994.05,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,AETNA,AETNA,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,BCBS,BCBS,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,CIGNA,CIGNA,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,HUMANA,HUMANA,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,UHC,UHC,,366,164.7,,,,,,,,outpatient,
RADEX CLAV COMPL,OPLAB73000,73000,CPT,320,,,,,,,VA,VA,,366,164.7,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,AETNA,AETNA,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,BCBS,BCBS,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,CIGNA,CIGNA,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,HUMANA,HUMANA,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,UHC,UHC,,269,121.05,,,,,,,,outpatient,
RADEX SCAPULA COMPLETE,OPLAB73010,73010,CPT,320,,,,,,,VA,VA,,269,121.05,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER 1 VIEW,OPLAB73020,73020,CPT,320,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,AETNA,AETNA,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,BCBS,BCBS,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,CIGNA,CIGNA,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,HUMANA,HUMANA,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,UHC,UHC,,393,100,,,,,,,,outpatient,
RADEX SHOULDER COMPL MINIMUM 2 VIEWS,OPLAB73030,73030,CPT,320,,,,,,,VA,VA,,393,100,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,AETNA,AETNA,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,BCBS,BCBS,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,CIGNA,CIGNA,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,HUMANA,HUMANA,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,UHC,UHC,,325,146.25,,,,,,,,outpatient,
RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,OPLAB73050,73050,CPT,320,,,,,,,VA,VA,,325,146.25,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,AETNA,AETNA,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,BCBS,BCBS,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,CIGNA,CIGNA,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,HUMANA,HUMANA,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,UHC,UHC,,366,100,,,,,,,,outpatient,
RADEX HUM MINIMUM 2 VIEWS,OPLAB73060,73060,CPT,320,,,,,,,VA,VA,,366,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,AETNA,AETNA,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,BCBS,BCBS,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,CIGNA,CIGNA,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,HUMANA,HUMANA,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,UHC,UHC,,332,100,,,,,,,,outpatient,
RADEX ELBW 2 VIEWS,OPLAB73070,73070,CPT,320,,,,,,,VA,VA,,332,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,AETNA,AETNA,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,BCBS,BCBS,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,CIGNA,CIGNA,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,HUMANA,HUMANA,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,UHC,UHC,,255,100,,,,,,,,outpatient,
RADEX ELBW COMPL MINIMUM 3 VIEWS,OPLAB73080,73080,CPT,320,,,,,,,VA,VA,,255,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,AETNA,AETNA,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,BCBS,BCBS,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,CIGNA,CIGNA,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,HUMANA,HUMANA,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,UHC,UHC,,332,100,,,,,,,,outpatient,
RADEX F/ARM 2 VIEWS,OPLAB73090,73090,CPT,320,,,,,,,VA,VA,,332,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,AETNA,AETNA,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,BCBS,BCBS,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,CIGNA,CIGNA,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,HUMANA,HUMANA,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,UHC,UHC,,191,100,,,,,,,,outpatient,
RADEX UXTR INFT MINIMUM 2 VIEWS,OPLAB73092,73092,CPT,320,,,,,,,VA,VA,,191,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,AETNA,AETNA,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,BCBS,BCBS,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,CIGNA,CIGNA,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,HUMANA,HUMANA,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,UHC,UHC,,385,100,,,,,,,,outpatient,
RADEX WRST 2 VIEWS,OPLAB73100,73100,CPT,320,,,,,,,VA,VA,,385,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,AETNA,AETNA,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,BCBS,BCBS,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,CIGNA,CIGNA,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,HUMANA,HUMANA,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,UHC,UHC,,464,100,,,,,,,,outpatient,
RADEX WRST COMPL MINIMUM 3 VIEWS,OPLAB73110,73110,CPT,320,,,,,,,VA,VA,,464,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,AETNA,AETNA,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,BCBS,BCBS,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,CIGNA,CIGNA,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,HUMANA,HUMANA,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,UHC,UHC,,355,100,,,,,,,,outpatient,
RADEX HAND 2 VIEWS,OPLAB73120,73120,CPT,320,,,,,,,VA,VA,,355,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,AETNA,AETNA,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,BCBS,BCBS,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,CIGNA,CIGNA,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,HUMANA,HUMANA,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,UHC,UHC,,419,100,,,,,,,,outpatient,
RADEX HAND MINIMUM 3 VIEWS,OPLAB73130,73130,CPT,320,,,,,,,VA,VA,,419,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,AETNA,AETNA,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,BCBS,BCBS,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,CIGNA,CIGNA,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,HUMANA,HUMANA,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,UHC,UHC,,430,100,,,,,,,,outpatient,
RADEX Fingers MINIMUM 2 VIEWS,OPLAB73140,73140,CPT,320,,,,,,,VA,VA,,430,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,AETNA,AETNA,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,BCBS,BCBS,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,CIGNA,CIGNA,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,HUMANA,HUMANA,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,UHC,UHC,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,OPLAB73501,73501,CPT,320,,,,,,,VA,VA,,374,168.3,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,AETNA,AETNA,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,BCBS,BCBS,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,CIGNA,CIGNA,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,HUMANA,HUMANA,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,UHC,UHC,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,OPLAB73502,73502,CPT,320,,,,,,,VA,VA,,532,100,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,AETNA,AETNA,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,BCBS,BCBS,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,CIGNA,CIGNA,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,HUMANA,HUMANA,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,UHC,UHC,,671,301.95,,,,,,,,outpatient,
RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,OPLAB73503,73503,CPT,320,,,,,,,VA,VA,,671,301.95,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,AETNA,AETNA,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,BCBS,BCBS,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,CIGNA,CIGNA,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,HUMANA,HUMANA,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,UHC,UHC,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,OPLAB73521,73521,CPT,320,,,,,,,VA,VA,,468,100,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,AETNA,AETNA,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,BCBS,BCBS,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,CIGNA,CIGNA,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,HUMANA,HUMANA,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,UHC,UHC,,607,273.15,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,OPLAB73522,73522,CPT,320,,,,,,,VA,VA,,607,273.15,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,AETNA,AETNA,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,BCBS,BCBS,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,CIGNA,CIGNA,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,HUMANA,HUMANA,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,UHC,UHC,,114,51.3,,,,,,,,outpatient,
"Radiologic examination, pelvis and hips, infant or child, mi...",OPLAB73540,73540,CPT,320,,,,,,,VA,VA,,114,51.3,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
X-RAY EXAM OF FEMUR 1V,OPLAB73551,73551,CPT,320,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,AETNA,AETNA,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,BCBS,BCBS,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,CIGNA,CIGNA,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,HUMANA,HUMANA,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,UHC,UHC,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,OPLAB73552,73552,CPT,320,,,,,,,VA,VA,,404,100,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,AETNA,AETNA,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,BCBS,BCBS,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,CIGNA,CIGNA,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,HUMANA,HUMANA,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,UHC,UHC,,389,175.05,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,OPLAB73560,73560,CPT,320,,,,,,,VA,VA,,389,175.05,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,AETNA,AETNA,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,BCBS,BCBS,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,CIGNA,CIGNA,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,HUMANA,HUMANA,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,UHC,UHC,,460,100,,,,,,,,outpatient,
RADEX KNE 3 VIEWS,OPLAB73562,73562,CPT,320,,,,,,,VA,VA,,460,100,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,AETNA,AETNA,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,BCBS,BCBS,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,CIGNA,CIGNA,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,HUMANA,HUMANA,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,UHC,UHC,,528,237.6,,,,,,,,outpatient,
RADEX KNE COMPL 4/MORE VIEWS,OPLAB73564,73564,CPT,320,,,,,,,VA,VA,,528,237.6,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,AETNA,AETNA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,BCBS,BCBS,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,CIGNA,CIGNA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,HUMANA,HUMANA,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,UHC,UHC,,231,103.95,,,,,,,,outpatient,
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,OPLAB73565,73565,CPT,300,,,,,,,VA,VA,,231,103.95,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,AETNA,AETNA,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,BCBS,BCBS,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,CIGNA,CIGNA,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,HUMANA,HUMANA,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,UHC,UHC,,359,100,,,,,,,,outpatient,
RADEX TIBFIB 2 VIEWS,OPLAB73590,73590,CPT,320,,,,,,,VA,VA,,359,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,AETNA,AETNA,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,BCBS,BCBS,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,CIGNA,CIGNA,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,HUMANA,HUMANA,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,UHC,UHC,,226,100,,,,,,,,outpatient,
RADEX LXTR INFT MINIMUM 2 VIEWS,OPLAB73592,73592,CPT,320,,,,,,,VA,VA,,226,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,AETNA,AETNA,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,BCBS,BCBS,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,CIGNA,CIGNA,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,HUMANA,HUMANA,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,UHC,UHC,,370,100,,,,,,,,outpatient,
RADEX ANKLE 2 VIEWS,OPLAB73600,73600,CPT,320,,,,,,,VA,VA,,370,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,AETNA,AETNA,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,BCBS,BCBS,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,CIGNA,CIGNA,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,HUMANA,HUMANA,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,UHC,UHC,,419,100,,,,,,,,outpatient,
RADEX ANKLE COMPL MINIMUM 3 VIEWS,OPLAB73610,73610,CPT,320,,,,,,,VA,VA,,419,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,AETNA,AETNA,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,BCBS,BCBS,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,CIGNA,CIGNA,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,HUMANA,HUMANA,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,UHC,UHC,,321,100,,,,,,,,outpatient,
RADEX FOOT 2 VIEWS,OPLAB73620,73620,CPT,320,,,,,,,VA,VA,,321,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,AETNA,AETNA,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,BCBS,BCBS,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,CIGNA,CIGNA,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,HUMANA,HUMANA,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,UHC,UHC,,389,100,,,,,,,,outpatient,
RADEX FOOT COMPL MINIMUM 3 VIEWS,OPLAB73630,73630,CPT,320,,,,,,,VA,VA,,389,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,AETNA,AETNA,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,BCBS,BCBS,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,CIGNA,CIGNA,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,HUMANA,HUMANA,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,UHC,UHC,,325,100,,,,,,,,outpatient,
RADEX CALCANEUS MINIMUM 2 VIEWS,OPLAB73650,73650,CPT,320,,,,,,,VA,VA,,325,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,AETNA,AETNA,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,BCBS,BCBS,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,CIGNA,CIGNA,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,HUMANA,HUMANA,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,UHC,UHC,,332,100,,,,,,,,outpatient,
RADEX TOE MINIMUM 2 VIEWS,OPLAB73660,73660,CPT,320,,,,,,,VA,VA,,332,100,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,AETNA,AETNA,,3993,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3993,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,BCBS,BCBS,,3993,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,CIGNA,CIGNA,,3993,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,HUMANA,HUMANA,,3993,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,UHC,UHC,,3993,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,OPLAB73720,73720,CPT,320,,,,,,,VA,VA,,3993,599,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,AETNA,AETNA,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,BCBS,BCBS,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,CIGNA,CIGNA,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,HUMANA,HUMANA,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,UHC,UHC,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 ANTEROPOST VIEW,OPLAB74000,74000,CPT,320,,,,,,,VA,VA,,575,258.75,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,AETNA,AETNA,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,BCBS,BCBS,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,CIGNA,CIGNA,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,HUMANA,HUMANA,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,UHC,UHC,,340,153,,,,,,,,outpatient,
RADEX ABD 1 VIEW,OPLAB74018,74018,CPT,320,,,,,,,VA,VA,,340,153,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,AETNA,AETNA,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,BCBS,BCBS,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,CIGNA,CIGNA,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,HUMANA,HUMANA,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,UHC,UHC,,419,100,,,,,,,,outpatient,
RADEX ABD 2 VIEWS,OPLAB74019,74019,CPT,320,,,,,,,VA,VA,,419,100,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,AETNA,AETNA,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,BCBS,BCBS,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,CIGNA,CIGNA,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,HUMANA,HUMANA,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,UHC,UHC,,344,154.8,,,,,,,,outpatient,
RADEX ABD COMPL W/DCBTS&/ERC VIEWS,OPLAB74020,74020,CPT,320,,,,,,,VA,VA,,344,154.8,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,AETNA,AETNA,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,BCBS,BCBS,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,CIGNA,CIGNA,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,HUMANA,HUMANA,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,UHC,UHC,,487,219.15,,,,,,,,outpatient,
RADEX ABD 3+ VIEWS,OPLAB74021,74021,CPT,320,,,,,,,VA,VA,,487,219.15,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,AETNA,AETNA,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,BCBS,BCBS,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,CIGNA,CIGNA,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,HUMANA,HUMANA,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,UHC,UHC,,432,194.4,,,,,,,,outpatient,
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,OPLAB74022,74022,CPT,320,,,,,,,VA,VA,,432,194.4,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,AETNA,AETNA,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,BCBS,BCBS,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,CIGNA,CIGNA,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,HUMANA,HUMANA,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,UHC,UHC,,1129,508.05,,,,,,,,outpatient,
ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,OPLAB74220,74220,CPT,320,,,,,,,VA,VA,,1129,508.05,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,AETNA,AETNA,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,BCBS,BCBS,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,CIGNA,CIGNA,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,HUMANA,HUMANA,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,UHC,UHC,,764,343.8,,,,,,,,outpatient,
RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,OPLAB74247,74247,CPT,320,,,,,,,VA,VA,,764,343.8,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,AETNA,AETNA,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,BCBS,BCBS,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,CIGNA,CIGNA,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,HUMANA,HUMANA,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,UHC,UHC,,1547,696.15,,,,,,,,outpatient,
"Urography (pyelography), intravenous, with or without KUB, w...",OPLAB74400,74400,CPT,320,,,,,,,VA,VA,,1547,696.15,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
URETHROCYSTOGRAPHY RETROGRADE RS&I,OPLAB74450,74450,CPT,320,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,AETNA,AETNA,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,BCBS,BCBS,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,CIGNA,CIGNA,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,HUMANA,HUMANA,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,UHC,UHC,,340,153,,,,,,,,outpatient,
RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,OPLAB76010,76010,CPT,320,,,,,,,VA,VA,,340,153,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,AETNA,AETNA,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,BCBS,BCBS,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,CIGNA,CIGNA,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,HUMANA,HUMANA,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,UHC,UHC,,1148,399,,,,,,,,outpatient,
US SCROTUM&CNTS,OPLAB76870,76870,CPT,320,,,,,,,VA,VA,,1148,399,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,AETNA,AETNA,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,BCBS,BCBS,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,CIGNA,CIGNA,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,HUMANA,HUMANA,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,UHC,UHC,,1220,549,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,OPLAB77076,77076,CPT,320,,,,,,,VA,VA,,1220,549,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,AETNA,AETNA,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,BCBS,BCBS,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,CIGNA,CIGNA,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,HUMANA,HUMANA,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,UHC,UHC,,533,239.85,,,,,,,,outpatient,
JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,OPLAB77077,77077,CPT,320,,,,,,,VA,VA,,533,239.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,AETNA,AETNA,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,BCBS,BCBS,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,CIGNA,CIGNA,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,HUMANA,HUMANA,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,UHC,UHC,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM IONIZED,OPLAB80047,80047,CPT,300,,,,,,,VA,VA,,193,86.85,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,AETNA,AETNA,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,BCBS,BCBS,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,CIGNA,CIGNA,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,HUMANA,HUMANA,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,UHC,UHC,,204,55,,,,,,,,outpatient,
BASIC METABOLIC PANEL CALCIUM TOTAL,OPLAB80048,80048,CPT,300,,,,,,,VA,VA,,204,55,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,AETNA,AETNA,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,BCBS,BCBS,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,CIGNA,CIGNA,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,HUMANA,HUMANA,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,UHC,UHC,,207,93.15,,,,,,,,outpatient,
GENERAL HLTH PANEL,OPLAB80050,80050,CPT,300,,,,,,,VA,VA,,207,93.15,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,AETNA,AETNA,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,BCBS,BCBS,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,CIGNA,CIGNA,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,HUMANA,HUMANA,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,UHC,UHC,,211,55,,,,,,,,outpatient,
ELECTROLYTE PANEL,OPLAB80051,80051,CPT,300,,,,,,,VA,VA,,211,55,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,AETNA,AETNA,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,BCBS,BCBS,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,CIGNA,CIGNA,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,HUMANA,HUMANA,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,UHC,UHC,,412,60,,,,,,,,outpatient,
COMPRE METAB PANEL,OPLAB80053,80053,CPT,300,,,,,,,VA,VA,,412,60,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,AETNA,AETNA,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,BCBS,BCBS,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,CIGNA,CIGNA,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,HUMANA,HUMANA,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,UHC,UHC,,210,94.5,,,,,,,,outpatient,
LIPID PANEL,OPLAB80061,80061,CPT,300,,,,,,,VA,VA,,210,94.5,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,AETNA,AETNA,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,BCBS,BCBS,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,CIGNA,CIGNA,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,HUMANA,HUMANA,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,UHC,UHC,,417,187.65,,,,,,,,outpatient,
AQT HEP PANEL,OPLAB80074,80074,CPT,300,,,,,,,VA,VA,,417,187.65,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,AETNA,AETNA,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,BCBS,BCBS,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,CIGNA,CIGNA,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,HUMANA,HUMANA,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,UHC,UHC,,215,55,,,,,,,,outpatient,
HEPATC FUNCJ PANEL,OPLAB80076,80076,CPT,300,,,,,,,VA,VA,,215,55,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,AETNA,AETNA,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,BCBS,BCBS,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,CIGNA,CIGNA,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,HUMANA,HUMANA,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,UHC,UHC,,174,78.3,,,,,,,,outpatient,
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,OPLAB80100,80100,CPT,300,,,,,,,VA,VA,,174,78.3,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
Carbamazepine; total,OPLAB80156,80156,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ASSAY OF DIGOXIN,OPLAB80162,80162,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,AETNA,AETNA,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,BCBS,BCBS,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,CIGNA,CIGNA,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,HUMANA,HUMANA,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,UHC,UHC,,111,50,,,,,,,,outpatient,
Valproic acid (dipropylacetic acid); total ,OPLAB80164,80164,CPT,300,,,,,,,VA,VA,,111,50,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LAMOTRIGINE,OPLAB80175,80175,CPT,300,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE LEVETIRACETAM,OPLAB80177,80177,CPT,300,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
LITHIUM,OPLAB80178,80178,CPT,300,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,AETNA,AETNA,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,BCBS,BCBS,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,CIGNA,CIGNA,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,HUMANA,HUMANA,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,UHC,UHC,,109,50,,,,,,,,outpatient,
ASSAY OF PHENYTOIN TOTAL,OPLAB80185,80185,CPT,300,,,,,,,VA,VA,,109,50,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,AETNA,AETNA,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,BCBS,BCBS,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,CIGNA,CIGNA,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,HUMANA,HUMANA,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,UHC,UHC,,265,119.25,,,,,,,,outpatient,
TACROLIMUS,OPLAB80197,80197,CPT,300,,,,,,,VA,VA,,265,119.25,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,AETNA,AETNA,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,BCBS,BCBS,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,CIGNA,CIGNA,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,HUMANA,HUMANA,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,UHC,UHC,,98,44.1,,,,,,,,outpatient,
Topiramate,OPLAB80201,80201,CPT,300,,,,,,,VA,VA,,98,44.1,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,AETNA,AETNA,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,BCBS,BCBS,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,CIGNA,CIGNA,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,HUMANA,HUMANA,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,UHC,UHC,,173,77.85,,,,,,,,outpatient,
DRUG SCREEN QUANT VANCOMYCIN,OPLAB80202,80202,CPT,300,,,,,,,VA,VA,,173,77.85,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,AETNA,AETNA,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,BCBS,BCBS,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,CIGNA,CIGNA,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,HUMANA,HUMANA,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,UHC,UHC,,174,65,,,,,,,,outpatient,
"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",OPLAB80300,80300,CPT,300,,,,,,,VA,VA,,174,65,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,AETNA,AETNA,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,BCBS,BCBS,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,CIGNA,CIGNA,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,HUMANA,HUMANA,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,UHC,UHC,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,OPLAB80305,80305,CPT,300,,,,,,,VA,VA,,173,77.85,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,OPLAB80307,80307,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE ALCOHOLS,OPLAB80320,80320,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
"Analgesics, non-opioid; 1 or 2",OPLAB80329,80329,CPT,300,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,OPLAB80335,80335,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
"Antiepileptics, not otherwise specified; 1-3",OPLAB80339,80339,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,AETNA,AETNA,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,BCBS,BCBS,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,CIGNA,CIGNA,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,HUMANA,HUMANA,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,UHC,UHC,,59,35,,,,,,,,outpatient,
URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,OPLAB81001,81001,CPT,307,,,,,,,VA,VA,,59,35,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,OPLAB81003,81003,CPT,307,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,AETNA,AETNA,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,BCBS,BCBS,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,CIGNA,CIGNA,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,HUMANA,HUMANA,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,UHC,UHC,,72,35,,,,,,,,outpatient,
URINE PREGNANCY TST VIS COLOR CMPRSN METHS,OPLAB81025,81025,CPT,300,,,,,,,VA,VA,,72,35,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,AETNA,AETNA,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,BCBS,BCBS,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,CIGNA,CIGNA,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,HUMANA,HUMANA,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,UHC,UHC,,45,20.25,,,,,,,,outpatient,
ACETALDEHYDE BLD,OPLAB82000,82000,CPT,300,,,,,,,VA,VA,,45,20.25,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,AETNA,AETNA,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,BCBS,BCBS,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,CIGNA,CIGNA,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,HUMANA,HUMANA,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,UHC,UHC,,34,15.3,,,,,,,,outpatient,
KETONE BODIES SERUM QUALITATIVE,OPLAB82009,82009,CPT,300,,,,,,,VA,VA,,34,15.3,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
ACETONE/OTH KETONE BODIES SERUM QUAN,OPLAB82010,82010,CPT,300,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,AETNA,AETNA,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,BCBS,BCBS,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,CIGNA,CIGNA,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,HUMANA,HUMANA,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,UHC,UHC,,25,11.25,,,,,,,,outpatient,
ALBUMIN SERUM PLASMA/WHOLE BLOOD,OPLAB82040,82040,CPT,301,,,,,,,VA,VA,,25,11.25,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
ALCOHOL BRTH,OPLAB82075,82075,CPT,300,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,AETNA,AETNA,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,BCBS,BCBS,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,CIGNA,CIGNA,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,HUMANA,HUMANA,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,UHC,UHC,,130,58.5,,,,,,,,outpatient,
AMINOLEVULINIC ACID DELTA,OPLAB82135,82135,CPT,300,,,,,,,VA,VA,,130,58.5,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,AETNA,AETNA,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,BCBS,BCBS,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,CIGNA,CIGNA,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,HUMANA,HUMANA,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,UHC,UHC,,66,66,,,,,,,,outpatient,
Ammonia,OPLAB82140,82140,CPT,300,,,,,,,VA,VA,,66,66,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,AETNA,AETNA,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,BCBS,BCBS,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,CIGNA,CIGNA,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,HUMANA,HUMANA,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,UHC,UHC,,159,71.55,,,,,,,,outpatient,
AMYLASE,OPLAB82150,82150,CPT,301,,,,,,,VA,VA,,159,71.55,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,AETNA,AETNA,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,BCBS,BCBS,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,CIGNA,CIGNA,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,HUMANA,HUMANA,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,UHC,UHC,,93,41.85,,,,,,,,outpatient,
ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,OPLAB82190,82190,CPT,300,,,,,,,VA,VA,,93,41.85,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
BILIRUBIN TOT,OPLAB82247,82247,CPT,301,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Bilirubin; direct ,OPLAB82248,82248,CPT,301,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,OPLAB82270,82270,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",OPLAB82271,82271,CPT,300,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,OPLAB82272,82272,CPT,300,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,OPLAB82274,82274,CPT,300,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,AETNA,AETNA,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,BCBS,BCBS,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,CIGNA,CIGNA,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,HUMANA,HUMANA,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,UHC,UHC,,123,55.35,,,,,,,,outpatient,
VITAMIN D 25 HYDROXY,OPLAB82306,82306,CPT,300,,,,,,,VA,VA,,123,55.35,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
CALCIUM TOT,OPLAB82310,82310,CPT,301,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
Calcium; ionized,OPLAB82330,82330,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
Calculus; qualitative analysis,OPLAB82355,82355,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
Calculus; infrared spectroscopy,OPLAB82365,82365,CPT,300,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
CARBON DIOXIDE,OPLAB82374,82374,CPT,301,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,AETNA,AETNA,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,BCBS,BCBS,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,CIGNA,CIGNA,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,HUMANA,HUMANA,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,UHC,UHC,,101,45.45,,,,,,,,outpatient,
Carboxyhemoglobin; quantitative,OPLAB82375,82375,CPT,300,,,,,,,VA,VA,,101,45.45,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
CHLORIDE BLD,OPLAB82435,82435,CPT,301,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,AETNA,AETNA,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,BCBS,BCBS,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,CIGNA,CIGNA,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,HUMANA,HUMANA,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,UHC,UHC,,80,50,,,,,,,,outpatient,
CHOLESTEROL SERUM/WHL BLD TOT,OPLAB82465,82465,CPT,301,,,,,,,VA,VA,,80,50,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,AETNA,AETNA,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,BCBS,BCBS,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,CIGNA,CIGNA,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,HUMANA,HUMANA,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,UHC,UHC,,38,17.1,,,,,,,,outpatient,
CHROM QUAN COLUMN 1 ANAL NES,OPLAB82491,82491,CPT,300,,,,,,,VA,VA,,38,17.1,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
CORTISOL FREE,OPLAB82530,82530,CPT,300,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,AETNA,AETNA,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,BCBS,BCBS,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,CIGNA,CIGNA,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,HUMANA,HUMANA,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,UHC,UHC,,52,23.4,,,,,,,,outpatient,
CREATINE,OPLAB82540,82540,CPT,300,,,,,,,VA,VA,,52,23.4,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,OPLAB82541,82541,CPT,300,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE TOT,OPLAB82550,82550,CPT,301,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
CREATINE KINASE ISOENZYMES,OPLAB82552,82552,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
CKMB - CREATINE KINASE MB FXJ ONLY,OPLAB82553,82553,CPT,300,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,AETNA,AETNA,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,BCBS,BCBS,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,CIGNA,CIGNA,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,HUMANA,HUMANA,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,UHC,UHC,,155,69.75,,,,,,,,outpatient,
CREATINE KINASE ISOFORMS,OPLAB82554,82554,CPT,300,,,,,,,VA,VA,,155,69.75,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
CREATININE BLD,OPLAB82565,82565,CPT,301,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
CYANOCOBALAMIN,OPLAB82607,82607,CPT,300,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,AETNA,AETNA,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,BCBS,BCBS,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,CIGNA,CIGNA,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,HUMANA,HUMANA,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,UHC,UHC,,183,82.35,,,,,,,,outpatient,
Dehydroepiandrosterone-sulfate (DHEA-S),OPLAB82627,82627,CPT,300,,,,,,,VA,VA,,183,82.35,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,OPLAB82657,82657,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
ASSAY OF ESTRADIOL,OPLAB82670,82670,CPT,300,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
ASSAY OF ESTROGENS TOTAL,OPLAB82672,82672,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
ASSAY OF FERRITIN,OPLAB82728,82728,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
Folic Acid: Serum,OPLAB82746,82746,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,OPLAB82784,82784,CPT,300,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
GASES BLD PH ONLY,OPLAB82800,82800,CPT,300,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,AETNA,AETNA,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,BCBS,BCBS,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,CIGNA,CIGNA,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,HUMANA,HUMANA,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,UHC,UHC,,290,55,,,,,,,,outpatient,
GASES BLD PH CALCULATED O2 SATURATION,OPLAB82803,82803,CPT,300,,,,,,,VA,VA,,290,55,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,AETNA,AETNA,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,BCBS,BCBS,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,CIGNA,CIGNA,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,HUMANA,HUMANA,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,UHC,UHC,,145,65.25,,,,,,,,outpatient,
ASSAY OF GASTRIN,OPLAB82941,82941,CPT,300,,,,,,,VA,VA,,145,65.25,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
GLUCOSE BODY FLUID OTHER THAN BLOOD,OPLAB82945,82945,CPT,301,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,AETNA,AETNA,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,BCBS,BCBS,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,CIGNA,CIGNA,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,HUMANA,HUMANA,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,UHC,UHC,,83,37.35,,,,,,,,outpatient,
GLUC QUAN BLD,OPLAB82947,82947,CPT,301,,,,,,,VA,VA,,83,37.35,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,OPLAB82951,82951,CPT,300,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,AETNA,AETNA,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,BCBS,BCBS,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,CIGNA,CIGNA,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,HUMANA,HUMANA,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,UHC,UHC,,52,20,,,,,,,,outpatient,
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,OPLAB82962,82962,CPT,300,,,,,,,VA,VA,,52,20,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
ASSAY OF GLUCOSIDASE BETA,OPLAB82963,82963,CPT,300,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
GGT - GLUTAMYLTRASE GAMMA,OPLAB82977,82977,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
Gonadotropin; follicle stimulating hormone (FSH),OPLAB83001,83001,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,AETNA,AETNA,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,BCBS,BCBS,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,CIGNA,CIGNA,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,HUMANA,HUMANA,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,UHC,UHC,,152,68.4,,,,,,,,outpatient,
GONADOTROPIN LUTEINIZING HORMONE,OPLAB83002,83002,CPT,300,,,,,,,VA,VA,,152,68.4,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,AETNA,AETNA,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,BCBS,BCBS,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,CIGNA,CIGNA,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,HUMANA,HUMANA,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,UHC,UHC,,55,55,,,,,,,,outpatient,
Hemoglobin; glycosylated (A1C),OPLAB83036,83036,CPT,300,,,,,,,VA,VA,,55,55,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,OPLAB83519,83519,CPT,300,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,AETNA,AETNA,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,BCBS,BCBS,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,CIGNA,CIGNA,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,HUMANA,HUMANA,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,UHC,UHC,,109,49.05,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUANTITATIVE NOS,OPLAB83520,83520,CPT,300,,,,,,,VA,VA,,109,49.05,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,AETNA,AETNA,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,BCBS,BCBS,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,CIGNA,CIGNA,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,HUMANA,HUMANA,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,UHC,UHC,,94,42.3,,,,,,,,outpatient,
ASSAY OF INSULIN TOTAL,OPLAB83525,83525,CPT,300,,,,,,,VA,VA,,94,42.3,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,AETNA,AETNA,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,BCBS,BCBS,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,CIGNA,CIGNA,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,HUMANA,HUMANA,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,UHC,UHC,,55,55,,,,,,,,outpatient,
Iron,OPLAB83540,83540,CPT,300,,,,,,,VA,VA,,55,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,AETNA,AETNA,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,BCBS,BCBS,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,CIGNA,CIGNA,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,HUMANA,HUMANA,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,UHC,UHC,,121,55,,,,,,,,outpatient,
IRON BNDNG CAP,OPLAB83550,83550,CPT,300,,,,,,,VA,VA,,121,55,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
LDH LACTATE DEHYDROGENASE,OPLAB83615,83615,CPT,301,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,AETNA,AETNA,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,BCBS,BCBS,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,CIGNA,CIGNA,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,HUMANA,HUMANA,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,UHC,UHC,,155,69.75,,,,,,,,outpatient,
LACTOFERRIN FECAL (QUAL),OPLAB83630,83630,CPT,300,,,,,,,VA,VA,,155,69.75,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,AETNA,AETNA,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,BCBS,BCBS,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,CIGNA,CIGNA,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,HUMANA,HUMANA,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,UHC,UHC,,110,55,,,,,,,,outpatient,
LIPASE,OPLAB83690,83690,CPT,301,,,,,,,VA,VA,,110,55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
MAGNESIUM,OPLAB83735,83735,CPT,301,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,AETNA,AETNA,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,BCBS,BCBS,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,CIGNA,CIGNA,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,HUMANA,HUMANA,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,UHC,UHC,,130,58.5,,,,,,,,outpatient,
MYOGLOBIN,OPLAB83874,83874,CPT,300,,,,,,,VA,VA,,130,58.5,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,AETNA,AETNA,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,BCBS,BCBS,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,CIGNA,CIGNA,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,HUMANA,HUMANA,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,UHC,UHC,,243,109.35,,,,,,,,outpatient,
BNP - B TYPE NATRIURETIC PEPTIDE,OPLAB83880,83880,CPT,300,,,,,,,VA,VA,,243,109.35,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Osmolality: Blood,OPLAB83930,83930,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Osmolality: Urine,OPLAB83935,83935,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,AETNA,AETNA,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,BCBS,BCBS,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,CIGNA,CIGNA,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,HUMANA,HUMANA,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,UHC,UHC,,29,13.05,,,,,,,,outpatient,
PH BODY FLUID NOT ELSEWHERE SPECIFIED,OPLAB83986,83986,CPT,300,,,,,,,VA,VA,,29,13.05,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
"Phosphatase, alkaline;",OPLAB84075,84075,CPT,301,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
ASSAY OF PHOSPHORUS INORGANIC,OPLAB84100,84100,CPT,301,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,OPLAB84110,84110,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,AETNA,AETNA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,BCBS,BCBS,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,CIGNA,CIGNA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,HUMANA,HUMANA,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,UHC,UHC,,116,52.2,,,,,,,,outpatient,
PORPHYRINS URINE QUANTITATION & FRACTIONATION,OPLAB84120,84120,CPT,300,,,,,,,VA,VA,,116,52.2,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
POTASSIUM SERUM PLASMA/WHOLE BLOOD,OPLAB84132,84132,CPT,301,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
Prealbumin,OPLAB84134,84134,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
ASSAY OF PROGESTERONE,OPLAB84144,84144,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
Procalcitonin (PCT),OPLAB84145,84145,CPT,300,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,AETNA,AETNA,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,BCBS,BCBS,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,CIGNA,CIGNA,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,HUMANA,HUMANA,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,UHC,UHC,,159,71.55,,,,,,,,outpatient,
Prolactin,OPLAB84146,84146,CPT,300,,,,,,,VA,VA,,159,71.55,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
Prostate specific antigen (PSA); total ,OPLAB84153,84153,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,OPLAB84155,84155,CPT,301,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,OPLAB84157,84157,CPT,300,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,OPLAB84166,84166,CPT,300,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
SODIUM SERUM PLASMA OR WHOLE BLOOD,OPLAB84295,84295,CPT,301,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,AETNA,AETNA,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,BCBS,BCBS,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,CIGNA,CIGNA,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,HUMANA,HUMANA,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,UHC,UHC,,201,90.45,,,,,,,,outpatient,
Testosterone; free,OPLAB84402,84402,CPT,300,,,,,,,VA,VA,,201,90.45,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,AETNA,AETNA,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,BCBS,BCBS,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,CIGNA,CIGNA,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,HUMANA,HUMANA,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,UHC,UHC,,212,95.4,,,,,,,,outpatient,
Testosterone; total ,OPLAB84403,84403,CPT,300,,,,,,,VA,VA,,212,95.4,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
Thiamine (Vitamin B-1),OPLAB84425,84425,CPT,300,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
Thyroxine; total,OPLAB84436,84436,CPT,300,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,AETNA,AETNA,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,BCBS,BCBS,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,CIGNA,CIGNA,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,HUMANA,HUMANA,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,UHC,UHC,,121,50,,,,,,,,outpatient,
THYROXINE FR t4,OPLAB84439,84439,CPT,300,,,,,,,VA,VA,,121,50,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,AETNA,AETNA,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,BCBS,BCBS,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,CIGNA,CIGNA,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,HUMANA,HUMANA,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,UHC,UHC,,199,55,,,,,,,,outpatient,
TSH - THYR STIMULATING HORM,OPLAB84443,84443,CPT,300,,,,,,,VA,VA,,199,55,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,AETNA,AETNA,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,BCBS,BCBS,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,CIGNA,CIGNA,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,HUMANA,HUMANA,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,UHC,UHC,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ASPARTATE AMINO,OPLAB84450,84450,CPT,301,,,,,,,VA,VA,,113,50.85,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,AETNA,AETNA,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,BCBS,BCBS,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,CIGNA,CIGNA,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,HUMANA,HUMANA,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,UHC,UHC,,101,45.45,,,,,,,,outpatient,
TRANSFERASE ALANINE AMINO,OPLAB84460,84460,CPT,301,,,,,,,VA,VA,,101,45.45,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
ASSAY OF TRANSFERRIN,OPLAB84466,84466,CPT,300,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,AETNA,AETNA,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,BCBS,BCBS,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,CIGNA,CIGNA,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,HUMANA,HUMANA,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,UHC,UHC,,52,25,,,,,,,,outpatient,
Triglycerides,OPLAB84478,84478,CPT,301,,,,,,,VA,VA,,52,25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
THYR HORM UPTK/THYR HORM BNDNG RATIO,OPLAB84479,84479,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,AETNA,AETNA,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,BCBS,BCBS,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,CIGNA,CIGNA,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,HUMANA,HUMANA,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,UHC,UHC,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 TOT,OPLAB84480,84480,CPT,300,,,,,,,VA,VA,,120,50,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,AETNA,AETNA,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,BCBS,BCBS,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,CIGNA,CIGNA,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,HUMANA,HUMANA,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,UHC,UHC,,155,69.75,,,,,,,,outpatient,
TRIIODOTHYRO9 T3 FR,OPLAB84481,84481,CPT,300,,,,,,,VA,VA,,155,69.75,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,AETNA,AETNA,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,BCBS,BCBS,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,CIGNA,CIGNA,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,HUMANA,HUMANA,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,UHC,UHC,,63,28.35,,,,,,,,outpatient,
Triiodothyronine T3; reverse,OPLAB84482,84482,CPT,300,,,,,,,VA,VA,,63,28.35,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAN,OPLAB84484,84484,CPT,300,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
TROPONIN QUAL,OPLAB84512,84512,CPT,300,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
UREA N QUAN,OPLAB84520,84520,CPT,301,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,AETNA,AETNA,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,BCBS,BCBS,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,CIGNA,CIGNA,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,HUMANA,HUMANA,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,UHC,UHC,,114,25,,,,,,,,outpatient,
URIC ACID BLD,OPLAB84550,84550,CPT,301,,,,,,,VA,VA,,114,25,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,AETNA,AETNA,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,BCBS,BCBS,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,CIGNA,CIGNA,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,HUMANA,HUMANA,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,UHC,UHC,,104,46.8,,,,,,,,outpatient,
URIC ACID OTH SRC,OPLAB84560,84560,CPT,300,,,,,,,VA,VA,,104,46.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
ASSAY OF C-PEPTIDE,OPLAB84681,84681,CPT,300,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,AETNA,AETNA,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,BCBS,BCBS,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,CIGNA,CIGNA,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,HUMANA,HUMANA,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,UHC,UHC,,158,71.1,,,,,,,,outpatient,
GONAD CHORNC QUAN,OPLAB84702,84702,CPT,300,,,,,,,VA,VA,,158,71.1,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,AETNA,AETNA,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,BCBS,BCBS,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,CIGNA,CIGNA,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,HUMANA,HUMANA,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,UHC,UHC,,161,35,,,,,,,,outpatient,
Blood pregnancy test  HCG,OPLAB84703,84703,CPT,300,,,,,,,VA,VA,,161,35,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,OPLAB8OPLAB7,85007,CPT,305,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
BLD# HEMATOCRIT,OPLAB85014,85014,CPT,305,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
BLD# HGB,OPLAB85018,85018,CPT,305,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,AETNA,AETNA,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,BCBS,BCBS,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,CIGNA,CIGNA,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,HUMANA,HUMANA,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,UHC,UHC,,155,69.75,,,,,,,,outpatient,
CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,OPLAB85025,85025,CPT,305,,,,,,,VA,VA,,155,69.75,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,AETNA,AETNA,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,BCBS,BCBS,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,CIGNA,CIGNA,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,HUMANA,HUMANA,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,UHC,UHC,,112,60,,,,,,,,outpatient,
BLD# COMPL AUTO HHRWP,OPLAB85027,85027,CPT,305,,,,,,,VA,VA,,112,60,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
BLD# MNL C-CNT RBC WBC/PLTLT EA,OPLAB85032,85032,CPT,305,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
BLD# RETICULOCYTE MNL,OPLAB85044,85044,CPT,305,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
AUTOMATED LEUKOCYTE COUNT,OPLAB85048,85048,CPT,305,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,OPLAB85060,85060,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
COAGJ TM ACTIVATED,OPLAB85347,85347,CPT,300,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,AETNA,AETNA,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,BCBS,BCBS,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,CIGNA,CIGNA,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,HUMANA,HUMANA,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,UHC,UHC,,114,51.3,,,,,,,,outpatient,
D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,OPLAB85378,85378,CPT,300,,,,,,,VA,VA,,114,51.3,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,AETNA,AETNA,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,BCBS,BCBS,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,CIGNA,CIGNA,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,HUMANA,HUMANA,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,UHC,UHC,,247,111.15,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,OPLAB85380,85380,CPT,300,,,,,,,VA,VA,,247,111.15,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
Fibrinogen: Activity ,OPLAB85384,85384,CPT,300,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,AETNA,AETNA,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,BCBS,BCBS,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,CIGNA,CIGNA,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,HUMANA,HUMANA,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,UHC,UHC,,130,30,,,,,,,,outpatient,
PT - PROTHROMBIN TIME,OPLAB85610,85610,CPT,300,,,,,,,VA,VA,,130,30,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC NON-AUTO,OPLAB85651,85651,CPT,300,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,AETNA,AETNA,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,BCBS,BCBS,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,CIGNA,CIGNA,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,HUMANA,HUMANA,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,UHC,UHC,,71,35,,,,,,,,outpatient,
SEDIMENTATION RATE RBC AUTO,OPLAB85652,85652,CPT,300,,,,,,,VA,VA,,71,35,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,AETNA,AETNA,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,BCBS,BCBS,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,CIGNA,CIGNA,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,HUMANA,HUMANA,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,UHC,UHC,,85,50,,,,,,,,outpatient,
THROMBOPLASTIN TM PRTL PLSM/WHL BLD,OPLAB85730,85730,CPT,300,,,,,,,VA,VA,,85,50,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
AGGLUTININS FEBRILE EA AG,OPLAB8OPLAB,86000,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,OPLAB86021,86021,CPT,300,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,AETNA,AETNA,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,BCBS,BCBS,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,CIGNA,CIGNA,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,HUMANA,HUMANA,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,UHC,UHC,,109,49.05,,,,,,,,outpatient,
Antinuclear antibodies (ANA),OPLAB86038,86038,CPT,300,,,,,,,VA,VA,,109,49.05,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,AETNA,AETNA,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,BCBS,BCBS,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,CIGNA,CIGNA,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,HUMANA,HUMANA,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,UHC,UHC,,92,41.4,,,,,,,,outpatient,
ANTINUCLEAR ANTIBODIES ANA TITER,OPLAB86039,86039,CPT,300,,,,,,,VA,VA,,92,41.4,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
ANTISTREPTOLYSIN O TITER,OPLAB86060,86060,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,AETNA,AETNA,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,BCBS,BCBS,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,CIGNA,CIGNA,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,HUMANA,HUMANA,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,UHC,UHC,,65,35,,,,,,,,outpatient,
C-reactive protein,OPLAB86140,86140,CPT,300,,,,,,,VA,VA,,65,35,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
C-reactive protein; high sensitivity (hsCRP),OPLAB86141,86141,CPT,300,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
COLD AGGLUTININ TITER,OPLAB86157,86157,CPT,300,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
COMPLEMENT ANTIGEN EACH COMPONENT,OPLAB86160,86160,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
COMPLEMENT TOTAL HEMOLYTIC,OPLAB86162,86162,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,AETNA,AETNA,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,BCBS,BCBS,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,CIGNA,CIGNA,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,HUMANA,HUMANA,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,UHC,UHC,,101,45.45,,,,,,,,outpatient,
"Cyclic citrullinated peptide (CCP), antibody",OPLAB86200,86200,CPT,300,,,,,,,VA,VA,,101,45.45,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,AETNA,AETNA,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,BCBS,BCBS,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,CIGNA,CIGNA,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,HUMANA,HUMANA,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,UHC,UHC,,113,50.85,,,,,,,,outpatient,
DNA ANTIBODY NATIVE/DOUBLE STRANDED,OPLAB86225,86225,CPT,300,,,,,,,VA,VA,,113,50.85,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,AETNA,AETNA,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,BCBS,BCBS,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,CIGNA,CIGNA,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,HUMANA,HUMANA,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,UHC,UHC,,141,63.45,,,,,,,,outpatient,
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,OPLAB86235,86235,CPT,300,,,,,,,VA,VA,,141,63.45,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,OPLAB86255,86255,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
MONO - HTROPHL ANTIBODIES SCR,OPLAB86308,86308,CPT,300,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,AETNA,AETNA,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,BCBS,BCBS,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,CIGNA,CIGNA,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,HUMANA,HUMANA,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,UHC,UHC,,141,63.45,,,,,,,,outpatient,
IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,OPLAB86325,86325,CPT,300,,,,,,,VA,VA,,141,63.45,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
Insulin antibodies,OPLAB86337,86337,CPT,300,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
ISLET CELL ANTIBODY,OPLAB86341,86341,CPT,300,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,AETNA,AETNA,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,BCBS,BCBS,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,CIGNA,CIGNA,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,HUMANA,HUMANA,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,UHC,UHC,,98,44.1,,,,,,,,outpatient,
LEUKOCYTE HISTAMINE RELEASE TEST LHR,OPLAB86343,86343,CPT,300,,,,,,,VA,VA,,98,44.1,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,OPLAB86356,86356,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
MICROSOMAL ANTIBODIES EACH,OPLAB86376,86376,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,AETNA,AETNA,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,BCBS,BCBS,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,CIGNA,CIGNA,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,HUMANA,HUMANA,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,UHC,UHC,,101,45.45,,,,,,,,outpatient,
PART AGGLUJ SCR EA ANTB,OPLAB86403,86403,CPT,300,,,,,,,VA,VA,,101,45.45,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUAL,OPLAB86430,86430,CPT,300,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
RHEUMATOID FACTOR QUANTITATIVE,OPLAB86431,86431,CPT,300,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,OPLAB86480,86480,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,OPLAB86592,86592,CPT,300,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
"Syphilis test, non-treponemal antibody; quantitative",OPLAB86593,86593,CPT,300,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
Antibody; Bartonella,OPLAB86611,86611,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
LYME DISEASE ANTIBODY,OPLAB86617,86617,CPT,300,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,AETNA,AETNA,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,BCBS,BCBS,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,CIGNA,CIGNA,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,HUMANA,HUMANA,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,UHC,UHC,,77,34.65,,,,,,,,outpatient,
Antibody; Borrelia burgdorferi (Lyme disease) ,OPLAB86618,86618,CPT,300,,,,,,,VA,VA,,77,34.65,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
"Antibody: Brucella, ",OPLAB86622,86622,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
ANTB CHLAMYDIA,OPLAB86631,86631,CPT,300,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
Antibody: Coxiella burnetii (Q fever),OPLAB86638,86638,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,AETNA,AETNA,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,BCBS,BCBS,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,CIGNA,CIGNA,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,HUMANA,HUMANA,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,UHC,UHC,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV,OPLAB86644,86644,CPT,300,,,,,,,VA,VA,,114,51.3,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
ANTIBODY CYTOMEGALOVIRUS CMV IGM,OPLAB86645,86645,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
" Antibody; encephalitis, Eastern equine",OPLAB86652,86652,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
"Antibody; encephalitis, Western equine",OPLAB86654,86654,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,OPLAB86663,86663,CPT,300,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,OPLAB86664,86664,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,AETNA,AETNA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,BCBS,BCBS,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,CIGNA,CIGNA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,HUMANA,HUMANA,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,UHC,UHC,,143,64.35,,,,,,,,outpatient,
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,OPLAB86665,86665,CPT,300,,,,,,,VA,VA,,143,64.35,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,AETNA,AETNA,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,BCBS,BCBS,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,CIGNA,CIGNA,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,HUMANA,HUMANA,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,UHC,UHC,,74,33.3,,,,,,,,outpatient,
Antibody; Ehrlichia,OPLAB86666,86666,CPT,300,,,,,,,VA,VA,,74,33.3,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,AETNA,AETNA,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,BCBS,BCBS,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,CIGNA,CIGNA,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,HUMANA,HUMANA,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,UHC,UHC,,86,38.7,,,,,,,,outpatient,
Antibody; Francisella tularensis,OPLAB86668,86668,CPT,300,,,,,,,VA,VA,,86,38.7,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,AETNA,AETNA,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,BCBS,BCBS,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,CIGNA,CIGNA,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,HUMANA,HUMANA,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,UHC,UHC,,163,73.35,,,,,,,,outpatient,
ANTB HTLV/HIV ANTB CONFIRMATORY TST,OPLAB86689,86689,CPT,300,,,,,,,VA,VA,,163,73.35,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,OPLAB86694,86694,CPT,300,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,AETNA,AETNA,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,BCBS,BCBS,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,CIGNA,CIGNA,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,HUMANA,HUMANA,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,UHC,UHC,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 1,OPLAB86695,86695,CPT,300,,,,,,,VA,VA,,108,108,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,AETNA,AETNA,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,BCBS,BCBS,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,CIGNA,CIGNA,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,HUMANA,HUMANA,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,UHC,UHC,,159,71.55,,,,,,,,outpatient,
ANTIBODY HERPES SMPLX TYPE 2,OPLAB86696,86696,CPT,300,,,,,,,VA,VA,,159,71.55,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,AETNA,AETNA,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,BCBS,BCBS,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,CIGNA,CIGNA,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,HUMANA,HUMANA,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,UHC,UHC,,110,49.5,,,,,,,,outpatient,
ANTB HIV-1,OPLAB86701,86701,CPT,300,,,,,,,VA,VA,,110,49.5,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,AETNA,AETNA,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,BCBS,BCBS,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,CIGNA,CIGNA,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,HUMANA,HUMANA,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,UHC,UHC,,113,50.85,,,,,,,,outpatient,
ANTIBODY HIV-1&HIV-2 SINGLE RESULT,OPLAB86703,86703,CPT,300,,,,,,,VA,VA,,113,50.85,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
HEPATITIS B CORE ANTIBODY HBCAB TOTAL,OPLAB86704,86704,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
HEP B CORE ANTIBODY IGM,OPLAB86705,86705,CPT,300,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
HEPATITIS B SURF ANTIBODY HBSAB,OPLAB86706,86706,CPT,300,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
HEPATITIS A ANTIBODY HAAB,OPLAB86708,86708,CPT,300,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,AETNA,AETNA,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,BCBS,BCBS,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,CIGNA,CIGNA,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,HUMANA,HUMANA,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,UHC,UHC,,93,41.85,,,,,,,,outpatient,
HEPATITIS ANTIBODY HAAB IGM ANTIBODY,OPLAB86709,86709,CPT,300,,,,,,,VA,VA,,93,41.85,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
ANTB INF VIRUS,OPLAB86710,86710,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
Antibody; Leishmania,OPLAB86717,86717,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
Antibody: Leptospira,OPLAB86720,86720,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
ANTIBODY MUMPS,OPLAB86735,86735,CPT,300,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
Antibody; Rickettsia ,OPLAB86757,86757,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
Antibody; rotavirus,OPLAB86759,86759,CPT,300,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
Antibody; rubella,OPLAB86762,86762,CPT,300,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
ANTIBODY RUBEOLA,OPLAB86765,86765,CPT,300,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,AETNA,AETNA,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,BCBS,BCBS,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,CIGNA,CIGNA,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,HUMANA,HUMANA,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,UHC,UHC,,100,45,,,,,,,,outpatient,
ANTB VARICELLA-ZOSTER,OPLAB86787,86787,CPT,300,,,,,,,VA,VA,,100,45,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS IGM,OPLAB86788,86788,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,AETNA,AETNA,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,BCBS,BCBS,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,CIGNA,CIGNA,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,HUMANA,HUMANA,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,UHC,UHC,,114,51.3,,,,,,,,outpatient,
ANTIBODY WEST NILE VIRUS,OPLAB86789,86789,CPT,300,,,,,,,VA,VA,,114,51.3,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,OPLAB86790,86790,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,AETNA,AETNA,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,BCBS,BCBS,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,CIGNA,CIGNA,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,HUMANA,HUMANA,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,UHC,UHC,,125,56.25,,,,,,,,outpatient,
THYROGLOBULIN ANTIBODY,OPLAB86800,86800,CPT,300,,,,,,,VA,VA,,125,56.25,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,AETNA,AETNA,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,BCBS,BCBS,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,CIGNA,CIGNA,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,HUMANA,HUMANA,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,UHC,UHC,,117,52.65,,,,,,,,outpatient,
HEPATITIS C ANTIBODY,OPLAB86803,86803,CPT,300,,,,,,,VA,VA,,117,52.65,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,AETNA,AETNA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,BCBS,BCBS,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,CIGNA,CIGNA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,HUMANA,HUMANA,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,UHC,UHC,,204,91.8,,,,,,,,outpatient,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",OPLAB86812,86812,CPT,300,,,,,,,VA,VA,,204,91.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,AETNA,AETNA,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,BCBS,BCBS,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,CIGNA,CIGNA,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,HUMANA,HUMANA,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,UHC,UHC,,144,64.8,,,,,,,,outpatient,
ANTB SCR RBC EA SERUM TQ,OPLAB86850,86850,CPT,300,,,,,,,VA,VA,,144,64.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
COOMBS TEST DIRECT,OPLAB86880,86880,CPT,300,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
COOMBS TEST INDIRECT TITER,OPLAB86886,86886,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,AETNA,AETNA,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,BCBS,BCBS,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,CIGNA,CIGNA,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,HUMANA,HUMANA,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,UHC,UHC,,55,55,,,,,,,,outpatient,
"Blood typing, serologic; ABO",OPLAB86900,86900,CPT,300,,,,,,,VA,VA,,55,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,AETNA,AETNA,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,BCBS,BCBS,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,CIGNA,CIGNA,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,HUMANA,HUMANA,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,UHC,UHC,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH D,OPLAB86901,86901,CPT,300,,,,,,,VA,VA,,65.23,55,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
BLD TYPING RH PHEXYPING COMPL,OPLAB86906,86906,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
CONCENTRATION INFECTIOUS AGENTS,OPLAB87015,87015,CPT,300,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,AETNA,AETNA,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,BCBS,BCBS,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,CIGNA,CIGNA,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,HUMANA,HUMANA,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,UHC,UHC,,199,89.55,,,,,,,,outpatient,
BLOOD CULTURE - CUL BACT BLD AERC ISOL,OPLAB87040,87040,CPT,306,,,,,,,VA,VA,,199,89.55,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,OPLAB87045,87045,CPT,300,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,AETNA,AETNA,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,BCBS,BCBS,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,CIGNA,CIGNA,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,HUMANA,HUMANA,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,UHC,UHC,,47,21.15,,,,,,,,outpatient,
STOOL CULTR AEROBIC BACT EA,OPLAB87046,87046,CPT,300,,,,,,,VA,VA,,47,21.15,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,AETNA,AETNA,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,BCBS,BCBS,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,CIGNA,CIGNA,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,HUMANA,HUMANA,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,UHC,UHC,,144,64.8,,,,,,,,outpatient,
CUL BACT XCPT URINE BLD/STL AERC ISOL,OPLAB87070,87070,CPT,300,,,,,,,VA,VA,,144,64.8,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
CUL BACT BLD ANAERC ISOL,OPLAB87075,87075,CPT,300,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
CULTURE ANAEROBE IDENT EACH,OPLAB87076,87076,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
Culture Aerobic Identify,OPLAB87077,87077,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
CUL PRSMPTV PTHGNC ORGANISMS SCR,OPLAB87081,87081,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,AETNA,AETNA,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,BCBS,BCBS,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,CIGNA,CIGNA,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,HUMANA,HUMANA,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,UHC,UHC,,146,65.7,,,,,,,,outpatient,
CUL BACT QUAN COLONY CNT URINE,OPLAB87086,87086,CPT,300,,,,,,,VA,VA,,146,65.7,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,AETNA,AETNA,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,BCBS,BCBS,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,CIGNA,CIGNA,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,HUMANA,HUMANA,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,UHC,UHC,,55,55,,,,,,,,outpatient,
CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,OPLAB87088,87088,CPT,300,,,,,,,VA,VA,,55,55,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,OPLAB87102,87102,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,AETNA,AETNA,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,BCBS,BCBS,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,CIGNA,CIGNA,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,HUMANA,HUMANA,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,UHC,UHC,,196,196,,,,,,,,outpatient,
CUL CHLAMYDIA ANY SRC,OPLAB87110,87110,CPT,300,,,,,,,VA,VA,,196,196,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,AETNA,AETNA,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,BCBS,BCBS,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,CIGNA,CIGNA,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,HUMANA,HUMANA,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,UHC,UHC,,46,20.7,,,,,,,,outpatient,
CULTURE TYPE IMMUNOFLUORESC,OPLAB87140,87140,CPT,300,,,,,,,VA,VA,,46,20.7,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,OPLAB87177,87177,CPT,300,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
"Smear, primary source with interpretation; Gram or Giemsa st...",OPLAB87205,87205,CPT,300,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",OPLAB87207,87207,CPT,300,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,AETNA,AETNA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,BCBS,BCBS,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,CIGNA,CIGNA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,HUMANA,HUMANA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,UHC,UHC,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,OPLAB87209,87209,CPT,300,,,,,,,VA,VA,,142,63.9,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
SMR PRIM SRC WET MOUNT NFCT AGT,OPLAB87210,87210,CPT,300,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,AETNA,AETNA,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,BCBS,BCBS,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,CIGNA,CIGNA,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,HUMANA,HUMANA,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,UHC,UHC,,162,72.9,,,,,,,,outpatient,
TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,OPLAB87230,87230,CPT,300,,,,,,,VA,VA,,162,72.9,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,AETNA,AETNA,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,BCBS,BCBS,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,CIGNA,CIGNA,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,HUMANA,HUMANA,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,UHC,UHC,,206,92.7,,,,,,,,outpatient,
VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,OPLAB87252,87252,CPT,300,,,,,,,VA,VA,,206,92.7,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,AETNA,AETNA,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,BCBS,BCBS,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,CIGNA,CIGNA,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,HUMANA,HUMANA,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,UHC,UHC,,267,120.15,,,,,,,,outpatient,
GENET VIRUS ISOLATE HSV,OPLAB87255,87255,CPT,300,,,,,,,VA,VA,,267,120.15,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,OPLAB87265,87265,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAADI CRYPTOSPORIDIUM,OPLAB87272,87272,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
IAADI HERPES SMPLX VIRUS TYPE 2,OPLAB87273,87273,CPT,300,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
HERPES SIMPLEX 1 AG,OPLAB87274,87274,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
LEGION PNEUMOPHILIA AG IF,OPLAB87278,87278,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
Infectious agent antigen detection by immunofluorescent tech...,OPLAB87280,87280,CPT,300,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAADI VARICELLA ZOSTER VIRUS,OPLAB87290,87290,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM AG EIA,OPLAB87324,87324,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
Infectious agent antigen detection .... Cryptococcus neoformans,OPLAB87327,87327,CPT,300,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAAD IA GIARDIA,OPLAB87329,87329,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE ANTIGEN,OPLAB87340,87340,CPT,300,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,AETNA,AETNA,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,BCBS,BCBS,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,CIGNA,CIGNA,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,HUMANA,HUMANA,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,UHC,UHC,,113,50.85,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,OPLAB87389,87389,CPT,300,,,,,,,VA,VA,,113,50.85,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
INFLUENZA B,OPLAB87400,87400,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
IAAD EIA RSV,OPLAB87420,87420,CPT,300,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
IAAD IA ROTAVIRUS,OPLAB87425,87425,CPT,300,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
IAAD EIA STREPTOCOCCUS GROUP A,OPLAB87430,87430,CPT,300,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
IAAD IA MULT STEP METHOD NOS EACH ORGANISM,OPLAB87449,87449,CPT,300,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,AETNA,AETNA,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,BCBS,BCBS,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,CIGNA,CIGNA,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,HUMANA,HUMANA,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,UHC,UHC,,158,71.1,,,,,,,,outpatient,
IADNA CANDIDA SPECIES DIRECT PROBE TQ,OPLAB87480,87480,CPT,300,,,,,,,VA,VA,,158,71.1,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,AETNA,AETNA,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,BCBS,BCBS,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,CIGNA,CIGNA,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,HUMANA,HUMANA,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,UHC,UHC,,1644,739.8,,,,,,,,outpatient,
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,OPLAB87483,87483,CPT,300,,,,,,,VA,VA,,1644,739.8,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,OPLAB87490,87490,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,AETNA,AETNA,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,BCBS,BCBS,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,CIGNA,CIGNA,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,HUMANA,HUMANA,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,UHC,UHC,,159,71.55,,,,,,,,outpatient,
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,OPLAB87491,87491,CPT,300,,,,,,,VA,VA,,159,71.55,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,AETNA,AETNA,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,BCBS,BCBS,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,CIGNA,CIGNA,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,HUMANA,HUMANA,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,UHC,UHC,,149,67.05,,,,,,,,outpatient,
INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,OPLAB87493,87493,CPT,300,,,,,,,VA,VA,,149,67.05,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,AETNA,AETNA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,BCBS,BCBS,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,CIGNA,CIGNA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,HUMANA,HUMANA,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,UHC,UHC,,277,124.65,,,,,,,,outpatient,
IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,OPLAB87498,87498,CPT,300,,,,,,,VA,VA,,277,124.65,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,AETNA,AETNA,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,BCBS,BCBS,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,CIGNA,CIGNA,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,HUMANA,HUMANA,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,UHC,UHC,,1644,739.8,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,OPLAB87507,87507,CPT,300,,,,,,,VA,VA,,1644,739.8,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,AETNA,AETNA,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,BCBS,BCBS,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,CIGNA,CIGNA,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,HUMANA,HUMANA,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,UHC,UHC,,158,71.1,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,OPLAB87510,87510,CPT,300,,,,,,,VA,VA,,158,71.1,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,AETNA,AETNA,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,BCBS,BCBS,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,CIGNA,CIGNA,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,HUMANA,HUMANA,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,UHC,UHC,,233,104.85,,,,,,,,outpatient,
IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,OPLAB87522,87522,CPT,300,,,,,,,VA,VA,,233,104.85,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,AETNA,AETNA,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,BCBS,BCBS,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,CIGNA,CIGNA,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,HUMANA,HUMANA,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,UHC,UHC,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SMPLX VIRUS DIR PRB,OPLAB87528,87528,CPT,300,,,,,,,VA,VA,,182,81.9,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,AETNA,AETNA,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,BCBS,BCBS,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,CIGNA,CIGNA,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,HUMANA,HUMANA,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,UHC,UHC,,289,130.05,,,,,,,,outpatient,
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,OPLAB87529,87529,CPT,300,,,,,,,VA,VA,,289,130.05,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,OPLAB87590,87590,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,AETNA,AETNA,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,BCBS,BCBS,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,CIGNA,CIGNA,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,HUMANA,HUMANA,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,UHC,UHC,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE AMP PRB,OPLAB87591,87591,CPT,300,,,,,,,VA,VA,,157,157,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
IADNA NEISSERIA GONORRHOEAE QUAN,OPLAB87592,87592,CPT,300,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,AETNA,AETNA,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,BCBS,BCBS,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,CIGNA,CIGNA,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,HUMANA,HUMANA,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,UHC,UHC,,131,58.95,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); pap...,OPLAB87621,87621,CPT,300,,,,,,,VA,VA,,131,58.95,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,AETNA,AETNA,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,BCBS,BCBS,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,CIGNA,CIGNA,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,HUMANA,HUMANA,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,UHC,UHC,,750,337.5,,,,,,,,outpatient,
IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,OPLAB87633,87633,CPT,300,,,,,,,VA,VA,,750,337.5,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,AETNA,AETNA,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,BCBS,BCBS,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,CIGNA,CIGNA,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,HUMANA,HUMANA,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,UHC,UHC,,289,130.05,,,,,,,,outpatient,
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",OPLAB87641,87641,CPT,300,,,,,,,VA,VA,,289,130.05,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,AETNA,AETNA,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,BCBS,BCBS,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,CIGNA,CIGNA,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,HUMANA,HUMANA,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,UHC,UHC,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,OPLAB87660,87660,CPT,300,,,,,,,VA,VA,,158,71.1,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,AETNA,AETNA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,BCBS,BCBS,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,CIGNA,CIGNA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,HUMANA,HUMANA,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,UHC,UHC,,277,124.65,,,,,,,,outpatient,
IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,OPLAB87661,87661,CPT,300,,,,,,,VA,VA,,277,124.65,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,OPLAB87798,87798,CPT,300,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,AETNA,AETNA,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,BCBS,BCBS,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,CIGNA,CIGNA,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,HUMANA,HUMANA,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,UHC,UHC,,577,259.65,,,,,,,,outpatient,
IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,OPLAB87801,87801,CPT,300,,,,,,,VA,VA,,577,259.65,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GROUP B,OPLAB87802,87802,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
CLOSTRIDIUM TOXIN A W/OPTIC,OPLAB87803,87803,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,AETNA,AETNA,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,BCBS,BCBS,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,CIGNA,CIGNA,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,HUMANA,HUMANA,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,UHC,UHC,,128,35,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87804,87804,CPT,300,,,,,,,VA,VA,,128,35,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,AETNA,AETNA,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,BCBS,BCBS,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,CIGNA,CIGNA,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,HUMANA,HUMANA,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,UHC,UHC,,198,89.1,,,,,,,,outpatient,
IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,OPLAB87806,87806,CPT,300,,,,,,,VA,VA,,198,89.1,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
IAADIADOO RSV,OPLAB87807,87807,CPT,300,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
CHYLMD TRACH ASSAY W/OPTIC (Urine),OPLAB87810,87810,CPT,300,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,AETNA,AETNA,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,BCBS,BCBS,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,CIGNA,CIGNA,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,HUMANA,HUMANA,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,UHC,UHC,,99,44.55,,,,,,,,outpatient,
IAADIADOO NEISSERIA GONORRHOEAE,OPLAB87850,87850,CPT,300,,,,,,,VA,VA,,99,44.55,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,AETNA,AETNA,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,BCBS,BCBS,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,CIGNA,CIGNA,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,HUMANA,HUMANA,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,UHC,UHC,,108,30,,,,,,,,outpatient,
IAADIADOO STREPTOCOCCUS GRP,OPLAB87880,87880,CPT,300,,,,,,,VA,VA,,108,30,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,AETNA,AETNA,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,BCBS,BCBS,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,CIGNA,CIGNA,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,HUMANA,HUMANA,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,UHC,UHC,,609,274.05,,,,,,,,outpatient,
IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,OPLAB88346,88346,CPT,300,,,,,,,VA,VA,,609,274.05,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood",OPLAB89050,89050,CPT,300,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,AETNA,AETNA,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,BCBS,BCBS,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,CIGNA,CIGNA,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,HUMANA,HUMANA,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,UHC,UHC,,63,62.5,,,,,,,,outpatient,
CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,OPLAB89051,89051,CPT,300,,,,,,,VA,VA,,63,62.5,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Leukocyte assessment,OPLAB89055,89055,CPT,300,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,AETNA,AETNA,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,BCBS,BCBS,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,CIGNA,CIGNA,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,HUMANA,HUMANA,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,UHC,UHC,,63,62.5,,,,,,,,outpatient,
CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,OPLAB89060,89060,CPT,300,,,,,,,VA,VA,,63,62.5,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,AETNA,AETNA,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,BCBS,BCBS,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,CIGNA,CIGNA,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,HUMANA,HUMANA,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,UHC,UHC,,74,33.3,,,,,,,,outpatient,
SPTM OBTG SPEC AERSL INDUCED SPX,OPLAB89220,89220,CPT,300,,,,,,,VA,VA,,74,33.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,AETNA,AETNA,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,BCBS,BCBS,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,CIGNA,CIGNA,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,HUMANA,HUMANA,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,UHC,UHC,,94,42.3,,,,,,,,outpatient,
IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,OPLAB90460,90460,CPT,300,,,,,,,VA,VA,,94,42.3,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,OPLAB99001,99001,CPT,300,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
Drug test presump optical,OPLABG0477,G0477,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
Drug test presump optical (DO NOT USE. DELETED 01/01/2017),OPLABG0479,G0479,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
Drug test def 1-7 classes,OPLABG0480,G0480,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
Assay of Salicylate,OPLABG6038,G6038,CPT,300,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
Assay of Acetaminophen,OPLABG6039,G6039,CPT,300,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,AETNA,AETNA,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,BCBS,BCBS,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,CIGNA,CIGNA,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,HUMANA,HUMANA,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,UHC,UHC,,134,60.3,,,,,,,,outpatient,
CATHETERIZE FOR URINE SPEC,OPLABP9612,P9612,CPT,300,,,,,,,VA,VA,,134,60.3,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
Set-up portable x-ray equipment,OPLABQ0092,Q0092,CPT,320,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
"LOCM 200-299MG/ML IODINE,1ML",OPLABQ9966,Q9966,CPT,320,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,AETNA,AETNA,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,BCBS,BCBS,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,CIGNA,CIGNA,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,HUMANA,HUMANA,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,UHC,UHC,,61,27.45,,,,,,,,outpatient,
COAGULATION TIME LEE AND WHITE,500085345,85345,CPT,300,,,,,,,VA,VA,,61,27.45,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,AETNA,AETNA,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,BCBS,BCBS,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,CIGNA,CIGNA,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,HUMANA,HUMANA,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,UHC,UHC,,68,30.6,,,,,,,,outpatient,
RUSSELL VIPER VENOM TIME DILUTED,OPLAB85613,85613,CPT,300,,,,,,,VA,VA,,68,30.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,AETNA,AETNA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,BCBS,BCBS,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,CIGNA,CIGNA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,HUMANA,HUMANA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,UHC,UHC,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,OPLAB85300,85300,CPT,300,,,,,,,VA,VA,,168,75.6,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,AETNA,AETNA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,BCBS,BCBS,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,CIGNA,CIGNA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,HUMANA,HUMANA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,UHC,UHC,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,OPLAB85301,85301,CPT,300,,,,,,,VA,VA,,154,69.3,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,AETNA,AETNA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,BCBS,BCBS,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,CIGNA,CIGNA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,HUMANA,HUMANA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,UHC,UHC,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN C ACTIVITY,OPLAB85303,85303,CPT,300,,,,,,,VA,VA,,196,88.2,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,AETNA,AETNA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,BCBS,BCBS,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,CIGNA,CIGNA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,HUMANA,HUMANA,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,UHC,UHC,,218,98.1,,,,,,,,outpatient,
CLOTTING INHIBITORS PROTEIN S FREE,OPLAB85306,85306,CPT,300,,,,,,,VA,VA,,218,98.1,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,AETNA,AETNA,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,BCBS,BCBS,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,CIGNA,CIGNA,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,HUMANA,HUMANA,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,UHC,UHC,,1560,399,,,,,,,,outpatient,
CT THORAX W/O CONTRAST MATERIAL,OPLAB71250,71250,CPT,352,,,,,,,VA,VA,,1560,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,AETNA,AETNA,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,BCBS,BCBS,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,CIGNA,CIGNA,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,HUMANA,HUMANA,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,UHC,UHC,,1242,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O CONTRAST MATERIAL,OPLAB70450,70450,CPT,351,,,,,,,VA,VA,,1242,399,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,AETNA,AETNA,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,BCBS,BCBS,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,CIGNA,CIGNA,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,HUMANA,HUMANA,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,UHC,UHC,,378,170.1,,,,,,,,outpatient,
F2 GENE ANALYSIS 20210G >A VARIANT,OPLAB81240,81240,CPT,300,,,,,,,VA,VA,,378,170.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,AETNA,AETNA,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,BCBS,BCBS,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,CIGNA,CIGNA,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,HUMANA,HUMANA,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,UHC,UHC,,18,8.1,,,,,,,,outpatient,
"TESTOSTERONE ENANTHATE INJ, 1mg",OPLABJ3121,J3121,CPT,636,,,,,,,VA,VA,,18,8.1,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,AETNA,AETNA,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,BCBS,BCBS,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,UHC,UHC,,493,221.85,,,,,,,,outpatient,
POTASSIUM CHL 20 mEq/1000mL IV Sol Flex Bag 1000mL,5000POTCHL1000,J3490,CPT,250,,,,,,,VA,VA,,493,221.85,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,AETNA,AETNA,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,BCBS,BCBS,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,UHC,UHC,,174,78.3,,,,,,,,outpatient,
Flonase Nasal Spray 50mcg strength ,5000J3490FLONA,J3490,CPT,636,,,,,,,VA,VA,,174,78.3,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,AETNA,AETNA,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,BCBS Federal,BCBS Federal,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,BCBS,BCBS,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,CIGNA,CIGNA,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,HUMANA,HUMANA,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,UHC,UHC,,198,75,,,,,,,,outpatient,
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,OPLAB93005,93005,CPT,730,,,,,,,VA,VA,,198,75,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,AETNA,AETNA,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,BCBS,BCBS,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,CIGNA,CIGNA,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,HUMANA,HUMANA,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,UHC,UHC,,422,189.9,,,,,,,,outpatient,
F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,OPLAB81241,81241,CPT,300,,,,,,,VA,VA,,422,189.9,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,OPLAB85598,85598,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,AETNA,AETNA,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,BCBS,BCBS,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,CIGNA,CIGNA,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,HUMANA,HUMANA,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,UHC,UHC,,2706,529,,,,,,,,outpatient,
MRI PELVIS C-MATRL,OPLAB72195,72195,CPT,612,,,,,,,VA,VA,,2706,529,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,AETNA,AETNA,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,BCBS,BCBS,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,CIGNA,CIGNA,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,HUMANA,HUMANA,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,UHC,UHC,,2147,399,,,,,,,,outpatient,
Ct Abd & pelvis W/o Contrast,OPLAB74176,74176,CPT,352,,,,,,,VA,VA,,2147,399,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,AETNA,AETNA,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,BCBS,BCBS,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,CIGNA,CIGNA,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,HUMANA,HUMANA,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,UHC,UHC,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,500084154,84154,CPT,300,,,,,,,VA,VA,,235,105.75,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,AETNA,AETNA,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,BCBS,BCBS,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,CIGNA,CIGNA,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,HUMANA,HUMANA,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,UHC,UHC,,118,53.1,,,,,,,,outpatient,
ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,OPLAB84154,84154,CPT,300,,,,,,,VA,VA,,118,53.1,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,AETNA,AETNA,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,BCBS,BCBS,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,CIGNA,CIGNA,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,HUMANA,HUMANA,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,UHC,UHC,,2251,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS LMBR C-MATRL,OPLAB72148,72148,CPT,612,,,,,,,VA,VA,,2251,529,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,AETNA,AETNA,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,BCBS,BCBS,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,CIGNA,CIGNA,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,HUMANA,HUMANA,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,UHC,UHC,,2189,499,,,,,,,,outpatient,
CT THORAX C-/C+,OPLAB71270,71270,CPT,352,,,,,,,VA,VA,,2189,499,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,AETNA,AETNA,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,BCBS,BCBS,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,CIGNA,CIGNA,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,HUMANA,HUMANA,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,UHC,UHC,,2385,529,,,,,,,,outpatient,
MRI ANY JT UXTR C-MATRL,OPLAB73221,73221,CPT,610,,,,,,,VA,VA,,2385,529,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,AETNA,AETNA,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,BCBS,BCBS,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,CIGNA,CIGNA,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,HUMANA,HUMANA,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,UHC,UHC,,239,60,,,,,,,,outpatient,
FIBRIN DGRADJ PRODUXS D-DIMER QUAN,OPLAB85379,85379,CPT,305,,,,,,,VA,VA,,239,60,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,AETNA,AETNA,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,BCBS,BCBS,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,CIGNA,CIGNA,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,HUMANA,HUMANA,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,UHC,UHC,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTR VEINS UNI/LMTD STD,OPLAB93971,93971,CPT,921,,,,,,,VA,VA,,1351,607.95,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,AETNA,AETNA,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,BCBS,BCBS,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,CIGNA,CIGNA,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,HUMANA,HUMANA,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,UHC,UHC,,2163,973.35,,,,,,,,outpatient,
DUP-SCAN XTRC ART COMPL BI STD,OPLAB93880,93880,CPT,921,,,,,,,VA,VA,,2163,973.35,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,AETNA,AETNA,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,BCBS,BCBS,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,CIGNA,CIGNA,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,HUMANA,HUMANA,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,UHC,UHC,,136,61.2,,,,,,,,outpatient,
ASSAY OF SOMATOMEDIN,OPLAB84305,84305,CPT,300,,,,,,,VA,VA,,136,61.2,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,AETNA,AETNA,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,BCBS,BCBS,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,CIGNA,CIGNA,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,HUMANA,HUMANA,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,UHC,UHC,,1264,399,,,,,,,,outpatient,
US SOFT TISS HEAD&NCK R-T IMG,OPLAB76536,76536,CPT,402,,,,,,,VA,VA,,1264,399,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,AETNA,AETNA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,BCBS,BCBS,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,CIGNA,CIGNA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,HUMANA,HUMANA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,UHC,UHC,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS THRC C-MATRL,OPLAB72146,72146,CPT,610,,,,,,,VA,VA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,AETNA,AETNA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,BCBS,BCBS,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,CIGNA,CIGNA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,HUMANA,HUMANA,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,UHC,UHC,,2243,529,,,,,,,,outpatient,
MRI SPI CANAL&CNTS CRV C-MATRL,OPLAB72141,72141,CPT,612,,,,,,,VA,VA,,2243,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,AETNA,AETNA,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,BCBS Federal,BCBS Federal,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,BCBS,BCBS,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,CIGNA,CIGNA,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,HUMANA,HUMANA,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,UHC,UHC,,2307,529,,,,,,,,outpatient,
MRI BRN BRN STEM C-MATRL,OPLAB70551,70551,CPT,611,,,,,,,VA,VA,,2307,529,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,AETNA,AETNA,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,BCBS,BCBS,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,CIGNA,CIGNA,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,HUMANA,HUMANA,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,UHC,UHC,,3303,549,,,,,,,,outpatient,
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,OPLAB71275,71275,CPT,352,,,,,,,VA,VA,,3303,549,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,AETNA,AETNA,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,BCBS,BCBS,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,CIGNA,CIGNA,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,HUMANA,HUMANA,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,UHC,UHC,,3772,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ LMBR,OPLAB72158,72158,CPT,612,,,,,,,VA,VA,,3772,599,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,AETNA,AETNA,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,BCBS,BCBS,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,CIGNA,CIGNA,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,HUMANA,HUMANA,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,UHC,UHC,,1325,399,,,,,,,,outpatient,
US ABDOMINAL R-T W/IMAGE DOCUMENTATION,OPLAB76700,76700,CPT,402,,,,,,,VA,VA,,1325,399,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,AETNA,AETNA,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,BCBS,BCBS,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,CIGNA,CIGNA,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,HUMANA,HUMANA,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,UHC,UHC,,1201,750,,,,,,,,outpatient,
US PELVIC NONOB REAL-TIME IMG COMPLETE,OPLAB76856,76856,CPT,402,,,,,,,VA,VA,,1201,750,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,AETNA,AETNA,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,BCBS,BCBS,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,CIGNA,CIGNA,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,HUMANA,HUMANA,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,UHC,UHC,,1514,399,,,,,,,,outpatient,
CT LOWER EXTREMITY W/O CONTRAST MATERIAL,OPLAB73700,73700,CPT,352,,,,,,,VA,VA,,1514,399,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,AETNA,AETNA,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,BCBS,BCBS,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,CIGNA,CIGNA,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,HUMANA,HUMANA,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,UHC,UHC,,4004,599,,,,,,,,outpatient,
MRI ABD C-/C+,OPLAB74183,74183,CPT,610,,,,,,,VA,VA,,4004,599,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,AETNA,AETNA,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,BCBS,BCBS,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,CIGNA,CIGNA,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,HUMANA,HUMANA,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,UHC,UHC,,2539,1142.55,,,,,,,,outpatient,
MRA NCK C-MATRL,OPLAB70547,70547,CPT,615,,,,,,,VA,VA,,2539,1142.55,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,AETNA,AETNA,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,BCBS,BCBS,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,CIGNA,CIGNA,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,HUMANA,HUMANA,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,UHC,UHC,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,OPLAB70498,70498,CPT,352,,,,,,,VA,VA,,3239,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,AETNA,AETNA,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,BCBS,BCBS,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,CIGNA,CIGNA,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,HUMANA,HUMANA,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,UHC,UHC,,3243,549,,,,,,,,outpatient,
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,OPLAB70496,70496,CPT,351,,,,,,,VA,VA,,3243,549,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,AETNA,AETNA,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,BCBS,BCBS,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,CIGNA,CIGNA,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,HUMANA,HUMANA,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,UHC,UHC,,552,552,,,,,,,,outpatient,
US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,OPLAB76857,76857,CPT,402,,,,,,,VA,VA,,552,552,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,AETNA,AETNA,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,BCBS,BCBS,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,CIGNA,CIGNA,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,HUMANA,HUMANA,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,UHC,UHC,,1362,750,,,,,,,,outpatient,
US TRVG,OPLAB76830,76830,CPT,402,,,,,,,VA,VA,,1362,750,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,AETNA,AETNA,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,BCBS,BCBS,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,CIGNA,CIGNA,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,HUMANA,HUMANA,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,UHC,UHC,,3601,529,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,OPLAB73218,73218,CPT,610,,,,,,,VA,VA,,3601,529,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,AETNA,AETNA,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,BCBS,BCBS,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,CIGNA,CIGNA,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,HUMANA,HUMANA,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,UHC,UHC,,1956,499,,,,,,,,outpatient,
CT THORAX C+ MATRL,OPLAB71260,71260,CPT,352,,,,,,,VA,VA,,1956,499,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,AETNA,AETNA,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,BCBS,BCBS,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,CIGNA,CIGNA,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,HUMANA,HUMANA,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,UHC,UHC,,2132,959.4,,,,,,,,outpatient,
DUP-SCAN XTR VEINS COMPL BI STD,OPLAB93970,93970,CPT,921,,,,,,,VA,VA,,2132,959.4,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,AETNA,AETNA,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,BCBS,BCBS,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,CIGNA,CIGNA,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,HUMANA,HUMANA,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,UHC,UHC,,4576,599,,,,,,,,outpatient,
MRI ANY JT LXTR C-/C+,OPLAB73723,73723,CPT,610,,,,,,,VA,VA,,4576,599,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,5000J8499MERO,J8499,CPT,250,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,AETNA,AETNA,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,BCBS,BCBS,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,CIGNA,CIGNA,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,HUMANA,HUMANA,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,UHC,UHC,,29,13.05,,,,,,,,outpatient,
ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,OPLAB86003,86003,CPT,300,,,,,,,VA,VA,,29,13.05,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,AETNA,AETNA,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,BCBS,BCBS,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,CIGNA,CIGNA,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,HUMANA,HUMANA,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,UHC,UHC,,3761,599,,,,,,,,outpatient,
MRI BRN BRN STEM C-/C+,OPLAB70553,70553,CPT,610,,,,,,,VA,VA,,3761,599,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,AETNA,AETNA,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,BCBS,BCBS,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,CIGNA,CIGNA,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,HUMANA,HUMANA,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,UHC,UHC,,1760,399,,,,,,,,outpatient,
CT SOFT TISS NCK C-MATRL,OPLAB70490,70490,CPT,351,,,,,,,VA,VA,,1760,399,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,AETNA,AETNA,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,BCBS,BCBS,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,CIGNA,CIGNA,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,HUMANA,HUMANA,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,UHC,UHC,,2039,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,OPLAB70470,70470,CPT,351,,,,,,,VA,VA,,2039,499,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,AETNA,AETNA,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,BCBS,BCBS,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,CIGNA,CIGNA,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,HUMANA,HUMANA,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,UHC,UHC,,3989,599,,,,,,,,outpatient,
MRI PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72197,72197,CPT,610,,,,,,,VA,VA,,3989,599,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
ANTIBODY PROTOZOA NES,OPLAB86753,86753,CPT,300,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,AETNA,AETNA,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,BCBS,BCBS,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,CIGNA,CIGNA,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,HUMANA,HUMANA,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,UHC,UHC,,3265,499,,,,,,,,outpatient,
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,OPLAB72133,72133,CPT,352,,,,,,,VA,VA,,3265,499,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
ASSAY OF FOLIC ACID RBC,OPLAB82747,82747,CPT,300,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
ASSAY OF SEX HORMONE BINDING GLOBULIN,OPLAB84270,84270,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,AETNA,AETNA,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,BCBS,BCBS,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,CIGNA,CIGNA,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,HUMANA,HUMANA,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,UHC,UHC,,2641,529,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,OPLAB73718,73718,CPT,616,,,,,,,VA,VA,,2641,529,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,AETNA,AETNA,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,BCBS,BCBS,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,CIGNA,CIGNA,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,HUMANA,HUMANA,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,UHC,UHC,,1517,399,,,,,,,,outpatient,
CT THORACIC SPINE W/O CONTRAST MATERIAL,OPLAB72128,72128,CPT,352,,,,,,,VA,VA,,1517,399,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
ASSAY OF URINE SODIUM,OPLAB84300,84300,CPT,300,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4 COUNT,OPLAB86361,86361,CPT,300,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,AETNA,AETNA,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,BCBS,BCBS,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,CIGNA,CIGNA,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,HUMANA,HUMANA,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,UHC,UHC,,189,85.05,,,,,,,,outpatient,
ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,OPLAB84588,84588,CPT,300,,,,,,,VA,VA,,189,85.05,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
ASSAY OF CALPROTECTIN FECAL,OPLAB83993,83993,CPT,300,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,AETNA,AETNA,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,BCBS,BCBS,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,CIGNA,CIGNA,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,HUMANA,HUMANA,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,UHC,UHC,,293,131.85,,,,,,,,outpatient,
ASSAY OF PARATHORMONE,OPLAB83970,83970,CPT,300,,,,,,,VA,VA,,293,131.85,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,AETNA,AETNA,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,BCBS,BCBS,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,CIGNA,CIGNA,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,HUMANA,HUMANA,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,UHC,UHC,,1782,499,,,,,,,,outpatient,
CT MAXLFCL AREA C+ MATRL,OPLAB70487,70487,CPT,351,,,,,,,VA,VA,,1782,499,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,AETNA,AETNA,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,BCBS,BCBS,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,CIGNA,CIGNA,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,HUMANA,HUMANA,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,UHC,UHC,,94,42.3,,,,,,,,outpatient,
ASSAY OF METANEPHRINES,OPLAB83835,83835,CPT,300,,,,,,,VA,VA,,94,42.3,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,AETNA,AETNA,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,BCBS,BCBS,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,CIGNA,CIGNA,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,HUMANA,HUMANA,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,UHC,UHC,,70,31.5,,,,,,,,outpatient,
"Blood count; reticulocyte, automated",OPLAB85045,85045,CPT,305,,,,,,,VA,VA,,70,31.5,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,AETNA,AETNA,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,BCBS,BCBS,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,CIGNA,CIGNA,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,HUMANA,HUMANA,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,UHC,UHC,,3779,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+ CRV,OPLAB72156,72156,CPT,612,,,,,,,VA,VA,,3779,599,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,AETNA,AETNA,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,BCBS,BCBS,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,CIGNA,CIGNA,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,HUMANA,HUMANA,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,UHC,UHC,,88,39.6,,,,,,,,outpatient,
INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,OPLAB90656,90656,CPT,636,,,,,,,VA,VA,,88,39.6,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,AETNA,AETNA,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,BCBS,BCBS,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,CIGNA,CIGNA,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,HUMANA,HUMANA,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,UHC,UHC,,2761,499,,,,,,,,outpatient,
CT ABDOMEN W/CONTRAST MATERIAL,OPLAB74160,74160,CPT,352,,,,,,,VA,VA,,2761,499,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,AETNA,AETNA,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,BCBS,BCBS,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,CIGNA,CIGNA,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,HUMANA,HUMANA,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,UHC,UHC,,156,70.2,,,,,,,,outpatient,
ASSAY OF PYRIDOXAL PHOSPHATE,OPLAB84207,84207,CPT,300,,,,,,,VA,VA,,156,70.2,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
POTASSIUM URINE,OPLAB84133,84133,CPT,300,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
"ISOVUE-Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",OPLABQ9967,Q9967,CPT,636,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,AETNA,AETNA,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,BCBS,BCBS,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,CIGNA,CIGNA,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,HUMANA,HUMANA,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,UHC,UHC,,1510,399,,,,,,,,outpatient,
CT LUMBAR SPINE W/O CONTRAST MATERIAL,OPLAB72131,72131,CPT,352,,,,,,,VA,VA,,1510,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,AETNA,AETNA,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,BCBS,BCBS,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,CIGNA,CIGNA,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,HUMANA,HUMANA,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,UHC,UHC,,1001,399,,,,,,,,outpatient,
ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,OPLAB76705,76705,CPT,402,,,,,,,VA,VA,,1001,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,AETNA,AETNA,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,BCBS,BCBS,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,CIGNA,CIGNA,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,HUMANA,HUMANA,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,UHC,UHC,,1235,399,,,,,,,,outpatient,
US RETROPERITONEAL R-T W/IMAGE COMPL,OPLAB76770,76770,CPT,402,,,,,,,VA,VA,,1235,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,AETNA,AETNA,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,BCBS,BCBS,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,CIGNA,CIGNA,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,HUMANA,HUMANA,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,UHC,UHC,,478,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG LMTD,OPLAB76882,76882,CPT,402,,,,,,,VA,VA,,478,399,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,AETNA,AETNA,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,BCBS,BCBS,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,CIGNA,CIGNA,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,HUMANA,HUMANA,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,UHC,UHC,,2712,499,,,,,,,,outpatient,
CT PELVIS W/CONTRAST MATERIAL,OPLAB72193,72193,CPT,352,,,,,,,VA,VA,,2712,499,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,AETNA,AETNA,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,BCBS,BCBS,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,CIGNA,CIGNA,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,HUMANA,HUMANA,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,UHC,UHC,,261,117.45,,,,,,,,outpatient,
T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,OPLAB86360,86360,CPT,300,,,,,,,VA,VA,,261,117.45,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,AETNA,AETNA,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,BCBS,BCBS,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,CIGNA,CIGNA,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,HUMANA,HUMANA,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,UHC,UHC,,37,16.65,,,,,,,,outpatient,
CREATININE OTHER SOURCE,OPLAB82570,82570,CPT,300,,,,,,,VA,VA,,37,16.65,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
ASSAY OF UREA NITROGEN URINE,OPLAB84540,84540,CPT,300,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,AETNA,AETNA,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,BCBS,BCBS,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,CIGNA,CIGNA,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,HUMANA,HUMANA,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,UHC,UHC,,2535,1140.75,,,,,,,,outpatient,
MRA HEAD C-MATRL,OPLAB70544,70544,CPT,615,,,,,,,VA,VA,,2535,1140.75,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,AETNA,AETNA,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,BCBS,BCBS,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,CIGNA,CIGNA,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,HUMANA,HUMANA,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,UHC,UHC,,670,399,,,,,,,,outpatient,
US RPR B-SCAN&/R-T IMG LMTD,OPLAB76775,76775,CPT,402,,,,,,,VA,VA,,670,399,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
PROTEIN TOTAL XCPT REFRACTOMETRY URINE,OPLAB84156,84156,CPT,300,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,AETNA,AETNA,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,BCBS,BCBS,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,CIGNA,CIGNA,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,HUMANA,HUMANA,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,UHC,UHC,,116,52.2,,,,,,,,outpatient,
Cortisol; total (Random),OPLAB82533,82533,CPT,300,,,,,,,VA,VA,,116,52.2,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,OPLAB83516,83516,CPT,300,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
PREGNENOLONE,OPLAB84140,84140,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,AETNA,AETNA,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,BCBS,BCBS,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,CIGNA,CIGNA,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,HUMANA,HUMANA,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,UHC,UHC,,179,80.55,,,,,,,,outpatient,
ASSAY OF ESTROGENS FRACTIONATED,OPLAB82671,82671,CPT,300,,,,,,,VA,VA,,179,80.55,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
ASSAY OF ARSENIC,OPLAB82175,82175,CPT,300,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ASSAY OF LEAD,OPLAB83655,83655,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
CADMIUM,OPLAB82300,82300,CPT,300,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
ASSAY OF MERCURY QUANTITATIVE,OPLAB83825,83825,CPT,300,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,AETNA,AETNA,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,BCBS,BCBS,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,CIGNA,CIGNA,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,HUMANA,HUMANA,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,UHC,UHC,,1858,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,OPLAB70480,70480,CPT,351,,,,,,,VA,VA,,1858,499,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,AETNA,AETNA,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,BCBS,BCBS,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,CIGNA,CIGNA,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,HUMANA,HUMANA,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,UHC,UHC,,778,350.1,,,,,,,,outpatient,
SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,OPLAB95806,95806,CPT,450,,,,,,,VA,VA,,778,350.1,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,AETNA,AETNA,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,BCBS,BCBS,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,CIGNA,CIGNA,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,HUMANA,HUMANA,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,UHC,UHC,,174,78.3,,,,,,,,outpatient,
"ORAL MR CONTRAST, PER 100 ML",OPLABQ9954,Q9954,CPT,636,,,,,,,VA,VA,,174,78.3,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,AETNA,AETNA,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,BCBS,BCBS,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,CIGNA,CIGNA,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,HUMANA,HUMANA,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,UHC,UHC,,3121,1404.45,,,,,,,,outpatient,
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,OPLAB93925,93925,CPT,921,,,,,,,VA,VA,,3121,1404.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
URINE ALBUMIN QUANTITATIVE,OPLAB82043,82043,CPT,300,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,AETNA,AETNA,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,BCBS,BCBS,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,CIGNA,CIGNA,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,HUMANA,HUMANA,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,UHC,UHC,,3135,1410.75,,,,,,,,outpatient,
MRI TEMPOROMANDIBULAR JOINT,OPLAB70336,70336,CPT,320,,,,,,,VA,VA,,3135,1410.75,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,AETNA,AETNA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,BCBS,BCBS,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,CIGNA,CIGNA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,HUMANA,HUMANA,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,UHC,UHC,,1832,824.4,,,,,,,,outpatient,
XTRNL ECG & MORE THAN 48 HR RECORD SCAN STOR W/R&I,500000295T,0295T,CPT,731,,,,,,,VA,VA,,1832,824.4,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,AETNA,AETNA,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,BCBS,BCBS,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,CIGNA,CIGNA,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,HUMANA,HUMANA,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,UHC,UHC,,214,96.3,,,,,,,,outpatient,
1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,OPLAB82652,82652,CPT,300,,,,,,,VA,VA,,214,96.3,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Omnipaque 350mg/ml per-1ml,OPLABQ9967350,Q9967,CPT,636,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,AETNA,AETNA,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,BCBS,BCBS,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,UHC,UHC,,146,65.7,,,,,,,,outpatient,
Dotarem Contrast 15 mL vial,OPLABA9575DOT15,A9575,CPT,250,,,,,,,VA,VA,,146,65.7,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,AETNA,AETNA,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,BCBS,BCBS,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,CIGNA,CIGNA,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,HUMANA,HUMANA,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,UHC,UHC,,1361,612.45,,,,,,,,outpatient,
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,OPLAB93306,93306,CPT,731,,,,,,,VA,VA,,1361,612.45,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,OPLAB86022,86022,CPT,300,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,AETNA,AETNA,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,BCBS Federal,BCBS Federal,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,BCBS,BCBS,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,CIGNA,CIGNA,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,HUMANA,HUMANA,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,UHC,UHC,,197,88.65,,,,,,,,outpatient,
TRANSFUSION BLOOD/BLOOD COMPONENTS,OPLAB36430,36430,CPT,391,,,,,,,VA,VA,,197,88.65,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,OPLAB86920,86920,CPT,300,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Omnipaque 300mg/ml per-1ml,OPLABR0003,Q9967,CPT,636,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
SKN TST TUBERCULOSIS ID,OPLAB86580,86580,CPT,302,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,AETNA,AETNA,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,BCBS,BCBS,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,CIGNA,CIGNA,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,HUMANA,HUMANA,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,UHC,UHC,,642,288.9,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,OPLAB32555,32555,CPT,450,,,,,,,VA,VA,,642,288.9,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,AETNA,AETNA,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,BCBS,BCBS,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,CIGNA,CIGNA,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,HUMANA,HUMANA,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,UHC,UHC,,3787,599,,,,,,,,outpatient,
MRI SPI CANAL&CNTS C-/C+,OPLAB72157,72157,CPT,612,,,,,,,VA,VA,,3787,599,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,AETNA,AETNA,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,BCBS,BCBS,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,CIGNA,CIGNA,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,HUMANA,HUMANA,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,UHC,UHC,,2475,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C-/C+,OPLAB70482,70482,CPT,351,,,,,,,VA,VA,,2475,499,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,AETNA,AETNA,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,BCBS,BCBS,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,CIGNA,CIGNA,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,HUMANA,HUMANA,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,UHC,UHC,,1337,699,,,,,,,,outpatient,
ULTRASOUND 14 WK TABDL 1/1ST GESTATION,OPLAB76801,76801,CPT,402,,,,,,,VA,VA,,1337,699,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
ASSAY OF HOMOCYSTEINE,OPLAB83090,83090,CPT,301,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,AETNA,AETNA,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,BCBS,BCBS,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,CIGNA,CIGNA,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,HUMANA,HUMANA,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,UHC,UHC,,1560,399,,,,,,,,outpatient,
CT PELVIS W/O CONTRAST MATERIAL,OPLAB72192,72192,CPT,352,,,,,,,VA,VA,,1560,399,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
INTRO NDL/INTRACATH VEIN,OPLAB36000,36000,CPT,269,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,AETNA,AETNA,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,BCBS,BCBS,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,CIGNA,CIGNA,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,HUMANA,HUMANA,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,UHC,UHC,,2990,499,,,,,,,,outpatient,
CT PELVIS W/O & W/CONTRAST MATERIAL,OPLAB72194,72194,CPT,352,,,,,,,VA,VA,,2990,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,AETNA,AETNA,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,BCBS,BCBS,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,CIGNA,CIGNA,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,HUMANA,HUMANA,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,UHC,UHC,,1517,399,,,,,,,,outpatient,
CT CERVICAL SPINE W/O CONTRAST MATERIAL,OPLAB72125,72125,CPT,352,,,,,,,VA,VA,,1517,399,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
NON-ROUTINE BLOOD DRAW 3/> YRS,OPLAB36410,36410,CPT,450,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",OPLABA9579,A9579,CPT,636,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,AETNA,AETNA,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,BCBS,BCBS,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,CIGNA,CIGNA,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,HUMANA,HUMANA,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,UHC,UHC,,217,97.65,,,,,,,,outpatient,
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,OPLAB43762,43762,CPT,450,,,,,,,VA,VA,,217,97.65,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA,OPLAB86777,86777,CPT,300,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
ANTIBODY TOXOPLASMA IGM,OPLAB86778,86778,CPT,300,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,AETNA,AETNA,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,BCBS,BCBS,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,CIGNA,CIGNA,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,HUMANA,HUMANA,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,UHC,UHC,,1495,672.75,,,,,,,,outpatient,
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,500099222,99222,CPT,450,,,,,,,VA,VA,,1495,672.75,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,AETNA,AETNA,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,BCBS,BCBS,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,CIGNA,CIGNA,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,HUMANA,HUMANA,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,UHC,UHC,,3096,499,,,,,,,,outpatient,
CT ABDOMEN W/O & W/CONTRAST MATERIAL,OPLAB74170,74170,CPT,352,,,,,,,VA,VA,,3096,499,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,AETNA,AETNA,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,BCBS Federal,BCBS Federal,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,BCBS,BCBS,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,CIGNA,CIGNA,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,HUMANA,HUMANA,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,UHC,UHC,,125,56.25,,,,,,,,outpatient,
PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,OPLAB97161,97161,CPT,424,,,,,,,VA,VA,,125,56.25,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,AETNA,AETNA,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,BCBS,BCBS,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,CIGNA,CIGNA,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,HUMANA,HUMANA,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,UHC,UHC,,967,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE LIMITED,OPLAB76642,76642,CPT,402,,,,,,,VA,VA,,967,399,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,AETNA,AETNA,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,BCBS,BCBS,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,CIGNA,CIGNA,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,HUMANA,HUMANA,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,UHC,UHC,,1614,726.3,,,,,,,,outpatient,
DOPPLER - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,OPLAB93926,93926,CPT,921,,,,,,,VA,VA,,1614,726.3,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,AETNA,AETNA,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,BCBS,BCBS,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,CIGNA,CIGNA,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,HUMANA,HUMANA,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,UHC,UHC,,1054,699,,,,,,,,outpatient,
US PG UTER R-T IMG TRVG,OPLAB76817,76817,CPT,402,,,,,,,VA,VA,,1054,699,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
IMADM PRQ ID SUBQ/IM NJXS 1 VACC,OPLAB90471,90471,CPT,771,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
TDAP VACCINE 7 YR + IM,OPLAB90715,90715,CPT,636,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,AETNA,AETNA,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,BCBS,BCBS,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,CIGNA,CIGNA,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,HUMANA,HUMANA,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,UHC,UHC,,166,74.7,,,,,,,,outpatient,
STRAPPING ANKLE &/FOOT,OPLAB29540,29540,CPT,450,,,,,,,VA,VA,,166,74.7,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
CRUTCH ALUM ADLT ADJ,OPLABE0114,E0114,CPT,272,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,AETNA,AETNA,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,BCBS,BCBS,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,CIGNA,CIGNA,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,HUMANA,HUMANA,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,UHC,UHC,,13,5.85,,,,,,,,outpatient,
ACE WRAP - LT COMPRES BAND >=5,OPLABA6450,A6450,CPT,272,,,,,,,VA,VA,,13,5.85,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
ANTIBODY MYCOPLSM,OPLAB86738,86738,CPT,300,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,AETNA,AETNA,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,BCBS,BCBS,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,CIGNA,CIGNA,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,HUMANA,HUMANA,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,UHC,UHC,,4008,599,,,,,,,,outpatient,
MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,OPLAB70543,70543,CPT,615,,,,,,,VA,VA,,4008,599,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,AETNA,AETNA,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,BCBS,BCBS,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,CIGNA,CIGNA,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,HUMANA,HUMANA,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,UHC,UHC,,1064,478.8,,,,,,,,outpatient,
DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,OPLAB93978,93978,CPT,921,,,,,,,VA,VA,,1064,478.8,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,AETNA,AETNA,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,BCBS,BCBS,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,CIGNA,CIGNA,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,HUMANA,HUMANA,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,UHC,UHC,,90,40.5,,,,,,,,outpatient,
CARBOHYDRATE DEFICIENT TRANSFERRIN,OPLAB82373,82373,CPT,301,,,,,,,VA,VA,,90,40.5,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,AETNA,AETNA,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,BCBS,BCBS,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,CIGNA,CIGNA,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,HUMANA,HUMANA,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,UHC,UHC,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,OPLAB83663,83663,CPT,301,,,,,,,VA,VA,,95,42.75,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
FETAL LUNG MATURITY LAMELLAR BODY DENSITY,OPLAB83664,83664,CPT,301,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,AETNA,AETNA,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,BCBS,BCBS,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,CIGNA,CIGNA,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,HUMANA,HUMANA,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,UHC,UHC,,41,18.45,,,,,,,,outpatient,
ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,OPLAB84078,84078,CPT,301,,,,,,,VA,VA,,41,18.45,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
PROTEIN TOTAL REFRACTOMETRY ANY SRC,OPLAB84160,84160,CPT,301,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,OPLAB84591,84591,CPT,301,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,OPLAB81005,81005,CPT,307,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
URINALYSIS 2/3 GLASS TEST,OPLAB81020,81020,CPT,307,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE QUALITATIVE,OPLAB84578,84578,CPT,307,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,OPLAB84580,84580,CPT,307,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,AETNA,AETNA,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,BCBS,BCBS,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,CIGNA,CIGNA,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,HUMANA,HUMANA,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,UHC,UHC,,30,13.5,,,,,,,,outpatient,
ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,OPLAB84583,84583,CPT,307,,,,,,,VA,VA,,30,13.5,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT SPUN MICROHEMATOCRIT,OPLAB85013,85013,CPT,305,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,AETNA,AETNA,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,BCBS,BCBS,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,CIGNA,CIGNA,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,HUMANA,HUMANA,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,UHC,UHC,,32,14.4,,,,,,,,outpatient,
BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,OPLAB85004,85004,CPT,305,,,,,,,VA,VA,,32,14.4,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,OPLAB85008,85008,CPT,305,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,AETNA,AETNA,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,BCBS,BCBS,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,CIGNA,CIGNA,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,HUMANA,HUMANA,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,UHC,UHC,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,OPLAB85009,85009,CPT,305,,,,,,,VA,VA,,25,11.25,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT PLATELET AUTOMATED,OPLAB85049,85049,CPT,305,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,OPLAB85046,85046,CPT,305,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,OPLAB87635,87635,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,AETNA,AETNA,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,BCBS,BCBS,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,CIGNA,CIGNA,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,HUMANA,HUMANA,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,UHC,UHC,,3000,1350,,,,,,,,outpatient,
INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,OPLAB36569,36569,CPT,450,,,,,,,VA,VA,,3000,1350,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,AETNA,AETNA,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,BCBS,BCBS,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,CIGNA,CIGNA,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,HUMANA,HUMANA,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,UHC,UHC,,1936,871.2,,,,,,,,outpatient,
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,OPLAB36561,36561,CPT,450,,,,,,,VA,VA,,1936,871.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,AETNA,AETNA,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,BCBS,BCBS,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,CIGNA,CIGNA,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,HUMANA,HUMANA,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,UHC,UHC,,3900,1755,,,,,,,,outpatient,
INSERTION PICC W/RS&I 5 YR/>,OPLAB36573,36573,CPT,450,,,,,,,VA,VA,,3900,1755,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
COVID-19 lab test non-CDC,OPLABU0002,U0002,CPT,306,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,OPLAB86769,86769,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,OPLAB86328,86328,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,AETNA,AETNA,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,BCBS,BCBS,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,CIGNA,CIGNA,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,HUMANA,HUMANA,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,UHC,UHC,,275,123.75,,,,,,,,outpatient,
IV THERAPY 1ST >1 HOUR,OPLAB96365,96365,CPT,260,,,,,,,VA,VA,,275,123.75,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,AETNA,AETNA,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,BCBS,BCBS,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,CIGNA,CIGNA,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,HUMANA,HUMANA,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,UHC,UHC,,44,19.8,,,,,,,,outpatient,
SOLU-MEDROL - METHYLPREDNISOLONE UP TO 125MG,OPLABJ2930,J2930,CPT,250,,,,,,,VA,VA,,44,19.8,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
NORMAL SALINE SOLUTION INFUS 1000CC,OPLABJ7030,J7030,CPT,269,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
MOTRIN 800 MG TABLET,5000J8499MOTR8,J8499,CPT,257,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,AETNA,AETNA,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,BCBS,BCBS,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,CIGNA,CIGNA,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,HUMANA,HUMANA,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,UHC,UHC,,157,70.65,,,,,,,,outpatient,
Pneuma/vac walk boot pre ots,OPLABL4361,L4361,CPT,274,,,,,,,VA,VA,,157,70.65,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,AETNA,AETNA,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,BCBS,BCBS,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,CIGNA,CIGNA,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,HUMANA,HUMANA,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,UHC,UHC,,52,23.4,,,,,,,,outpatient,
IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,OPLAB87341,87341,CPT,300,,,,,,,VA,VA,,52,23.4,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,AETNA,AETNA,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,BCBS,BCBS,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,CIGNA,CIGNA,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,HUMANA,HUMANA,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,UHC,UHC,,100,45,,,,,,,,outpatient,
"Cath, inf, per/cent/midline",OPLABC1751,C1751,CPT,270,,,,,,,VA,VA,,100,45,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,AETNA,AETNA,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,BCBS,BCBS,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,CIGNA,CIGNA,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,HUMANA,HUMANA,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,UHC,UHC,,646,399,,,,,,,,outpatient,
US GUIDE VASCULAR ACCESS,OPLAB76937,76937,CPT,402,,,,,,,VA,VA,,646,399,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
Infectious agent detection by nucleic acid (DNA or RNA); sev,OPLABU0003,U0003,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,AETNA,AETNA,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,BCBS,BCBS,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,CIGNA,CIGNA,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,HUMANA,HUMANA,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,UHC,UHC,,4862,599,,,,,,,,outpatient,
MRI UXTR OTH/THN JT C-/C+,OPLAB73220,73220,CPT,610,,,,,,,VA,VA,,4862,599,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,AETNA,AETNA,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,BCBS,BCBS,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,CIGNA,CIGNA,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,HUMANA,HUMANA,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,UHC,UHC,,1211,399,,,,,,,,outpatient,
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,OPLAB76706,76706,CPT,402,,,,,,,VA,VA,,1211,399,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,AETNA,AETNA,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,BCBS,BCBS,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,CIGNA,CIGNA,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,HUMANA,HUMANA,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,UHC,UHC,,119,53.55,,,,,,,,outpatient,
Antibody; Helicobacter pylori ,OPLAB86677,86677,CPT,306,,,,,,,VA,VA,,119,53.55,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,AETNA,AETNA,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,BCBS,BCBS,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,CIGNA,CIGNA,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,HUMANA,HUMANA,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,UHC,UHC,,1104,496.8,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,OPLAB93976,93976,CPT,921,,,,,,,VA,VA,,1104,496.8,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,OPLAB83718,83718,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,OPLAB36400,36400,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS (COVID-19),OPLAB87426,87426,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,500087385,87385,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
IAAD IA HISTOPLASM CAPSULATUM,OPLAB87385,87385,CPT,300,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
Cov-19 test non-cdc hgh thru,5000U0004,U0004,CPT,306,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,AETNA,AETNA,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,BCBS,BCBS,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,CIGNA,CIGNA,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,HUMANA,HUMANA,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,UHC,UHC,,2816,1267.2,,,,,,,,outpatient,
THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,500074283,74283,CPT,450,,,,,,,VA,VA,,2816,1267.2,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,500086406,86406,CPT,300,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,AETNA,AETNA,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,BCBS,BCBS,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,CIGNA,CIGNA,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,HUMANA,HUMANA,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,UHC,UHC,,53,23.85,,,,,,,,outpatient,
PARTICLE AGGLUTINATION TITER EACH ANTIBODY,OPLAB86406,86406,CPT,300,,,,,,,VA,VA,,53,23.85,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,AETNA,AETNA,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,BCBS,BCBS,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,CIGNA,CIGNA,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,HUMANA,HUMANA,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,UHC,UHC,,704,316.8,,,,,,,,outpatient,
CYTP CONCENTRATION SMEARS & INTERPRETATION,500088108,88108,CPT,450,,,,,,,VA,VA,,704,316.8,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,AETNA,AETNA,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,BCBS,BCBS,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,CIGNA,CIGNA,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,HUMANA,HUMANA,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,UHC,UHC,,765,344.25,,,,,,,,outpatient,
CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,500088112,88112,CPT,450,,,,,,,VA,VA,,765,344.25,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,OPLAB86300,86300,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87486,87486,CPT,300,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,OPLAB87581,87581,CPT,300,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,AETNA,AETNA,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,BCBS,BCBS,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,CIGNA,CIGNA,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,HUMANA,HUMANA,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,UHC,UHC,,137,61.65,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE SIROLIMUS,500080195,80195,CPT,300,,,,,,,VA,VA,,137,61.65,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,AETNA,AETNA,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,BCBS,BCBS,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,CIGNA,CIGNA,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,HUMANA,HUMANA,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,UHC,UHC,,601,270.45,,,,,,,,outpatient,
CHANGE CYSTOSTOMY TUBE SIMPLE,500051705,51705,CPT,450,,,,,,,VA,VA,,601,270.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Zinc 220 mg; PO,5000J8499ZINC,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,AETNA,AETNA,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,BCBS,BCBS,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,CIGNA,CIGNA,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,HUMANA,HUMANA,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,UHC,UHC,,1874,843.3,,,,,,,,outpatient,
RABIES VACCINE INTRAMUSCULAR,OPLAB90675,90675,CPT,636,,,,,,,VA,VA,,1874,843.3,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,AETNA,AETNA,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,BCBS,BCBS,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,CIGNA,CIGNA,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,HUMANA,HUMANA,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,UHC,UHC,,4008,529,,,,,,,,outpatient,
MRI CH C-MATRL,OPLAB71550,71550,CPT,610,,,,,,,VA,VA,,4008,529,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,AETNA,AETNA,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,BCBS,BCBS,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,CIGNA,CIGNA,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,HUMANA,HUMANA,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,UHC,UHC,,66,35,,,,,,,,outpatient,
INFLUENZA A,OPLAB87804A,87804,CPT,300,,,,,,,VA,VA,,66,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,AETNA,AETNA,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,BCBS,BCBS,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,CIGNA,CIGNA,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,HUMANA,HUMANA,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,UHC,UHC,,132,35,,,,,,,,outpatient,
INFLUENZA B,OPLAB87804B,87804,CPT,300,,,,,,,VA,VA,,132,35,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,AETNA,AETNA,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,BCBS,BCBS,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,CIGNA,CIGNA,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,HUMANA,HUMANA,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,UHC,UHC,,3881,1746.45,,,,,,,,outpatient,
MRA HEAD W/O & W/CONTRAST MATERIAL,OPLAB70546,70546,CPT,615,,,,,,,VA,VA,,3881,1746.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,AETNA,AETNA,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,BCBS,BCBS,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,CIGNA,CIGNA,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,HUMANA,HUMANA,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,UHC,UHC,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,500084432,84432,CPT,300,,,,,,,VA,VA,,161,72.45,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,AETNA,AETNA,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,BCBS,BCBS,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,CIGNA,CIGNA,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,HUMANA,HUMANA,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,UHC,UHC,,80,36,,,,,,,,outpatient,
ASSAY OF THYROGLOBULIN,OPLAB84432,84432,CPT,300,,,,,,,VA,VA,,80,36,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS,500099072,99072,CPT,450,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
"SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative",500086413,86413,CPT,300,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Metolazone Zaroxolyn 2.5 mg; PO,5000J8499METOZA,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,AETNA,AETNA,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,BCBS,BCBS,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,UHC,UHC,,12,5.4,,,,,,,,outpatient,
Celebrex 100 mg; PO,5000J8499CELE,J8499,CPT,250,,,,,,,VA,VA,,12,5.4,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Metamucil 3.4 gm packet,5000J8499METAM,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Ferrous Sulfate 325 mg; tab,5000J8499FER,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
ASPIRIN 325MG TAB 100/BT,5000J8499ASP,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
CIPROFLOXACIN 500MG TAB ,5000J8499CIPRON,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
Pyridium 100mg tab,5000J8499PYRN,J8499,CPT,250,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,AETNA,AETNA,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,BCBS,BCBS,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,CIGNA,CIGNA,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,HUMANA,HUMANA,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,UHC,UHC,,2667,1200.15,,,,,,,,outpatient,
INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,500041007,41007,CPT,450,,,,,,,VA,VA,,2667,1200.15,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,AETNA,AETNA,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,BCBS,BCBS,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,CIGNA,CIGNA,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,HUMANA,HUMANA,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,UHC,UHC,,1255,564.75,,,,,,,,outpatient,
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,500011421,11421,CPT,450,,,,,,,VA,VA,,1255,564.75,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,AETNA,AETNA,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,BCBS,BCBS,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,CIGNA,CIGNA,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,HUMANA,HUMANA,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,UHC,UHC,,170,76.5,,,,,,,,outpatient,
PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,500084181,84181,CPT,300,,,,,,,VA,VA,,170,76.5,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,AETNA,AETNA,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,BCBS,BCBS,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,CIGNA,CIGNA,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,HUMANA,HUMANA,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,UHC,UHC,,536,241.2,,,,,,,,outpatient,
RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 0.5 mL (18 years or older),500090682,90682,CPT,450,,,,,,,VA,VA,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,AETNA,AETNA,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,BCBS,BCBS,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,CIGNA,CIGNA,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,HUMANA,HUMANA,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,UHC,UHC,,536,241.2,,,,,,,,outpatient,
IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE 5 mL (6 mths or older),500090688,90688,CPT,450,,,,,,,VA,VA,,536,241.2,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Oxybutynin (Ditropan) 5 mg; tab,5000J8499DIT,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,AETNA,AETNA,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,BCBS,BCBS,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,CIGNA,CIGNA,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,HUMANA,HUMANA,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,UHC,UHC,,51,22.95,,,,,,,,outpatient,
Fluconazole (Diflucan) 400mg/0.2L (200ml),5000J1450,J1450,CPT,250,,,,,,,VA,VA,,51,22.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,AETNA,AETNA,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,BCBS,BCBS,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,CIGNA,CIGNA,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,HUMANA,HUMANA,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,UHC,UHC,,1131,508.95,,,,,,,,outpatient,
OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,500076513,76513,CPT,402,,,,,,,VA,VA,,1131,508.95,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,AETNA,AETNA,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,BCBS,BCBS,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,CIGNA,CIGNA,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,HUMANA,HUMANA,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,UHC,UHC,,3867,1740.15,,,,,,,,outpatient,
RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,500090375,90375,CPT,636,,,,,,,VA,VA,,3867,1740.15,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,AETNA,AETNA,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,BCBS,BCBS,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,CIGNA,CIGNA,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,HUMANA,HUMANA,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,UHC,UHC,,7909,3559.05,,,,,,,,outpatient,
HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,500090371,90371,CPT,636,,,,,,,VA,VA,,7909,3559.05,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE,OPLAB90658,90658,CPT,636,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,AETNA,AETNA,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,BCBS,BCBS,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,CIGNA,CIGNA,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,HUMANA,HUMANA,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,UHC,UHC,,1602,399,,,,,,,,outpatient,
CT ABDOMEN W/O CONTRAST MATERIAL,OPLAB74150,74150,CPT,352,,,,,,,VA,VA,,1602,399,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Estradiol (Estrace) 5 mg; PO,5000J8499ESTR,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Ezetimibe (Zetia) 10 mg; PO,5000J8499EZET,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,AETNA,AETNA,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,BCBS,BCBS,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,UHC,UHC,,26,11.7,,,,,,,,outpatient,
Bumetanide (Bumex) 1mg; IV,5000J3490BUME,J3490,CPT,250,,,,,,,VA,VA,,26,11.7,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,AETNA,AETNA,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,BCBS,BCBS,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,UHC,UHC,,73,32.85,,,,,,,,outpatient,
Ranexa (Ranolazine) 500 mg tab; PO,5000J8499RANE,J8499,CPT,250,,,,,,,VA,VA,,73,32.85,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Gemfibrozil 600 mg tab; PO,5000J8499GEM,J8499,CPT,250,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,AETNA,AETNA,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,BCBS,BCBS,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,CIGNA,CIGNA,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,HUMANA,HUMANA,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,UHC,UHC,,98,44.1,,,,,,,,outpatient,
VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,OPLAB87254,87254,CPT,300,,,,,,,VA,VA,,98,44.1,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,AETNA,AETNA,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,BCBS,BCBS,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,CIGNA,CIGNA,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,HUMANA,HUMANA,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,UHC,UHC,,750,337.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),500087428,87428,CPT,300,,,,,,,VA,VA,,750,337.5,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,AETNA,AETNA,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,BCBS,BCBS,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,UHC,UHC,,927,417.15,,,,,,,,outpatient,
Maxitrol Neomycin Sulfate/Polym B Sulf/ Dexamethasone 0.1% Opht Drops,5000MAXITRN,J8499,CPT,250,,,,,,,VA,VA,,927,417.15,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,AETNA,AETNA,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,BCBS,BCBS,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,CIGNA,CIGNA,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,HUMANA,HUMANA,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,UHC,UHC,,598,269.1,,,,,,,,outpatient,
Phenobarbital Sodium 130 mg vial,5000J2560,J2560,CPT,636,,,,,,,VA,VA,,598,269.1,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE,500090756,90756,CPT,636,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,AETNA,AETNA,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,BCBS,BCBS,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,CIGNA,CIGNA,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,HUMANA,HUMANA,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,UHC,UHC,,128,57.6,,,,,,,,outpatient,
IAADIADOO INF,OPLAB87400INF,87400,CPT,300,,,,,,,VA,VA,,128,57.6,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,AETNA,AETNA,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,BCBS,BCBS,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,CIGNA,CIGNA,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,HUMANA,HUMANA,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,UHC,UHC,,1530,688.5,,,,,,,,outpatient,
CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,500021320,21320,CPT,450,,,,,,,VA,VA,,1530,688.5,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,AETNA,AETNA,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,BCBS,BCBS,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,CIGNA,CIGNA,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,HUMANA,HUMANA,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,UHC,UHC,,375,168.75,,,,,,,,outpatient,
IAAD by immunoassay technique and influenza virus types A and B (COVID-19),OPLAB87428,87428,CPT,300,,,,,,,VA,VA,,375,168.75,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,AETNA,AETNA,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,BCBS,BCBS,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,UHC,UHC,,81,36.45,,,,,,,,outpatient,
Hycodan Syrup 5 mL,5000J8499HYDO,J8499,CPT,250,,,,,,,VA,VA,,81,36.45,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,AETNA,AETNA,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,BCBS,BCBS,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,CIGNA,CIGNA,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,HUMANA,HUMANA,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,UHC,UHC,,1733,499,,,,,,,,outpatient,
CT HEAD/BRAIN W/CONTRAST MATERIAL,OPLAB70460,70460,CPT,351,,,,,,,VA,VA,,1733,499,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,AETNA,AETNA,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,BCBS,BCBS,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,CIGNA,CIGNA,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,HUMANA,HUMANA,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,UHC,UHC,,572,399,,,,,,,,outpatient,
US CHEST REAL TIME W/IMAGE DOCUMENTATION,OPLAB76604,76604,CPT,402,,,,,,,VA,VA,,572,399,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,AETNA,AETNA,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,BCBS,BCBS,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,CIGNA,CIGNA,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,HUMANA,HUMANA,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,UHC,UHC,,788,354.6,,,,,,,,outpatient,
RMVL TUN CVC W/O SUBQ PORT/PMP,OPLAB36589,36589,CPT,450,,,,,,,VA,VA,,788,354.6,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,AETNA,AETNA,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,BCBS,BCBS,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,CIGNA,CIGNA,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,HUMANA,HUMANA,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,UHC,UHC,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),500082642,82642,CPT,300,,,,,,,VA,VA,,293,131.85,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,AETNA,AETNA,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,BCBS,BCBS,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,CIGNA,CIGNA,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,HUMANA,HUMANA,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,UHC,UHC,,146,65.7,,,,,,,,outpatient,
DIHYDROTESTOSTERONE (DHT),OPLAB82642,82642,CPT,300,,,,,,,VA,VA,,146,65.7,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,AETNA,AETNA,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,BCBS,BCBS,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,CIGNA,CIGNA,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,HUMANA,HUMANA,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,UHC,UHC,,4475,549,,,,,,,,outpatient,
CT ANGIO ABD&PELV W/ O&W / DYE,OPLAB74174,74174,CPT,352,,,,,,,VA,VA,,4475,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,AETNA,AETNA,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,BCBS,BCBS,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,CIGNA,CIGNA,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,HUMANA,HUMANA,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,UHC,UHC,,3804,549,,,,,,,,outpatient,
CT ANGIOGRAPHY LOWER EXTREMITY,OPLAB73706,73706,CPT,352,,,,,,,VA,VA,,3804,549,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Digoxin 0.125 mg; PO,5000J8499DIGO,J8499,CPT,250,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,AETNA,AETNA,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,BCBS,BCBS,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,UHC,UHC,,21,9.45,,,,,,,,outpatient,
Fenofibrate 145 mg; PO,5000J8499FENO,J8499,CPT,250,,,,,,,VA,VA,,21,9.45,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,AETNA,AETNA,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,BCBS,BCBS,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,CIGNA,CIGNA,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,HUMANA,HUMANA,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,UHC,UHC,,149,67.05,,,,,,,,outpatient,
PSYCHOTHERAPY COMPLEX INTERACTIVE,500090785,90785,CPT,450,,,,,,,VA,VA,,149,67.05,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,AETNA,AETNA,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,BCBS,BCBS,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,CIGNA,CIGNA,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,HUMANA,HUMANA,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,UHC,UHC,,1982,891.9,,,,,,,,outpatient,
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,500090792,90792,CPT,450,,,,,,,VA,VA,,1982,891.9,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,AETNA,AETNA,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,BCBS,BCBS,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,CIGNA,CIGNA,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,HUMANA,HUMANA,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,UHC,UHC,,1104,496.8,,,,,,,,outpatient,
IMAGE GUIDE FLID COLLXN DRAINAGE CATH PERI PERQ,500049406,49406,CPT,450,,,,,,,VA,VA,,1104,496.8,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
TEMPORARY TRANSCUTANEOUS PACING,500092953,92953,CPT,450,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,AETNA,AETNA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,BCBS,BCBS,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,CIGNA,CIGNA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,HUMANA,HUMANA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,UHC,UHC,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, includes infusion and post administration monitoring",5000M0239,M0239,CPT,269,,,,,,,VA,VA,,1548,696.6,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,OPLAB96360,96360,CPT,269,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,AETNA,AETNA,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,BCBS,BCBS,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,CIGNA,CIGNA,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,HUMANA,HUMANA,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,UHC,UHC,,177,79.65,,,,,,,,outpatient,
IV INFUSION HYDRATION EACH ADDITIONAL HOUR,OPLAB96361,96361,CPT,269,,,,,,,VA,VA,,177,79.65,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,AETNA,AETNA,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,BCBS,BCBS,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,CIGNA,CIGNA,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,HUMANA,HUMANA,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,UHC,UHC,,274,123.3,,,,,,,,outpatient,
OLIGOCLONAL IMMUNE,500083916,83916,CPT,450,,,,,,,VA,VA,,274,123.3,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,AETNA,AETNA,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,BCBS,BCBS,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,UHC,UHC,,720,324,,,,,,,,outpatient,
Remdesivir (Veklury) 100 mg vial,5000J3490REM,J3490,CPT,250,,,,,,,VA,VA,,720,324,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,AETNA,AETNA,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,BCBS,BCBS,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,CIGNA,CIGNA,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,HUMANA,HUMANA,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,UHC,UHC,,93,41.85,,,,,,,,outpatient,
ALPHA-FETOPROTEIN SERUM,OPLAB82105,82105,CPT,300,,,,,,,VA,VA,,93,41.85,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,500087563,87563,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,OPLAB87542,87542,CPT,300,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,AETNA,AETNA,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,BCBS,BCBS,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,CIGNA,CIGNA,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,HUMANA,HUMANA,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,UHC,UHC,,20,9,,,,,,,,outpatient,
IADNA S AUREUS AMPLIFIED PROBE TQ,OPLAB87640,87640,CPT,300,,,,,,,VA,VA,,20,9,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,AETNA,AETNA,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,BCBS,BCBS,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,CIGNA,CIGNA,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,HUMANA,HUMANA,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,UHC,UHC,,151,67.95,,,,,,,,outpatient,
IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,OPLAB87582,87582,CPT,300,,,,,,,VA,VA,,151,67.95,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,AETNA,AETNA,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,BCBS,BCBS,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,CIGNA,CIGNA,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,HUMANA,HUMANA,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,UHC,UHC,,1548,696.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",5000M0243,M0243,CPT,771,,,,,,,VA,VA,,1548,696.6,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,AETNA,AETNA,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,BCBS,BCBS,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,CIGNA,CIGNA,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,HUMANA,HUMANA,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,UHC,UHC,,59,26.55,,,,,,,,outpatient,
MUCIN SYNOVIAL FLUID ROPES TEST,500083872,83872,CPT,300,,,,,,,VA,VA,,59,26.55,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,AETNA,AETNA,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,BCBS,BCBS,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,CIGNA,CIGNA,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,HUMANA,HUMANA,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,UHC,UHC,,337,151.65,,,,,,,,outpatient,
POSITIONAL NYSTAGMUS TEST,500092542,92542,CPT,300,,,,,,,VA,VA,,337,151.65,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,AETNA,AETNA,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,BCBS,BCBS,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,UHC,UHC,,1121,504.45,,,,,,,,outpatient,
Fosfomycin (Monurol) 3 gm packet; PO,5000J8499FOSF,J8499,CPT,250,,,,,,,VA,VA,,1121,504.45,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Sodium Chloride 0.9% Mini 50ml Ea,5000A4649SDMN,A4649,CPT,270,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,AETNA,AETNA,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,BCBS,BCBS,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,CIGNA,CIGNA,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,HUMANA,HUMANA,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,UHC,UHC,,1201,540.45,,,,,,,,outpatient,
DRAINAGE ABSCESS PALATE UVULA,500042000,42000,CPT,450,,,,,,,VA,VA,,1201,540.45,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
E-Z Gas Effervescent Granules; PO,5000J8499GRAN,J8499,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Benadryl Topical Cream,5000A6250BENA,A6250,CPT,250,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
ASSAY OF ALDOLASE,500082085,82085,CPT,300,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,AETNA,AETNA,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,BCBS,BCBS,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,CIGNA,CIGNA,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,HUMANA,HUMANA,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,UHC,UHC,,4591,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,OPLAB73223,73223,CPT,610,,,,,,,VA,VA,,4591,599,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,AETNA,AETNA,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,BCBS Federal,BCBS Federal,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,BCBS,BCBS,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,CIGNA,CIGNA,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,HUMANA,HUMANA,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,UHC,UHC,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,500090473,90473,CPT,263,,,,,,,VA,VA,,192,86.4,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,AETNA,AETNA,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,BCBS Federal,BCBS Federal,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,BCBS,BCBS,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,CIGNA,CIGNA,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,HUMANA,HUMANA,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,UHC,UHC,,96,43.2,,,,,,,,outpatient,
IM ADM INTRANSL/ORAL 1 VACCINE,OPLAB90473,90473,CPT,263,,,,,,,VA,VA,,96,43.2,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
CHLORIDE URINE,500082436,82436,CPT,301,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,AETNA,AETNA,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,BCBS,BCBS,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,CIGNA,CIGNA,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,HUMANA,HUMANA,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,UHC,UHC,,2315,529,,,,,,,,outpatient,
MRI ABD C-MATRL,OPLAB74181,74181,CPT,610,,,,,,,VA,VA,,2315,529,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,AETNA,AETNA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,BCBS,BCBS,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,CIGNA,CIGNA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,HUMANA,HUMANA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,UHC,UHC,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,500093307,93307,CPT,731,,,,,,,VA,VA,,2447,1101.15,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,AETNA,AETNA,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,BCBS Federal,BCBS Federal,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,BCBS,BCBS,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,CIGNA,CIGNA,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,HUMANA,HUMANA,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,UHC,UHC,,825,371.25,,,,,,,,outpatient,
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,OPLAB93307,93307,CPT,731,,,,,,,VA,VA,,825,371.25,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,AETNA,AETNA,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,BCBS,BCBS,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,CIGNA,CIGNA,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,HUMANA,HUMANA,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,UHC,UHC,,983,442.35,,,,,,,,outpatient,
CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,OPLAB88262,88262,CPT,309,,,,,,,VA,VA,,983,442.35,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,AETNA,AETNA,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,BCBS,BCBS,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,CIGNA,CIGNA,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,HUMANA,HUMANA,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,UHC,UHC,,2171,499,,,,,,,,outpatient,
CT MAXLFCL AREA C-/C+,OPLAB70488,70488,CPT,351,,,,,,,VA,VA,,2171,499,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,AETNA,AETNA,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,BCBS,BCBS,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,CIGNA,CIGNA,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,HUMANA,HUMANA,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,UHC,UHC,,250,112.5,,,,,,,,outpatient,
ASSAY OF ESTRONE,500082679,82679,CPT,300,,,,,,,VA,VA,,250,112.5,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,AETNA,AETNA,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,BCBS,BCBS,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,UHC,UHC,,27,12.15,,,,,,,,outpatient,
Esmolol HCl (Brevibloc) 100 mg/10 mL vial,5000J3490ESMO,J3490,CPT,250,,,,,,,VA,VA,,27,12.15,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,AETNA,AETNA,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,BCBS,BCBS,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,CIGNA,CIGNA,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,HUMANA,HUMANA,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,UHC,UHC,,569,569,,,,,,,,outpatient,
US PREGNANT UTERUS LIMITED 1/> FETUSES,OPLAB76815,76815,CPT,402,,,,,,,VA,VA,,569,569,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
Cefuroxime Axetil 500 mg; tab,5000J8499CEFU,J8499,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
ASPIRIN 81MG TAB ADULT CHEWABLE,5000J8499ASPCHW,J8499,CPT,257,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,AETNA,AETNA,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,BCBS,BCBS,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,CIGNA,CIGNA,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,HUMANA,HUMANA,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,UHC,UHC,,7518,3383.1,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,500021451,21451,CPT,450,,,,,,,VA,VA,,7518,3383.1,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,500080143,80143,CPT,300,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,AETNA,AETNA,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,BCBS,BCBS,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,CIGNA,CIGNA,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,HUMANA,HUMANA,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,UHC,UHC,,93,41.85,,,,,,,,outpatient,
DRUG ASSAY ACETAMINOPHEN,OPLAB80143,80143,CPT,300,,,,,,,VA,VA,,93,41.85,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,AETNA,AETNA,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,BCBS,BCBS,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,CIGNA,CIGNA,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,HUMANA,HUMANA,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,UHC,UHC,,98,44.1,,,,,,,,outpatient,
OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,500076516,76516,CPT,402,,,,,,,VA,VA,,98,44.1,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,500083020,83020,CPT,450,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,AETNA,AETNA,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,BCBS,BCBS,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,CIGNA,CIGNA,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,HUMANA,HUMANA,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,UHC,UHC,,138,62.1,,,,,,,,outpatient,
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,500080186,80186,CPT,300,,,,,,,VA,VA,,138,62.1,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,AETNA,AETNA,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,BCBS,BCBS,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,CIGNA,CIGNA,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,HUMANA,HUMANA,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,UHC,UHC,,1978,499,,,,,,,,outpatient,
CT CERVICAL SPINE W/CONTRAST MATERIAL,OPLAB72126,72126,CPT,352,,,,,,,VA,VA,,1978,499,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,AETNA,AETNA,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,BCBS,BCBS,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,CIGNA,CIGNA,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,HUMANA,HUMANA,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,UHC,UHC,,678,305.1,,,,,,,,outpatient,
COMPLETE REPLACEMENT PICC RS&I,500036584,36584,CPT,450,,,,,,,VA,VA,,678,305.1,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,AETNA,AETNA,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,BCBS,BCBS,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,CIGNA,CIGNA,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,HUMANA,HUMANA,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,UHC,UHC,,1994,499,,,,,,,,outpatient,
CT THORACIC SPINE W/CONTRAST MATERIAL,OPLAB72129,72129,CPT,352,,,,,,,VA,VA,,1994,499,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,AETNA,AETNA,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,BCBS,BCBS,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,CIGNA,CIGNA,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,HUMANA,HUMANA,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,UHC,UHC,,141,63.45,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,500082397,82397,CPT,300,,,,,,,VA,VA,,141,63.45,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,AETNA,AETNA,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,BCBS,BCBS,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,CIGNA,CIGNA,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,HUMANA,HUMANA,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,UHC,UHC,,211,94.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,500082172,82172,CPT,300,,,,,,,VA,VA,,211,94.95,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,AETNA,AETNA,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,BCBS,BCBS,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,CIGNA,CIGNA,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,HUMANA,HUMANA,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,UHC,UHC,,143,64.35,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),500083695,83695,CPT,300,,,,,,,VA,VA,,143,64.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,AETNA,AETNA,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,BCBS,BCBS,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,CIGNA,CIGNA,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,HUMANA,HUMANA,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,UHC,UHC,,463,208.35,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,500083698,83698,CPT,300,,,,,,,VA,VA,,463,208.35,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,AETNA,AETNA,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,BCBS,BCBS,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,CIGNA,CIGNA,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,HUMANA,HUMANA,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,UHC,UHC,,241,108.45,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,500082542,82542,CPT,300,,,,,,,VA,VA,,241,108.45,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,AETNA,AETNA,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,BCBS,BCBS,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,CIGNA,CIGNA,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,HUMANA,HUMANA,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,UHC,UHC,,146,65.7,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,500082164,82164,CPT,300,,,,,,,VA,VA,,146,65.7,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,AETNA,AETNA,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,BCBS,BCBS,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,CIGNA,CIGNA,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,HUMANA,HUMANA,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,UHC,UHC,,408,183.6,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,500082088,82088,CPT,300,,,,,,,VA,VA,,408,183.6,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,500083497,83497,CPT,300,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,AETNA,AETNA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,BCBS,BCBS,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,CIGNA,CIGNA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,HUMANA,HUMANA,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,UHC,UHC,,1548,696.6,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",5000M0245,M0245,CPT,269,,,,,,,VA,VA,,1548,696.6,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,AETNA,AETNA,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,BCBS,BCBS,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,CIGNA,CIGNA,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,HUMANA,HUMANA,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,UHC,UHC,,2290,499,,,,,,,,outpatient,
CT LOWER EXTREMITY C-/C+,OPLAB73702,73702,CPT,352,,,,,,,VA,VA,,2290,499,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,AETNA,AETNA,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,BCBS,BCBS,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,CIGNA,CIGNA,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,HUMANA,HUMANA,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,UHC,UHC,,71,31.95,,,,,,,,outpatient,
CHEMILUMINESCENT ASSAY,OPLAB82397,82397,CPT,300,,,,,,,VA,VA,,71,31.95,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,AETNA,AETNA,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,BCBS,BCBS,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,CIGNA,CIGNA,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,HUMANA,HUMANA,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,UHC,UHC,,105,47.25,,,,,,,,outpatient,
APOLIPOPROTEIN EACH,OPLAB82172,82172,CPT,300,,,,,,,VA,VA,,105,47.25,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,AETNA,AETNA,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,BCBS,BCBS,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,CIGNA,CIGNA,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,HUMANA,HUMANA,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,UHC,UHC,,72,32.4,,,,,,,,outpatient,
ASSAY OF LIPOPROTEIN(A),OPLAB83695,83695,CPT,300,,,,,,,VA,VA,,72,32.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,AETNA,AETNA,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,BCBS,BCBS,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,CIGNA,CIGNA,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,HUMANA,HUMANA,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,UHC,UHC,,232,104.4,,,,,,,,outpatient,
LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,OPLAB83698,83698,CPT,300,,,,,,,VA,VA,,232,104.4,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,OPLAB82542,82542,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,AETNA,AETNA,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,BCBS,BCBS,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,CIGNA,CIGNA,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,HUMANA,HUMANA,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,UHC,UHC,,73,32.85,,,,,,,,outpatient,
ANGIOTENSIN I-CONVERTING ENZYME,OPLAB82164,82164,CPT,300,,,,,,,VA,VA,,73,32.85,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,AETNA,AETNA,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,BCBS Federal,BCBS Federal,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,BCBS,BCBS,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,CIGNA,CIGNA,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,HUMANA,HUMANA,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,UHC,UHC,,204,91.8,,,,,,,,outpatient,
ASSAY OF ALDOSTERONE,OPLAB82088,82088,CPT,999,,,,,,,VA,VA,,204,91.8,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
ASSAY OF RENIN,500084244,84244,CPT,300,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Memantine Hydrochloride 5 mg; PO,5000J8499MEM,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,AETNA,AETNA,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,BCBS Federal,BCBS Federal,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,BCBS,BCBS,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,CIGNA,CIGNA,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,HUMANA,HUMANA,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,UHC,UHC,,1359,611.55,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,500077075,77075,CPT,329,,,,,,,VA,VA,,1359,611.55,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
Clarithromycin (Biaxin) 500 mg; tab,5000J8499CLAR,J8499,CPT,250,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,AETNA,AETNA,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,BCBS,BCBS,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,CIGNA,CIGNA,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,HUMANA,HUMANA,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,UHC,UHC,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,500071271,71271,CPT,352,,,,,,,VA,VA,,1935,870.75,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,AETNA,AETNA,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,BCBS,BCBS,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,CIGNA,CIGNA,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,HUMANA,HUMANA,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,UHC,UHC,,1613,725.85,,,,,,,,outpatient,
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,OPLAB71271,71271,CPT,352,,,,,,,VA,VA,,1613,725.85,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,AETNA,AETNA,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,BCBS,BCBS,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,CIGNA,CIGNA,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,HUMANA,HUMANA,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,UHC,UHC,,2671,529,,,,,,,,outpatient,
MRI ORBIT FACE &/NECK W/O CONTRAST,OPLAB70540,70540,CPT,615,,,,,,,VA,VA,,2671,529,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,AETNA,AETNA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,BCBS,BCBS,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,CIGNA,CIGNA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,HUMANA,HUMANA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,UHC,UHC,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,500087637,87637,CPT,300,,,,,,,VA,VA,,750,337.5,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Methadone Hydrochloride 10 mg; tab,5000J8499METHAD,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,AETNA,AETNA,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,BCBS,BCBS,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,CIGNA,CIGNA,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,HUMANA,HUMANA,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,UHC,UHC,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,500084590,84590,CPT,300,,,,,,,VA,VA,,116,52.2,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
ASSAY OF VITAMIN A,OPLAB84590,84590,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,AETNA,AETNA,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,BCBS,BCBS,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,CIGNA,CIGNA,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,HUMANA,HUMANA,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,UHC,UHC,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,500084446,84446,CPT,300,,,,,,,VA,VA,,142,63.9,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,AETNA,AETNA,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,BCBS,BCBS,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,CIGNA,CIGNA,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,HUMANA,HUMANA,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,UHC,UHC,,71,31.95,,,,,,,,outpatient,
ASSAY OF TOCOPHEROL ALPHA VITAMIN E,OPLAB84446,84446,CPT,300,,,,,,,VA,VA,,71,31.95,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,AETNA,AETNA,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,BCBS,BCBS,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,CIGNA,CIGNA,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,HUMANA,HUMANA,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,UHC,UHC,,8500,3825,,,,,,,,outpatient,
Dalvance (Dalbavancin) 500 mg; injection,5000J0875,J0875,CPT,250,,,,,,,VA,VA,,8500,3825,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,AETNA,AETNA,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,BCBS,BCBS,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,UHC,UHC,,9145,4115.25,,,,,,,,outpatient,
Sublocade (Buprenorphine) 300 mg (SQ/IV),5000J3490BUPSUB,J3490,CPT,250,,,,,,,VA,VA,,9145,4115.25,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,AETNA,AETNA,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,BCBS,BCBS,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,CIGNA,CIGNA,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,HUMANA,HUMANA,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,UHC,UHC,,87,39.15,,,,,,,,outpatient,
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,OPLAB86671,86671,CPT,300,,,,,,,VA,VA,,87,39.15,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,500082785,82785,CPT,300,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,500086331,86331,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,AETNA,AETNA,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,BCBS,BCBS,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,CIGNA,CIGNA,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,HUMANA,HUMANA,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,UHC,UHC,,102,45.9,,,,,,,,outpatient,
ANTIBODY ACTINOMYCES,500086602,86602,CPT,300,,,,,,,VA,VA,,102,45.9,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,AETNA,AETNA,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,BCBS,BCBS,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,CIGNA,CIGNA,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,HUMANA,HUMANA,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,UHC,UHC,,151,67.95,,,,,,,,outpatient,
ANTIBODY ASPERGILLUS,500086606,86606,CPT,300,,,,,,,VA,VA,,151,67.95,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,AETNA,AETNA,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,BCBS,BCBS,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,CIGNA,CIGNA,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,HUMANA,HUMANA,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,UHC,UHC,,129,58.05,,,,,,,,outpatient,
ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,500086609,86609,CPT,300,,,,,,,VA,VA,,129,58.05,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,AETNA,AETNA,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,BCBS,BCBS,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,CIGNA,CIGNA,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,HUMANA,HUMANA,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,UHC,UHC,,443,199.35,,,,,,,,outpatient,
RADEX OPTIC FORAMINA,500070190,70190,CPT,320,,,,,,,VA,VA,,443,199.35,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,AETNA,AETNA,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,BCBS,BCBS,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,CIGNA,CIGNA,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,HUMANA,HUMANA,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,UHC,UHC,,1174,399,,,,,,,,outpatient,
US BREAST UNI REAL TIME WITH IMAGE COMPLETE,OPLAB76641,76641,CPT,402,,,,,,,VA,VA,,1174,399,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Bisoprolol Fumarate 5 mg; tab ,5000J8499BISO,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,AETNA,AETNA,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,BCBS Federal,BCBS Federal,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,BCBS,BCBS,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,CIGNA,CIGNA,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,HUMANA,HUMANA,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,UHC,UHC,,555,249.75,,,,,,,,outpatient,
"Orthopedic shoe addition, sole, full",5000L3540,L3540,CPT,274,,,,,,,VA,VA,,555,249.75,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,AETNA,AETNA,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,BCBS,BCBS,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,CIGNA,CIGNA,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,HUMANA,HUMANA,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,UHC,UHC,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,500077072,77072,CPT,320,,,,,,,VA,VA,,354,159.3,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,AETNA,AETNA,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,BCBS,BCBS,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,CIGNA,CIGNA,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,HUMANA,HUMANA,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,UHC,UHC,,295,132.75,,,,,,,,outpatient,
BONE AGE STUDIES,OPLAB77072,77072,CPT,320,,,,,,,VA,VA,,295,132.75,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,AETNA,AETNA,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,BCBS,BCBS,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,UHC,UHC,,79,35.55,,,,,,,,outpatient,
Brilinta (Ticagrelor) 60 mg; PO,5000J8499BRI,J8499,CPT,250,,,,,,,VA,VA,,79,35.55,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,AETNA,AETNA,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,BCBS,BCBS,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,CIGNA,CIGNA,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,HUMANA,HUMANA,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,UHC,UHC,,917,412.65,,,,,,,,outpatient,
JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,500081270,81270,CPT,300,,,,,,,VA,VA,,917,412.65,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Hydromorphone Hydrochloride (Dilaudid) 2 mg; PO,5000J8499HYDRMORPH,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,OPLAB86304,86304,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,AETNA,AETNA,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,BCBS,BCBS,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,CIGNA,CIGNA,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,HUMANA,HUMANA,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,UHC,UHC,,774,348.3,,,,,,,,outpatient,
"Casirivimab, Imdevimab incl. infusion post admin monitoring",OPLABM0243,M0243,CPT,771,,,,,,,VA,VA,,774,348.3,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,500085732,85732,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,AETNA,AETNA,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,BCBS,BCBS,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,CIGNA,CIGNA,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,HUMANA,HUMANA,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,UHC,UHC,,1982,499,,,,,,,,outpatient,
CT LMBR SPI C+ MATRL,OPLAB72132,72132,CPT,352,,,,,,,VA,VA,,1982,499,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Hydroxyurea 500 mg; PO,5000J8499HYDROXY,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Cyproheptadine 4 mg; PO,5000J8499CYPRO,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Nortriptyline 25 mg; PO,5000J8499NORTRI,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,AETNA,AETNA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,BCBS,BCBS,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,CIGNA,CIGNA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,HUMANA,HUMANA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,UHC,UHC,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,500087636,87636,CPT,300,,,,,,,VA,VA,,750,337.5,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,AETNA,AETNA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,BCBS,BCBS,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,CIGNA,CIGNA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,HUMANA,HUMANA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,UHC,UHC,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,OPLAB87636,87636,CPT,300,,,,,,,VA,VA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,AETNA,AETNA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,BCBS,BCBS,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,CIGNA,CIGNA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,HUMANA,HUMANA,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,UHC,UHC,,375,168.75,,,,,,,,outpatient,
IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,OPLAB87637,87637,CPT,300,,,,,,,VA,VA,,375,168.75,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
Benzonatate (Tessalon Perle) 100 mg; PO,5000J8499BENZON,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,AETNA,AETNA,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,BCBS,BCBS,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,UHC,UHC,,459,206.55,,,,,,,,outpatient,
Hydrocodone/Chlorpheniramine (Tussionex) 10 mg/8 mg/5 mL Suspension,5000J8499TUSS,J8499,CPT,250,,,,,,,VA,VA,,459,206.55,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Effer-K (Potassium) 25 mEq; PO,5000J8499EFFERK,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
ANTIBODY TREPONEMA PALLIDUM,OPLAB86780,86780,CPT,300,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,AETNA,AETNA,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,BCBS,BCBS,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,CIGNA,CIGNA,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,HUMANA,HUMANA,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,UHC,UHC,,65,29.25,,,,,,,,outpatient,
CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,500082595,82595,CPT,300,,,,,,,VA,VA,,65,29.25,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
"TORADOL,(KETOROLAC TROMETHAMINE) PER 15 MG",OPLABJ1885,J1885,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
DECADRON - DEXAMETHASONE SODIUM PHOS,OPLABJ1100,J1100,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,AETNA,AETNA,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,BCBS,BCBS,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,UHC,UHC,,17,7.65,,,,,,,,outpatient,
Vancomycin 250 mg; PO,5000J8499VANCO,J8499,CPT,250,,,,,,,VA,VA,,17,7.65,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,AETNA,AETNA,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,BCBS,BCBS,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,UHC,UHC,,122,54.9,,,,,,,,outpatient,
Permethrin 5% 60 gm cream,5000A6250PERM,A6250,CPT,250,,,,,,,VA,VA,,122,54.9,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,AETNA,AETNA,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,BCBS,BCBS,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,CIGNA,CIGNA,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,HUMANA,HUMANA,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,UHC,UHC,,107,48.15,,,,,,,,outpatient,
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,500084165,84165,CPT,300,,,,,,,VA,VA,,107,48.15,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,AETNA,AETNA,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,BCBS,BCBS,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,CIGNA,CIGNA,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,HUMANA,HUMANA,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,UHC,UHC,,774,348.3,,,,,,,,outpatient,
"Bamlanivimab, Etesevimab, incl. infusion and post admin monitoring",OPLABM0245,M0245,CPT,269,,,,,,,VA,VA,,774,348.3,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,AETNA,AETNA,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,BCBS,BCBS,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,CIGNA,CIGNA,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,HUMANA,HUMANA,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,UHC,UHC,,126,56.7,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,500083010,83010,CPT,300,,,,,,,VA,VA,,126,56.7,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,AETNA,AETNA,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,BCBS,BCBS,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,CIGNA,CIGNA,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,HUMANA,HUMANA,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,UHC,UHC,,62,27.9,,,,,,,,outpatient,
RENAL FUNCTION PANEL,OPLAB80069,80069,CPT,300,,,,,,,VA,VA,,62,27.9,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
Flutter Device,5000S8185,S8185,CPT,272,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
"Glucose Supplement, 15 gm tube",5000J8499GLUCO,J8499,CPT,250,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
ASSAY OF GAMMAGLOBULIN IGE,OPLAB82785,82785,CPT,300,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,AETNA,AETNA,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,BCBS,BCBS,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,CIGNA,CIGNA,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,HUMANA,HUMANA,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,UHC,UHC,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,500086334,86334,CPT,300,,,,,,,VA,VA,,223,100.35,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,AETNA,AETNA,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,BCBS,BCBS,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,CIGNA,CIGNA,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,HUMANA,HUMANA,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,UHC,UHC,,112,50.4,,,,,,,,outpatient,
IMMUNOFIXJ ELECTROPHORESIS SERUM,OPLAB86334,86334,CPT,300,,,,,,,VA,VA,,112,50.4,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
ANTIBODY COCCIDIOIDES,OPLAB86635,86635,CPT,300,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,AETNA,AETNA,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,BCBS,BCBS,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,CIGNA,CIGNA,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,HUMANA,HUMANA,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,UHC,UHC,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,500086628,86628,CPT,300,,,,,,,VA,VA,,120,54,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
ANTIBODY CANDIDA,OPLAB86628,86628,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,AETNA,AETNA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,BCBS,BCBS,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,CIGNA,CIGNA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,HUMANA,HUMANA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,UHC,UHC,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,500036516,36516,CPT,300,,,,,,,VA,VA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,AETNA,AETNA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,BCBS,BCBS,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,CIGNA,CIGNA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,HUMANA,HUMANA,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,UHC,UHC,,12113,5450.85,,,,,,,,outpatient,
THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,OPLAB36516,36516,CPT,300,,,,,,,VA,VA,,12113,5450.85,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,AETNA,AETNA,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,BCBS Federal,BCBS Federal,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,BCBS,BCBS,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,CIGNA,CIGNA,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,HUMANA,HUMANA,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,UHC,UHC,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,500090968,90968,CPT,800,,,,,,,VA,VA,,194,87.3,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,OPLAB90968,90968,CPT,800,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,AETNA,AETNA,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,BCBS,BCBS,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,CIGNA,CIGNA,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,HUMANA,HUMANA,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,UHC,UHC,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,500090954,90954,CPT,450,,,,,,,VA,VA,,8631,3883.95,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,AETNA,AETNA,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,BCBS,BCBS,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,CIGNA,CIGNA,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,HUMANA,HUMANA,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,UHC,UHC,,4315,1941.75,,,,,,,,outpatient,
ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,OPLAB90954,90954,CPT,450,,,,,,,VA,VA,,4315,1941.75,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
BOLUS IV LOCK PUSH - INJ HEPARIN SODIUM PER 10 U,OPLABJ1642,J1642,CPT,636,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,AETNA,AETNA,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,BCBS,BCBS,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,CIGNA,CIGNA,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,HUMANA,HUMANA,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,UHC,UHC,,19,8.55,,,,,,,,outpatient,
MANNITOL INJECTION,OPLABJ2150,J2150,CPT,636,,,,,,,VA,VA,,19,8.55,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,5000P9047,P9047,CPT,250,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
Albumin 25% 50 mL; vial,OPLABP9047,P9047,CPT,250,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Fluconazole 200 mg; tab,5000J8499FLUCO,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,AETNA,AETNA,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,BCBS,BCBS,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,UHC,UHC,,23,10.35,,,,,,,,outpatient,
Lidocaine HCL 1% 10 mg/mL (2 mL ampules),5000J3490LIDO1%,J3490,CPT,250,,,,,,,VA,VA,,23,10.35,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,AETNA,AETNA,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,BCBS,BCBS,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,CIGNA,CIGNA,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,HUMANA,HUMANA,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,UHC,UHC,,294,132.3,,,,,,,,outpatient,
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,500011045,11045,CPT,450,,,,,,,VA,VA,,294,132.3,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,AETNA,AETNA,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,BCBS,BCBS,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,CIGNA,CIGNA,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,HUMANA,HUMANA,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,UHC,UHC,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,500011046,11046,CPT,450,,,,,,,VA,VA,,621,279.45,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,AETNA,AETNA,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,BCBS,BCBS,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,CIGNA,CIGNA,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,HUMANA,HUMANA,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,UHC,UHC,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,500011047,11047,CPT,450,,,,,,,VA,VA,,1086,488.7,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,AETNA,AETNA,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,BCBS,BCBS,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,CIGNA,CIGNA,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,HUMANA,HUMANA,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,UHC,UHC,,164,73.8,,,,,,,,outpatient,
DEBRIDEMENT NAIL ANY METHOD 1-5,500011720,11720,CPT,450,,,,,,,VA,VA,,164,73.8,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,AETNA,AETNA,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,BCBS,BCBS,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,CIGNA,CIGNA,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,HUMANA,HUMANA,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,UHC,UHC,,515,231.75,,,,,,,,outpatient,
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,500020604,20604,CPT,450,,,,,,,VA,VA,,515,231.75,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,AETNA,AETNA,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,BCBS,BCBS,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,CIGNA,CIGNA,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,HUMANA,HUMANA,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,UHC,UHC,,5341,2403.45,,,,,,,,outpatient,
REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,500023333,23333,CPT,450,,,,,,,VA,VA,,5341,2403.45,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,AETNA,AETNA,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,BCBS,BCBS,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,CIGNA,CIGNA,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,HUMANA,HUMANA,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,UHC,UHC,,3770,1696.5,,,,,,,,outpatient,
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,500023505,23505,CPT,450,,,,,,,VA,VA,,3770,1696.5,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,AETNA,AETNA,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,BCBS,BCBS,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,CIGNA,CIGNA,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,HUMANA,HUMANA,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,UHC,UHC,,4845,2180.25,,,,,,,,outpatient,
CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,500023605,23605,CPT,450,,,,,,,VA,VA,,4845,2180.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,AETNA,AETNA,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,BCBS,BCBS,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,CIGNA,CIGNA,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,HUMANA,HUMANA,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,UHC,UHC,,4106,1847.7,,,,,,,,outpatient,
REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,500024201,24201,CPT,450,,,,,,,VA,VA,,4106,1847.7,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,AETNA,AETNA,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,BCBS,BCBS,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,CIGNA,CIGNA,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,HUMANA,HUMANA,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,UHC,UHC,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,500025500,25500,CPT,450,,,,,,,VA,VA,,2901,1305.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,AETNA,AETNA,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,BCBS,BCBS,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,CIGNA,CIGNA,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,HUMANA,HUMANA,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,UHC,UHC,,5181,2331.45,,,,,,,,outpatient,
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,500025535,25535,CPT,450,,,,,,,VA,VA,,5181,2331.45,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,AETNA,AETNA,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,BCBS,BCBS,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,CIGNA,CIGNA,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,HUMANA,HUMANA,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,UHC,UHC,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,500026410,26410,CPT,450,,,,,,,VA,VA,,6843,3079.35,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,AETNA,AETNA,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,BCBS,BCBS,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,CIGNA,CIGNA,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,HUMANA,HUMANA,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,UHC,UHC,,7060,3177,,,,,,,,outpatient,
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,500026418,26418,CPT,450,,,,,,,VA,VA,,7060,3177,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,AETNA,AETNA,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,BCBS,BCBS,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,CIGNA,CIGNA,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,HUMANA,HUMANA,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,UHC,UHC,,1895,852.75,,,,,,,,outpatient,
RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,500027086,27086,CPT,450,,,,,,,VA,VA,,1895,852.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,AETNA,AETNA,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,BCBS,BCBS,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,CIGNA,CIGNA,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,HUMANA,HUMANA,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,UHC,UHC,,6915,3111.75,,,,,,,,outpatient,
REMOVAL FOREIGN BODY PELVIS/HIP DEEP,500027087,27087,CPT,450,,,,,,,VA,VA,,6915,3111.75,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,AETNA,AETNA,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,BCBS,BCBS,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,CIGNA,CIGNA,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,HUMANA,HUMANA,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,UHC,UHC,,2020,909,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,500027250,27250,CPT,450,,,,,,,VA,VA,,2020,909,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,AETNA,AETNA,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,BCBS,BCBS,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,CIGNA,CIGNA,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,HUMANA,HUMANA,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,UHC,UHC,,6591,2965.95,,,,,,,,outpatient,
CLTX POST HIP ARTHRP DISLC REQ ANES,500027266,27266,CPT,450,,,,,,,VA,VA,,6591,2965.95,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,AETNA,AETNA,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,BCBS,BCBS,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,CIGNA,CIGNA,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,HUMANA,HUMANA,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,UHC,UHC,,165,74.25,,,,,,,,outpatient,
Gastrografin 30ML,OPLABQ9963,Q9963,CPT,250,,,,,,,VA,VA,,165,74.25,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,AETNA,AETNA,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,BCBS,BCBS,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,CIGNA,CIGNA,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,HUMANA,HUMANA,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,UHC,UHC,,8520,3834,,,,,,,,outpatient,
CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,500027252,27252,CPT,450,,,,,,,VA,VA,,8520,3834,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,AETNA,AETNA,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,BCBS,BCBS,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,CIGNA,CIGNA,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,HUMANA,HUMANA,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,UHC,UHC,,755,339.75,,,,,,,,outpatient,
RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,500065435,65435,CPT,450,,,,,,,VA,VA,,755,339.75,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,AETNA,AETNA,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,BCBS,BCBS,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,CIGNA,CIGNA,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,HUMANA,HUMANA,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,UHC,UHC,,2745,1235.25,,,,,,,,outpatient,
CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,500092961,92961,CPT,450,,,,,,,VA,VA,,2745,1235.25,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,AETNA,AETNA,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,BCBS,BCBS,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,CIGNA,CIGNA,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,HUMANA,HUMANA,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,UHC,UHC,,602,270.9,,,,,,,,outpatient,
THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,500092977,92977,CPT,450,,,,,,,VA,VA,,602,270.9,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,AETNA,AETNA,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,BCBS,BCBS,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,CIGNA,CIGNA,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,HUMANA,HUMANA,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,UHC,UHC,,8249,3712.05,,,,,,,,outpatient,
PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,500093583,93583,CPT,450,,,,,,,VA,VA,,8249,3712.05,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,AETNA,AETNA,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,BCBS,BCBS,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,CIGNA,CIGNA,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,HUMANA,HUMANA,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,UHC,UHC,,1022,459.9,,,,,,,,outpatient,
DELIVERY PLACENTA SEPARATE PROCEDURE,500059414,59414,CPT,450,,,,,,,VA,VA,,1022,459.9,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,AETNA,AETNA,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,BCBS,BCBS,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,CIGNA,CIGNA,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,HUMANA,HUMANA,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,UHC,UHC,,1208,543.6,,,,,,,,outpatient,
PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,500049084,49084,CPT,450,,,,,,,VA,VA,,1208,543.6,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,AETNA,AETNA,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,BCBS,BCBS,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,CIGNA,CIGNA,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,HUMANA,HUMANA,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,UHC,UHC,,812,365.4,,,,,,,,outpatient,
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,500049082,49082,CPT,450,,,,,,,VA,VA,,812,365.4,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,AETNA,AETNA,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,BCBS,BCBS,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,CIGNA,CIGNA,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,HUMANA,HUMANA,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,UHC,UHC,,2036,916.2,,,,,,,,outpatient,
RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,500041251,41251,CPT,450,,,,,,,VA,VA,,2036,916.2,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,AETNA,AETNA,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,BCBS,BCBS,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,CIGNA,CIGNA,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,HUMANA,HUMANA,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,UHC,UHC,,2230,1003.5,,,,,,,,outpatient,
RMVL EMBEDDED FB VESTIBULE MOUTH COMP,500040805,40805,CPT,450,,,,,,,VA,VA,,2230,1003.5,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,AETNA,AETNA,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,BCBS,BCBS,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,CIGNA,CIGNA,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,HUMANA,HUMANA,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,UHC,UHC,,492,221.4,,,,,,,,outpatient,
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,500036620,36620,CPT,450,,,,,,,VA,VA,,492,221.4,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,AETNA,AETNA,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,BCBS,BCBS,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,CIGNA,CIGNA,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,HUMANA,HUMANA,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,UHC,UHC,,934,420.3,,,,,,,,outpatient,
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,500036555,36555,CPT,450,,,,,,,VA,VA,,934,420.3,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN AGE 1 YR/>,500036425,36425,CPT,450,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,AETNA,AETNA,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,BCBS,BCBS,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,CIGNA,CIGNA,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,HUMANA,HUMANA,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,UHC,UHC,,530,238.5,,,,,,,,outpatient,
VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,500036420,36420,CPT,450,,,,,,,VA,VA,,530,238.5,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,AETNA,AETNA,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,BCBS,BCBS,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,CIGNA,CIGNA,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,HUMANA,HUMANA,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,UHC,UHC,,27237,12256.65,,,,,,,,outpatient,
REPAIR CARDIAC WOUND W/O BYPASS,500033300,33300,CPT,450,,,,,,,VA,VA,,27237,12256.65,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,AETNA,AETNA,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,BCBS,BCBS,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,CIGNA,CIGNA,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,HUMANA,HUMANA,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,UHC,UHC,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,500033020,33020,CPT,450,,,,,,,VA,VA,,9221,4149.45,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,AETNA,AETNA,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,BCBS,BCBS,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,CIGNA,CIGNA,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,HUMANA,HUMANA,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,UHC,UHC,,2627,1182.15,,,,,,,,outpatient,
PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,500033016,33016,CPT,450,,,,,,,VA,VA,,2627,1182.15,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,AETNA,AETNA,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,BCBS,BCBS,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,CIGNA,CIGNA,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,HUMANA,HUMANA,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,UHC,UHC,,995,447.75,,,,,,,,outpatient,
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,500032554,32554,CPT,450,,,,,,,VA,VA,,995,447.75,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,AETNA,AETNA,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,BCBS,BCBS,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,CIGNA,CIGNA,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,HUMANA,HUMANA,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,UHC,UHC,,8878,3995.1,,,,,,,,outpatient,
THORACOTOMY W/CARDIAC MASSAGE,500032160,32160,CPT,450,,,,,,,VA,VA,,8878,3995.1,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,AETNA,AETNA,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,BCBS,BCBS,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,CIGNA,CIGNA,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,HUMANA,HUMANA,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,UHC,UHC,,16403,7381.35,,,,,,,,outpatient,
THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,500032110,32110,CPT,450,,,,,,,VA,VA,,16403,7381.35,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,AETNA,AETNA,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,BCBS,BCBS,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,CIGNA,CIGNA,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,HUMANA,HUMANA,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,UHC,UHC,,8993,4046.85,,,,,,,,outpatient,
THORACOTOMY WITH EXPLORATION,500032100,32100,CPT,450,,,,,,,VA,VA,,8993,4046.85,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,AETNA,AETNA,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,BCBS,BCBS,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,CIGNA,CIGNA,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,HUMANA,HUMANA,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,UHC,UHC,,1109,499.05,,,,,,,,outpatient,
APPLICATION LONG LEG CAST THIGH-TOE,500029345,29345,CPT,450,,,,,,,VA,VA,,1109,499.05,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,AETNA,AETNA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,BCBS,BCBS,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,CIGNA,CIGNA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,HUMANA,HUMANA,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,UHC,UHC,,1502,675.9,,,,,,,,outpatient,
CLTX METATARSOPHLNGL JT DISLC REQ ANES,500028635,28635,CPT,450,,,,,,,VA,VA,,1502,675.9,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,AETNA,AETNA,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,BCBS,BCBS,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,CIGNA,CIGNA,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,HUMANA,HUMANA,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,UHC,UHC,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT COMPLICATED,500028193,28193,CPT,450,,,,,,,VA,VA,,4087,1839.15,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,AETNA,AETNA,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,BCBS,BCBS,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,CIGNA,CIGNA,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,HUMANA,HUMANA,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,UHC,UHC,,3465,1559.25,,,,,,,,outpatient,
REMOVAL FOREIGN BODY FOOT DEEP,500028192,28192,CPT,450,,,,,,,VA,VA,,3465,1559.25,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,AETNA,AETNA,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,BCBS,BCBS,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,CIGNA,CIGNA,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,HUMANA,HUMANA,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,UHC,UHC,,5550,2497.5,,,,,,,,outpatient,
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,500027825,27825,CPT,450,,,,,,,VA,VA,,5550,2497.5,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,AETNA,AETNA,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,BCBS,BCBS,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,CIGNA,CIGNA,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,HUMANA,HUMANA,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,UHC,UHC,,3320,1494,,,,,,,,outpatient,
CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,500027816,27816,CPT,450,,,,,,,VA,VA,,3320,1494,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,AETNA,AETNA,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,BCBS,BCBS,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,CIGNA,CIGNA,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,HUMANA,HUMANA,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,UHC,UHC,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,500027768,27768,CPT,450,,,,,,,VA,VA,,5047,2271.15,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,AETNA,AETNA,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,BCBS,BCBS,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,CIGNA,CIGNA,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,HUMANA,HUMANA,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,UHC,UHC,,3271,1471.95,,,,,,,,outpatient,
CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,500027767,27767,CPT,450,,,,,,,VA,VA,,3271,1471.95,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,AETNA,AETNA,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,BCBS,BCBS,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,CIGNA,CIGNA,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,HUMANA,HUMANA,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,UHC,UHC,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,500027562,27562,CPT,450,,,,,,,VA,VA,,5524,2485.8,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,AETNA,AETNA,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,BCBS,BCBS,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,CIGNA,CIGNA,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,HUMANA,HUMANA,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,UHC,UHC,,7148,3216.6,,,,,,,,outpatient,
CLOSED TX KNEE DISLOCATION W/ANESTHESIA,500027552,27552,CPT,450,,,,,,,VA,VA,,7148,3216.6,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,AETNA,AETNA,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,BCBS,BCBS,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,CIGNA,CIGNA,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,HUMANA,HUMANA,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,UHC,UHC,,7674,3453.3,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,500027510,27510,CPT,450,,,,,,,VA,VA,,7674,3453.3,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,AETNA,AETNA,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,BCBS,BCBS,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,CIGNA,CIGNA,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,HUMANA,HUMANA,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,UHC,UHC,,2661,1197.45,,,,,,,,outpatient,
TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,500027256,27256,CPT,450,,,,,,,VA,VA,,2661,1197.45,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,AETNA,AETNA,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,BCBS,BCBS,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,CIGNA,CIGNA,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,HUMANA,HUMANA,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,UHC,UHC,,4068,1830.6,,,,,,,,outpatient,
TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,500027257,27257,CPT,450,,,,,,,VA,VA,,4068,1830.6,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,AETNA,AETNA,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,BCBS,BCBS,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,CIGNA,CIGNA,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,HUMANA,HUMANA,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,UHC,UHC,,5432,2444.4,,,,,,,,outpatient,
CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,500027500,27500,CPT,450,,,,,,,VA,VA,,5432,2444.4,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,AETNA,AETNA,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,BCBS,BCBS,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,CIGNA,CIGNA,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,HUMANA,HUMANA,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,UHC,UHC,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,500027501,27501,CPT,450,,,,,,,VA,VA,,5615,2526.75,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,AETNA,AETNA,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,BCBS,BCBS,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,CIGNA,CIGNA,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,HUMANA,HUMANA,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,UHC,UHC,,9042,4068.9,,,,,,,,outpatient,
CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,500027503,27503,CPT,450,,,,,,,VA,VA,,9042,4068.9,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,AETNA,AETNA,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,BCBS,BCBS,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,CIGNA,CIGNA,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,HUMANA,HUMANA,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,UHC,UHC,,5627,2532.15,,,,,,,,outpatient,
CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,500027508,27508,CPT,450,,,,,,,VA,VA,,5627,2532.15,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,AETNA,AETNA,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,BCBS,BCBS,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,CIGNA,CIGNA,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,HUMANA,HUMANA,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,UHC,UHC,,1143,514.35,,,,,,,,outpatient,
"Knee orthosis, elastic w/joints, prefab item  custom to fit patient by an individual w/expertise",5000L1810,L1810,CPT,272,,,,,,,VA,VA,,1143,514.35,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
Ivermectin 3 mg; tab,5000J8499IVER,J8499,CPT,250,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,AETNA,AETNA,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,BCBS Federal,BCBS Federal,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,BCBS,BCBS,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,CIGNA,CIGNA,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,HUMANA,HUMANA,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,UHC,UHC,,69,31.05,,,,,,,,outpatient,
"Ringers lactate infusion, up to 1000cc",OPLABJ7120,J7120,CPT,258,,,,,,,VA,VA,,69,31.05,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,AETNA,AETNA,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,BCBS,BCBS,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,CIGNA,CIGNA,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,HUMANA,HUMANA,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,UHC,UHC,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",5000M0247,M0247,CPT,269,,,,,,,VA,VA,,1548,696.6,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,AETNA,AETNA,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,BCBS,BCBS,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,CIGNA,CIGNA,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,HUMANA,HUMANA,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,UHC,UHC,,774,348.3,,,,,,,,outpatient,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",OPLABM0247,M0247,CPT,250,,,,,,,VA,VA,,774,348.3,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,AETNA,AETNA,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,BCBS,BCBS,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,UHC,UHC,,793,356.85,,,,,,,,outpatient,
Olumiant(Baricitinib) 2mg tab,5000J8499OLU,J8499,CPT,250,,,,,,,VA,VA,,793,356.85,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,AETNA,AETNA,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,BCBS,BCBS,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,CIGNA,CIGNA,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,HUMANA,HUMANA,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,UHC,UHC,,652,293.4,,,,,,,,outpatient,
Application of short leg cast (below knee to toes),500029405,29405,CPT,450,,,,,,,VA,VA,,652,293.4,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,AETNA,AETNA,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,BCBS,BCBS,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,UHC,UHC,,11,4.95,,,,,,,,outpatient,
Glyburide 5mg tablet,5000J8499GLY,J8499,CPT,250,,,,,,,VA,VA,,11,4.95,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,AETNA,AETNA,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,BCBS,BCBS,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,CIGNA,CIGNA,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,HUMANA,HUMANA,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,UHC,UHC,,84.5,38.03,,,,,,,,outpatient,
"Bicillin L-A Injection 100,000 units",OPLABJ0561BIC,J0561,CPT,636,,,,,,,VA,VA,,84.5,38.03,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
VANCOMYCIN HCL INJECTION 500MG,OPLABJ3370,J3370,CPT,636,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,AETNA,AETNA,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,BCBS,BCBS,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,CIGNA,CIGNA,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,HUMANA,HUMANA,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,UHC,UHC,,31,13.95,,,,,,,,outpatient,
DILAUDID - HYDROMORPHONE UP TO 4MG,OPLABJ1170,J1170,CPT,250,,,,,,,VA,VA,,31,13.95,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
ONDANSETRON 4 MG; PO,OPLABS0119,S0119,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,AETNA,AETNA,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,BCBS,BCBS,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,CIGNA,CIGNA,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,HUMANA,HUMANA,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,UHC,UHC,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),500080168,80168,CPT,300,,,,,,,VA,VA,,163,73.35,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
Ethosuximide(Zarontin),OPLAB80168,80168,CPT,300,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,AETNA,AETNA,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,BCBS,BCBS,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,CIGNA,CIGNA,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,HUMANA,HUMANA,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,UHC,UHC,,188,84.6,,,,,,,,outpatient,
Muramidase,500085549,85549,CPT,300,,,,,,,VA,VA,,188,84.6,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,AETNA,AETNA,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,BCBS,BCBS,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,CIGNA,CIGNA,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,HUMANA,HUMANA,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,UHC,UHC,,94,42.3,,,,,,,,outpatient,
Muramidase,OPLAB85549,85549,CPT,300,,,,,,,VA,VA,,94,42.3,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,AETNA,AETNA,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,BCBS Federal,BCBS Federal,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,BCBS,BCBS,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,CIGNA,CIGNA,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,HUMANA,HUMANA,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,UHC,UHC,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",500081215,81215,CPT,310,,,,,,,VA,VA,,3753,1688.85,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,AETNA,AETNA,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,BCBS Federal,BCBS Federal,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,BCBS,BCBS,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,CIGNA,CIGNA,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,HUMANA,HUMANA,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,UHC,UHC,,1876,844.2,,,,,,,,outpatient,
"BRCA1 (BRCA1, DNA repair associated)",OPLAB81215,81215,CPT,310,,,,,,,VA,VA,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,AETNA,AETNA,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,BCBS Federal,BCBS Federal,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,BCBS,BCBS,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,CIGNA,CIGNA,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,HUMANA,HUMANA,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,UHC,UHC,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",500081217,81217,CPT,310,,,,,,,VA,VA,,3753,1688.85,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,AETNA,AETNA,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,BCBS Federal,BCBS Federal,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,BCBS,BCBS,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,CIGNA,CIGNA,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,HUMANA,HUMANA,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,UHC,UHC,,1876,844.2,,,,,,,,outpatient,
"BRCA2 (BRCA2, DNA repair associated)",OPLAB81217,81217,CPT,310,,,,,,,VA,VA,,1876,844.2,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,AETNA,AETNA,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,BCBS,BCBS,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,CIGNA,CIGNA,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,HUMANA,HUMANA,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,UHC,UHC,,109,49.05,,,,,,,,outpatient,
TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,OPLAB90714,90714,CPT,636,,,,,,,VA,VA,,109,49.05,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,AETNA,AETNA,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,BCBS,BCBS,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,CIGNA,CIGNA,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,HUMANA,HUMANA,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,UHC,UHC,,611,399,,,,,,,,outpatient,
US EXTREMITY NON-VASC REAL-TIME IMG COMPL,OPLAB76881,76881,CPT,402,,,,,,,VA,VA,,611,399,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,AETNA,AETNA,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,BCBS,BCBS,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,CIGNA,CIGNA,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,HUMANA,HUMANA,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,UHC,UHC,,268,120.6,,,,,,,,outpatient,
ASSAY OF CALCITONIN,500082308,82308,CPT,300,,,,,,,VA,VA,,268,120.6,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
ZIKA VIRUS IGM ANTIBODY,500086794,86794,CPT,300,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Benzocaine/Menthol 6-10 mg; PO,5000J8499BENZMEN,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,AETNA,AETNA,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,BCBS,BCBS,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,CIGNA,CIGNA,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,HUMANA,HUMANA,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,UHC,UHC,,131,58.95,,,,,,,,outpatient,
HEPARIN ASSAY,500085520,85520,CPT,300,,,,,,,VA,VA,,131,58.95,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,AETNA,AETNA,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,BCBS,BCBS,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,UHC,UHC,,249,112.05,,,,,,,,outpatient,
Clobetasol Cream 0.05%; Topical,5000A6250CLOBE,A6250,CPT,250,,,,,,,VA,VA,,249,112.05,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,AETNA,AETNA,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,BCBS,BCBS,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,UHC,UHC,,190,85.5,,,,,,,,outpatient,
Farxiga (Dapagliflozin) 10 mg; PO,5000J8499FAR,J8499,CPT,250,,,,,,,VA,VA,,190,85.5,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
Promethazine Hydrochloride (Phenergan) 25 mg; supp,5000J8498PROME,J8498,CPT,250,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,AETNA,AETNA,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,BCBS,BCBS,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,UHC,UHC,,76,34.2,,,,,,,,outpatient,
Ketotifen Fumarate (Zaditor) 0.25% opth drop 5 mL,5000J8499KETO,J8499,CPT,250,,,,,,,VA,VA,,76,34.2,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,AETNA,AETNA,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,BCBS Federal,BCBS Federal,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,BCBS,BCBS,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,CIGNA,CIGNA,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,HUMANA,HUMANA,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,UHC,UHC,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,500070552,70552,CPT,611,,,,,,,VA,VA,,7665,3449.25,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,AETNA,AETNA,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,BCBS Federal,BCBS Federal,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,BCBS,BCBS,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,CIGNA,CIGNA,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,HUMANA,HUMANA,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,UHC,UHC,,3194,599,,,,,,,,outpatient,
MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,OPLAB70552,70552,CPT,611,,,,,,,VA,VA,,3194,599,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,AETNA,AETNA,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,BCBS,BCBS,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,UHC,UHC,,91,40.95,,,,,,,,outpatient,
Amoxicillin and Clavulanate Potassium (Augmentin) 200 mg/5 mL,5000J8499AUGM,J8499,CPT,250,,,,,,,VA,VA,,91,40.95,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,AETNA,AETNA,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,BCBS,BCBS,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,CIGNA,CIGNA,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,HUMANA,HUMANA,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,UHC,UHC,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,500087517,87517,CPT,300,,,,,,,VA,VA,,428,192.6,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,AETNA,AETNA,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,BCBS,BCBS,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,CIGNA,CIGNA,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,HUMANA,HUMANA,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,UHC,UHC,,214,96.3,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS QUANTIFICATION,OPLAB87517,87517,CPT,300,,,,,,,VA,VA,,214,96.3,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,AETNA,AETNA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,BCBS,BCBS,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,CIGNA,CIGNA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,HUMANA,HUMANA,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,UHC,UHC,,226,101.7,,,,,,,,outpatient,
Infectious agent antigen detection by enzyme immunoassay tec...,500087389N,87389,CPT,300,,,,,,,VA,VA,,226,101.7,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,AETNA,AETNA,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,BCBS,BCBS,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,UHC,UHC,,39,17.55,,,,,,,,outpatient,
Tranexamic Acid (Lyteda) 1000 mg/10 mL; PO,5000J8499TRANACID,J8499,CPT,250,,,,,,,VA,VA,,39,17.55,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
SHORT LEG SPLINT CALF FOOT,OPLAB29515,29515,CPT,450,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
BENTYL –DICYCLOMINE HCL,5000J8499BENTYLN,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,AETNA,AETNA,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,BCBS,BCBS,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,CIGNA,CIGNA,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,HUMANA,HUMANA,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,UHC,UHC,,34,15.3,,,,,,,,outpatient,
ROCEPHIN - CEFTRIAXONE SODIUM up to 250MG,OPLABJ0696,J0696,CPT,636,,,,,,,VA,VA,,34,15.3,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,AETNA,AETNA,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,BCBS,BCBS,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,CIGNA,CIGNA,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,HUMANA,HUMANA,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,UHC,UHC,,3932,1769.4,,,,,,,,outpatient,
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,500021100,21100,CPT,450,,,,,,,VA,VA,,3932,1769.4,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,AETNA,AETNA,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,BCBS Federal,BCBS Federal,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,BCBS,BCBS,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,CIGNA,CIGNA,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,HUMANA,HUMANA,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,UHC,UHC,,15,6.75,,,,,,,,outpatient,
Triamcinolone acet inj nos up to 10mg (40mg total),OPLABJ3301,J3301,CPT,251,,,,,,,VA,VA,,15,6.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABS0020,S0020,CPT,636,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,AETNA,AETNA,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,BCBS,BCBS,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,CIGNA,CIGNA,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,HUMANA,HUMANA,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,UHC,UHC,,138,62.1,,,,,,,,outpatient,
IAAD IA CRYPTOSPORIDIUM,500087328,87328,CPT,300,,,,,,,VA,VA,,138,62.1,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,AETNA,AETNA,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,BCBS,BCBS,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,CIGNA,CIGNA,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,HUMANA,HUMANA,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,UHC,UHC,,509,229.05,,,,,,,,outpatient,
THYROID STIMULATING IMMUNE GLOBULINS TSI,500084445,84445,CPT,300,,,,,,,VA,VA,,509,229.05,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,AETNA,AETNA,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,BCBS,BCBS,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,CIGNA,CIGNA,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,HUMANA,HUMANA,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,UHC,UHC,,604,271.8,,,,,,,,outpatient,
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,OPLAB87502,87502,CPT,300,,,,,,,VA,VA,,604,271.8,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,AETNA,AETNA,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,BCBS,BCBS,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,UHC,UHC,,40,18,,,,,,,,outpatient,
Protamine Sulfate 250 mg/25 mL; inj,5000J3490PROT,J3490,CPT,250,,,,,,,VA,VA,,40,18,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,AETNA,AETNA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,BCBS,BCBS,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,UHC,UHC,,33,14.85,,,,,,,,outpatient,
Claritin 10mg tab,5000J8499CLARN,J8499,CPT,250,,,,,,,VA,VA,,33,14.85,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Progesterone 200 mg; PO,5000J8499PROG,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,AETNA,AETNA,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,BCBS Federal,BCBS Federal,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,BCBS,BCBS,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,CIGNA,CIGNA,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,HUMANA,HUMANA,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,UHC,UHC,,426,191.7,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,5000J1756,J1756,CPT,258,,,,,,,VA,VA,,426,191.7,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,AETNA,AETNA,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,BCBS,BCBS,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,UHC,UHC,,195,87.75,,,,,,,,outpatient,
Dotarem Contrast 20 mL vial,OPLABA9575DOT20,A9575,CPT,250,,,,,,,VA,VA,,195,87.75,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
Prohance Gadoteridol 279.3 mg/mL; injection vial 5 mL,OPLABA9576,A9576,CPT,250,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,AETNA,AETNA,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,BCBS,BCBS,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,CIGNA,CIGNA,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,HUMANA,HUMANA,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,UHC,UHC,,3600,1620,,,,,,,,outpatient,
"IV inj, bebtelovimab, inclds inj and post admin monitoring",5000M0222,M0222,CPT,771,,,,,,,VA,VA,,3600,1620,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Acetaminophen (Tylenol) 160 mg/5 mL; oral solution,5000J8499ACETA,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Multivitamin (Single vitamin nos) ,5000A9152MULN,A9152,CPT,257,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,AETNA,AETNA,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,BCBS,BCBS,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,CIGNA,CIGNA,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,HUMANA,HUMANA,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,UHC,UHC,,10628,4782.6,,,,,,,,outpatient,
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,500021453,21453,CPT,450,,,,,,,VA,VA,,10628,4782.6,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,AETNA,AETNA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,BCBS,BCBS,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,CIGNA,CIGNA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,HUMANA,HUMANA,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,UHC,UHC,,56,25.2,,,,,,,,outpatient,
FLEETS ENEMA,5000A4649ENEMN,A4649,CPT,270,,,,,,,VA,VA,,56,25.2,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,AETNA,AETNA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,BCBS,BCBS,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,UHC,UHC,,370,166.5,,,,,,,,outpatient,
PHENAZOPYRIDINE 100MG TABS,5000J8499PHENA,J8499,CPT,250,,,,,,,VA,VA,,370,166.5,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,AETNA,AETNA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,BCBS,BCBS,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,CIGNA,CIGNA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,HUMANA,HUMANA,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,UHC,UHC,,377,169.65,,,,,,,,outpatient,
Metronidazole 500mg/100ml inj,5000S0030N,S0030,CPT,636,,,,,,,VA,VA,,377,169.65,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,AETNA,AETNA,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,BCBS,BCBS,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,CIGNA,CIGNA,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,HUMANA,HUMANA,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,UHC,UHC,,244,109.8,,,,,,,,outpatient,
IMMUNE COMPLEX ASSAY,500086332,86332,CPT,300,,,,,,,VA,VA,,244,109.8,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,AETNA,AETNA,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,BCBS,BCBS,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,UHC,UHC,,22,9.9,,,,,,,,outpatient,
KETAMINE UP TO 50MG,OPLABJ3490KET,J3490,CPT,636,,,,,,,VA,VA,,22,9.9,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,AETNA,AETNA,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,BCBS,BCBS,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,CIGNA,CIGNA,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,HUMANA,HUMANA,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,UHC,UHC,,97,43.65,,,,,,,,outpatient,
Dotarem Contrast 10 mL vial,OPLABA9575DOT10,A9575,CPT,250,,,,,,,VA,VA,,97,43.65,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
Esomeprazole Magnesium (Nexium) 40 mg; PO,5000J8499NEX,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,AETNA,AETNA,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,BCBS,BCBS,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,UHC,UHC,,7,3.15,,,,,,,,outpatient,
Isosorbide Dinitrate (Isodlil) 10 mg; tab,5000J8499ISODIN,J8499,CPT,250,,,,,,,VA,VA,,7,3.15,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,AETNA,AETNA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,BCBS,BCBS,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,CIGNA,CIGNA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,HUMANA,HUMANA,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,UHC,UHC,,186,83.7,,,,,,,,outpatient,
DRUG ASSAY SALICYLATE,500080179,80179,CPT,300,,,,,,,VA,VA,,186,83.7,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,AETNA,AETNA,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,BCBS Federal,BCBS Federal,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,BCBS,BCBS,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,CIGNA,CIGNA,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,HUMANA,HUMANA,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,UHC,UHC,,64,28.8,,,,,,,,outpatient,
TETRACAINE .5% A/U 15ML,5000TETRAAU,J3490,CPT,272,,,,,,,VA,VA,,64,28.8,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Zofran (Ondansetron) 8 MG; tab,OPLABJ8499ZOF,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,AETNA,AETNA,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,BCBS,BCBS,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,CIGNA,CIGNA,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,HUMANA,HUMANA,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,UHC,UHC,,516,232.2,,,,,,,,outpatient,
Ultravist 300; contrast,5000ULTRAVIS,Q9949,CPT,636,,,,,,,VA,VA,,516,232.2,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
ANTIBODY PARVOVIRUS,500086747,86747,CPT,300,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
IAADIADOO TRICHOMONAS VAGINALIS,500087808,87808,CPT,300,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
ZOFRAN (ONDANSETRON HCL INJECTION 1MG),OPLABJ2405,J2405,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
ATIVAN - LORAZEPAM INJECTION 2MG,OPLABJ2060,J2060,CPT,250,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,AETNA,AETNA,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,BCBS,BCBS,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,CIGNA,CIGNA,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,HUMANA,HUMANA,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,UHC,UHC,,106,47.7,,,,,,,,outpatient,
ORGANIC ACID 1 QUANTITATIVE,OPLAB83921,83921,CPT,301,,,,,,,VA,VA,,106,47.7,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,AETNA,AETNA,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,BCBS,BCBS,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,CIGNA,CIGNA,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,HUMANA,HUMANA,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,UHC,UHC,,1956,499,,,,,,,,outpatient,
CT LXTR C+ MATRL,OPLAB73701,73701,CPT,352,,,,,,,VA,VA,,1956,499,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,AETNA,AETNA,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,BCBS,BCBS,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,CIGNA,CIGNA,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,HUMANA,HUMANA,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,UHC,UHC,,626,626,,,,,,,,outpatient,
ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,OPLAB76805,76805,CPT,402,,,,,,,VA,VA,,626,626,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,AETNA,AETNA,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,BCBS Federal,BCBS Federal,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,BCBS,BCBS,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,CIGNA,CIGNA,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,HUMANA,HUMANA,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,UHC,UHC,,3012,1355.4,,,,,,,,outpatient,
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,OPLAB93975,93975,CPT,921,,,,,,,VA,VA,,3012,1355.4,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,AETNA,AETNA,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,BCBS,BCBS,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,UHC,UHC,,316,142.2,,,,,,,,outpatient,
Lokelma 10 gm; powder packet,5000J8499LOK,J8499,CPT,250,,,,,,,VA,VA,,316,142.2,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,AETNA,AETNA,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,BCBS,BCBS,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,CIGNA,CIGNA,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,HUMANA,HUMANA,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,UHC,UHC,,8359,3761.55,,,,,,,,outpatient,
RCNSTJ DISLOCATING PATELLA,500027420,27420,CPT,450,,,,,,,VA,VA,,8359,3761.55,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
test,500054112,54112,CPT,123,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,AETNA,AETNA,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,BCBS,BCBS,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,CIGNA,CIGNA,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,HUMANA,HUMANA,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,UHC,UHC,,700,315,,,,,,,,outpatient,
UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,500081599,81599,CPT,300,,,,,,,VA,VA,,700,315,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,AETNA,AETNA,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,BCBS,BCBS,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,CIGNA,CIGNA,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,HUMANA,HUMANA,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,UHC,UHC,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,500082681,82681,CPT,300,,,,,,,VA,VA,,279,125.55,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,AETNA,AETNA,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,BCBS,BCBS,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,CIGNA,CIGNA,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,HUMANA,HUMANA,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,UHC,UHC,,140,63,,,,,,,,outpatient,
ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL,OPLAB82681,82681,CPT,300,,,,,,,VA,VA,,140,63,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,AETNA,AETNA,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,BCBS,BCBS,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,CIGNA,CIGNA,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,HUMANA,HUMANA,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,UHC,UHC,,495,222.75,,,,,,,,outpatient,
REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,500029705,29705,CPT,450,,,,,,,VA,VA,,495,222.75,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,AETNA,AETNA,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,BCBS,BCBS,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,CIGNA,CIGNA,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,HUMANA,HUMANA,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,UHC,UHC,,3608,549,,,,,,,,outpatient,
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,OPLAB74175,74175,CPT,352,,,,,,,VA,VA,,3608,549,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,AETNA,AETNA,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,BCBS Federal,BCBS Federal,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,BCBS,BCBS,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,CIGNA,CIGNA,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,HUMANA,HUMANA,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,UHC,UHC,,176,79.2,,,,,,,,outpatient,
"IV THERAPY, EACH ADDL HOUR",OPLAB96366,96366,CPT,260,,,,,,,VA,VA,,176,79.2,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,AETNA,AETNA,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,BCBS,BCBS,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,CIGNA,CIGNA,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,HUMANA,HUMANA,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,UHC,UHC,,169,76.05,,,,,,,,outpatient,
NEUTRALIZATION TEST VIRAL,500086382,86382,CPT,300,,,,,,,VA,VA,,169,76.05,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,AETNA,AETNA,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,BCBS,BCBS,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,CIGNA,CIGNA,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,HUMANA,HUMANA,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,UHC,UHC,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,500087593,87593,CPT,300,,,,,,,VA,VA,,450,202.5,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,AETNA,AETNA,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,BCBS,BCBS,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,CIGNA,CIGNA,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,HUMANA,HUMANA,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,UHC,UHC,,200,90,,,,,,,,outpatient,
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,OPLAB87593,87593,CPT,300,,,,,,,VA,VA,,200,90,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,AETNA,AETNA,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,BCBS Federal,BCBS Federal,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,BCBS,BCBS,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,CIGNA,CIGNA,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,HUMANA,HUMANA,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,UHC,UHC,,762,342.9,,,,,,,,outpatient,
Tixagevimab 150 mg/Cilgavimab 150 mg (Evusheld) administration,5000M0220,M0220,CPT,771,,,,,,,VA,VA,,762,342.9,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,AETNA,AETNA,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,BCBS Federal,BCBS Federal,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,BCBS,BCBS,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,CIGNA,CIGNA,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,HUMANA,HUMANA,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,UHC,UHC,,125,56.25,,,,,,,,outpatient,
Infec agen detec ampli probe,5000U0005,U0005,CPT,306,,,,,,,VA,VA,,125,56.25,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,500087541,87541,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,500087653,87653,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,500087511,87511,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,500087516,87516,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,AETNA,AETNA,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,BCBS,BCBS,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,CIGNA,CIGNA,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,HUMANA,HUMANA,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,UHC,UHC,,1315,591.75,,,,,,,,outpatient,
IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,500087506,87506,CPT,300,,,,,,,VA,VA,,1315,591.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,AETNA,AETNA,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,BCBS,BCBS,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,CIGNA,CIGNA,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,HUMANA,HUMANA,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,UHC,UHC,,55,24.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,500085660,85660,CPT,300,,,,,,,VA,VA,,55,24.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,AETNA,AETNA,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,BCBS,BCBS,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,CIGNA,CIGNA,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,HUMANA,HUMANA,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,UHC,UHC,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,500086317,86317,CPT,300,,,,,,,VA,VA,,150,67.5,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,AETNA,AETNA,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,BCBS,BCBS,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,CIGNA,CIGNA,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,HUMANA,HUMANA,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,UHC,UHC,,75,33.75,,,,,,,,outpatient,
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,OPLAB86317,86317,CPT,300,,,,,,,VA,VA,,75,33.75,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,AETNA,AETNA,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,BCBS,BCBS,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,CIGNA,CIGNA,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,HUMANA,HUMANA,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,UHC,UHC,,28,12.6,,,,,,,,outpatient,
SICKLING RBC REDUCTION,OPLAB85660,85660,CPT,300,,,,,,,VA,VA,,28,12.6,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,AETNA,AETNA,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,BCBS,BCBS,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,CIGNA,CIGNA,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,HUMANA,HUMANA,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,UHC,UHC,,43,19.35,,,,,,,,outpatient,
MACROSCOPIC EXAMINATION PARASITE,500087169,87169,CPT,300,,,,,,,VA,VA,,43,19.35,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,AETNA,AETNA,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,BCBS,BCBS,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,UHC,UHC,,10,4.5,,,,,,,,outpatient,
Nystatin Oral Susp 5 mL,5000J8499NYS,J8499,CPT,250,,,,,,,VA,VA,,10,4.5,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,AETNA,AETNA,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,BCBS,BCBS,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,CIGNA,CIGNA,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,HUMANA,HUMANA,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,UHC,UHC,,54,24.3,,,,,,,,outpatient,
Naropin 0.2% 20 mg/10 mL (Ropivacaine HCL); inj,5000J2795,J2795,CPT,250,,,,,,,VA,VA,,54,24.3,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,AETNA,AETNA,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,BCBS Federal,BCBS Federal,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,BCBS,BCBS,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,CIGNA,CIGNA,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,HUMANA,HUMANA,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,UHC,UHC,,1182,531.9,,,,,,,,outpatient,
ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,OPLAB93351,93351,CPT,483,,,,,,,VA,VA,,1182,531.9,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,AETNA,AETNA,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,BCBS,BCBS,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,CIGNA,CIGNA,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,HUMANA,HUMANA,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,UHC,UHC,,773,347.85,,,,,,,,outpatient,
PSYCHOTHERAPY W/PATIENT 30 MINUTES,500090832,90832,CPT,961,,,,,,,VA,VA,,773,347.85,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,AETNA,AETNA,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,BCBS,BCBS,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,CIGNA,CIGNA,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,HUMANA,HUMANA,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,UHC,UHC,,1095,492.75,,,,,,,,outpatient,
FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,500090846,90846,CPT,961,,,,,,,VA,VA,,1095,492.75,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,AETNA,AETNA,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,BCBS,BCBS,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,UHC,UHC,,3,1.35,,,,,,,,outpatient,
Doxepin HCL 50 mg; cap,5000J8499DOXE,J8499,CPT,250,,,,,,,VA,VA,,3,1.35,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,AETNA,AETNA,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,BCBS,BCBS,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,CIGNA,CIGNA,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,HUMANA,HUMANA,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,UHC,UHC,,1432,644.4,,,,,,,,outpatient,
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION. This service is not offered by the hospital.,500019120,19120,CPT,450,,,,,,,VA,VA,,1432,644.4,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,AETNA,AETNA,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,BCBS,BCBS,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,CIGNA,CIGNA,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,HUMANA,HUMANA,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,UHC,UHC,,587,264.15,,,,,,,,outpatient,
SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS. This service is not offered by the hospital.,500029826,29826,CPT,450,,,,,,,VA,VA,,587,264.15,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,AETNA,AETNA,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,BCBS,BCBS,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,CIGNA,CIGNA,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,HUMANA,HUMANA,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,UHC,UHC,,1863,838.35,,,,,,,,outpatient,
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG. This service is not offered by the hospital.,500029881,29881,CPT,450,,,,,,,VA,VA,,1863,838.35,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,AETNA,AETNA,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,BCBS,BCBS,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,CIGNA,CIGNA,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,HUMANA,HUMANA,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,UHC,UHC,,998,449.1,,,,,,,,outpatient,
TONSILLECTOMY & ADENOIDECTOMY <AGE 12. This service is not offered by the hospital.,500042820,42820,CPT,450,,,,,,,VA,VA,,998,449.1,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,AETNA,AETNA,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,BCBS,BCBS,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,CIGNA,CIGNA,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,HUMANA,HUMANA,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,UHC,UHC,,416,187.2,,,,,,,,outpatient,
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC. This service is not offered by the hospital. ,500043235,43235,CPT,450,,,,,,,VA,VA,,416,187.2,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,AETNA,AETNA,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,BCBS,BCBS,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,CIGNA,CIGNA,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,HUMANA,HUMANA,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,UHC,UHC,,468,210.6,,,,,,,,outpatient,
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.  ,500043239,43239,CPT,450,,,,,,,VA,VA,,468,210.6,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,AETNA,AETNA,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,BCBS,BCBS,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,CIGNA,CIGNA,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,HUMANA,HUMANA,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,UHC,UHC,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD. This service is not offered by the hospital.,500045378,45378,CPT,450,,,,,,,VA,VA,,626,281.7,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,AETNA,AETNA,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,BCBS,BCBS,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,CIGNA,CIGNA,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,HUMANA,HUMANA,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,UHC,UHC,,679,305.55,,,,,,,,outpatient,
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE. This service is not offered by the hospital.,500045380,45380,CPT,450,,,,,,,VA,VA,,679,305.55,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,AETNA,AETNA,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,BCBS,BCBS,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,CIGNA,CIGNA,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,HUMANA,HUMANA,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,UHC,UHC,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ. This service is not offered by the hospital.,500045385,45385,CPT,450,,,,,,,VA,VA,,863,388.35,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,AETNA,AETNA,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,BCBS,BCBS,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,CIGNA,CIGNA,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,HUMANA,HUMANA,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,UHC,UHC,,874,393.3,,,,,,,,outpatient,
COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX. This service is not offered by the hospital. ,500045391,45391,CPT,450,,,,,,,VA,VA,,874,393.3,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,AETNA,AETNA,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,BCBS,BCBS,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,CIGNA,CIGNA,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,HUMANA,HUMANA,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,UHC,UHC,,2272,1022.4,,,,,,,,outpatient,
LAPAROSCOPY SURG CHOLECYSTECTOMY. This service is not offered by the hospital.,500047562,47562,CPT,450,,,,,,,VA,VA,,2272,1022.4,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,AETNA,AETNA,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,BCBS,BCBS,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,CIGNA,CIGNA,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,HUMANA,HUMANA,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,UHC,UHC,,1801,810.45,,,,,,,,outpatient,
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE. This service is not offered by the hospital.,500049505,49505,CPT,450,,,,,,,VA,VA,,1801,810.45,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,AETNA,AETNA,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,BCBS,BCBS,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,CIGNA,CIGNA,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,HUMANA,HUMANA,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,UHC,UHC,,438,197.1,,,,,,,,outpatient,
PROSTATE NEEDLE BIOPSY ANY APPROACH. This service is not offered by the hospital.,500055700,55700,CPT,450,,,,,,,VA,VA,,438,197.1,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,AETNA,AETNA,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,BCBS,BCBS,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,CIGNA,CIGNA,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,HUMANA,HUMANA,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,UHC,UHC,,4869,2191.05,,,,,,,,outpatient,
LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT. This service is not offered by the hospital.,500055866,55866,CPT,450,,,,,,,VA,VA,,4869,2191.05,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,AETNA,AETNA,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,BCBS,BCBS,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,CIGNA,CIGNA,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,HUMANA,HUMANA,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,UHC,UHC,,8170,3676.5,,,,,,,,outpatient,
OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM. This service is not offered by the hospital.,500059400,59400,CPT,450,,,,,,,VA,VA,,8170,3676.5,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,AETNA,AETNA,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,BCBS,BCBS,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,CIGNA,CIGNA,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,HUMANA,HUMANA,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,UHC,UHC,,9007,4053.15,,,,,,,,outpatient,
OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM. This service is not offered by the hospital.,500059510,59510,CPT,450,,,,,,,VA,VA,,9007,4053.15,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,AETNA,AETNA,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,BCBS,BCBS,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,CIGNA,CIGNA,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,HUMANA,HUMANA,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,UHC,UHC,,8528,3837.6,,,,,,,,outpatient,
ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB. This service is not offered by the hospital. ,500059610,59610,CPT,450,,,,,,,VA,VA,,8528,3837.6,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,AETNA,AETNA,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,BCBS Federal,BCBS Federal,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,BCBS,BCBS,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,CIGNA,CIGNA,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,HUMANA,HUMANA,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,UHC,UHC,,1520,684,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,500099244,99244,CPT,509,,,,,,,VA,VA,,1520,684,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,AETNA,AETNA,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,BCBS,BCBS,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,CIGNA,CIGNA,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,HUMANA,HUMANA,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,UHC,UHC,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,500099385,99385,CPT,450,,,,,,,VA,VA,,1095,492.75,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,AETNA,AETNA,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,BCBS,BCBS,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,CIGNA,CIGNA,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,HUMANA,HUMANA,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,UHC,UHC,,1327,597.15,,,,,,,,outpatient,
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,500099386,99386,CPT,450,,,,,,,VA,VA,,1327,597.15,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,AETNA,AETNA,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,BCBS,BCBS,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,CIGNA,CIGNA,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,HUMANA,HUMANA,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,UHC,UHC,,478,215.1,,,,,,,,outpatient,
OBSTETRIC PANEL,500080055,80055,CPT,300,,,,,,,VA,VA,,478,215.1,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,AETNA,AETNA,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,BCBS Federal,BCBS Federal,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,BCBS,BCBS,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,CIGNA,CIGNA,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,HUMANA,HUMANA,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,UHC,UHC,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,500077065,77065,CPT,401,,,,,,,VA,VA,,1703,766.35,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,AETNA,AETNA,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,BCBS Federal,BCBS Federal,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,BCBS,BCBS,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,CIGNA,CIGNA,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,HUMANA,HUMANA,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,UHC,UHC,,2146,965.7,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,500077066,77066,CPT,401,,,,,,,VA,VA,,2146,965.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,AETNA,AETNA,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,BCBS Federal,BCBS Federal,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,BCBS,BCBS,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,CIGNA,CIGNA,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,HUMANA,HUMANA,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,UHC,UHC,,3486,1568.7,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,500077067,77067,CPT,403,,,,,,,VA,VA,,3486,1568.7,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,AETNA,AETNA,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,BCBS,BCBS,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,CIGNA,CIGNA,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,HUMANA,HUMANA,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,UHC,UHC,,918,413.1,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,500062322,62322,CPT,450,,,,,,,VA,VA,,918,413.1,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,AETNA,AETNA,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,BCBS Federal,BCBS Federal,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,BCBS,BCBS,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,CIGNA,CIGNA,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,HUMANA,HUMANA,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,UHC,UHC,,3509,1579.05,,,,,,,,outpatient,
POST-CATARACT LASER SURGERY,500066821,66821,CPT,369,,,,,,,VA,VA,,3509,1579.05,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,AETNA,AETNA,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,BCBS,BCBS,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,CIGNA,CIGNA,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,HUMANA,HUMANA,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,UHC,UHC,,6105,2747.25,,,,,,,,outpatient,
XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,500066984,66984,CPT,450,,,,,,,VA,VA,,6105,2747.25,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,AETNA,AETNA,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,BCBS Federal,BCBS Federal,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,BCBS,BCBS,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,CIGNA,CIGNA,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,HUMANA,HUMANA,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,UHC,UHC,,10839,4877.55,,,,,,,,outpatient,
L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,500093452,93452,CPT,489,,,,,,,VA,VA,,10839,4877.55,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,AETNA,AETNA,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,BCBS Federal,BCBS Federal,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,BCBS,BCBS,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,CIGNA,CIGNA,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,HUMANA,HUMANA,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,UHC,UHC,,6984,3142.8,,,,,,,,outpatient,
POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,500095810,95810,CPT,920,,,,,,,VA,VA,,6984,3142.8,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,AETNA,AETNA,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,BCBS,BCBS,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,UHC,UHC,,236,106.2,,,,,,,,outpatient,
PEG 3350 + Electrolytes 4000 mL (GoLYTELY); oral sol,5000J8499GOLYT,J8499,CPT,250,,,,,,,VA,VA,,236,106.2,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,AETNA,AETNA,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,BCBS,BCBS,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,CIGNA,CIGNA,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,HUMANA,HUMANA,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,UHC,UHC,,1168,525.6,,,,,,,,outpatient,
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,500099195,99195,CPT,450,,,,,,,VA,VA,,1168,525.6,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
Haloperidol 5 mg tab; PO,5000J8499HALO,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,AETNA,AETNA,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,BCBS,BCBS,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,UHC,UHC,,1169,526.05,,,,,,,,outpatient,
Nicardipine (Cardene) premix bag 20 mg,5000J8499CARDE,J8499,CPT,250,,,,,,,VA,VA,,1169,526.05,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Minoxidil (Loniten) 2.5 mg; PO,5000J8499MIXO,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,AETNA,AETNA,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,BCBS,BCBS,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,CIGNA,CIGNA,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,HUMANA,HUMANA,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,UHC,UHC,,907,408.15,,,,,,,,outpatient,
"Radiologic examination, osseous survey; limited (eg, for metastases)",500077074,77074,CPT,320,,,,,,,VA,VA,,907,408.15,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,AETNA,AETNA,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,BCBS,BCBS,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,CIGNA,CIGNA,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,HUMANA,HUMANA,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,UHC,UHC,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,500073222,73222,CPT,610,,,,,,,VA,VA,,8896,4003.2,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,AETNA,AETNA,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,BCBS,BCBS,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,CIGNA,CIGNA,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,HUMANA,HUMANA,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,UHC,UHC,,3707,599,,,,,,,,outpatient,
MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,OPLAB73222,73222,CPT,610,,,,,,,VA,VA,,3707,599,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,AETNA,AETNA,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,BCBS,BCBS,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,CIGNA,CIGNA,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,HUMANA,HUMANA,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,UHC,UHC,,4070,1831.5,,,,,,,,outpatient,
MRA NECK W/O &W/CONTRAST MATERIAL,OPLAB70549,70549,CPT,615,,,,,,,VA,VA,,4070,1831.5,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,AETNA,AETNA,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,BCBS,BCBS,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,CIGNA,CIGNA,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,HUMANA,HUMANA,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,UHC,UHC,,67,30.15,,,,,,,,outpatient,
ALPHA-1-ANTITRYPSIN TOTAL,OPLAB82103,82103,CPT,300,,,,,,,VA,VA,,67,30.15,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,AETNA,AETNA,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,BCBS,BCBS,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,CIGNA,CIGNA,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,HUMANA,HUMANA,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,UHC,UHC,,66,29.7,,,,,,,,outpatient,
WRIST COCK-UP NON-MOLDED,OPLABL3908,L3908,CPT,270,,,,,,,VA,VA,,66,29.7,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,AETNA,AETNA,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,BCBS,BCBS,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,UHC,UHC,,277,124.65,,,,,,,,outpatient,
Kayexalate (Sodium Polystyrene Sulfonate) 15gm/60mL; PO,5000J8499KAYE,J8499,CPT,250,,,,,,,VA,VA,,277,124.65,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,AETNA,AETNA,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,BCBS,BCBS,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,CIGNA,CIGNA,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,HUMANA,HUMANA,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,UHC,UHC,,68,30.6,,,,,,,,outpatient,
LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,OPLAB83721,83721,CPT,300,,,,,,,VA,VA,,68,30.6,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,AETNA,AETNA,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,BCBS,BCBS,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,CIGNA,CIGNA,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,HUMANA,HUMANA,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,UHC,UHC,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,500096369,96369,CPT,269,,,,,,,VA,VA,,1661,747.45,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,500096370,96370,CPT,269,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,AETNA,AETNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,BCBS,BCBS,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,CIGNA,CIGNA,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,HUMANA,HUMANA,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,UHC,UHC,,132,59.4,,,,,,,,outpatient,
ANTIBODY PLASMODIUM MALARIA,500086750,86750,CPT,300,,,,,,,VA,VA,,132,59.4,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,AETNA,AETNA,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,BCBS,BCBS,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,CIGNA,CIGNA,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,HUMANA,HUMANA,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,UHC,UHC,,267,120.15,,,,,,,,outpatient,
ASSAY OF PROINSULIN,500084206,84206,CPT,300,,,,,,,VA,VA,,267,120.15,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,AETNA,AETNA,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,BCBS,BCBS,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,CIGNA,CIGNA,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,HUMANA,HUMANA,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,UHC,UHC,,345,155.25,,,,,,,,outpatient,
DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,500080377,80377,CPT,300,,,,,,,VA,VA,,345,155.25,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,AETNA,AETNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,BCBS,BCBS,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,CIGNA,CIGNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,HUMANA,HUMANA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,UHC,UHC,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ANTIGLOBULIN,500086922,86922,CPT,300,,,,,,,VA,VA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,AETNA,AETNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,BCBS,BCBS,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,CIGNA,CIGNA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,HUMANA,HUMANA,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,UHC,UHC,,238,107.1,,,,,,,,outpatient,
COMPATIBILITY EACH UNIT ELECTRONIC,500086923,86923,CPT,300,,,,,,,VA,VA,,238,107.1,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,AETNA,AETNA,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,BCBS,BCBS,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,CIGNA,CIGNA,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,HUMANA,HUMANA,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,UHC,UHC,,144,64.8,,,,,,,,outpatient,
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,500086890,86890,CPT,300,,,,,,,VA,VA,,144,64.8,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,AETNA,AETNA,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,BCBS,BCBS,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,CIGNA,CIGNA,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,HUMANA,HUMANA,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,UHC,UHC,,4037,1816.65,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,500072130,72130,CPT,320,,,,,,,VA,VA,,4037,1816.65,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,AETNA,AETNA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,BCBS,BCBS,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,CIGNA,CIGNA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,HUMANA,HUMANA,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,UHC,UHC,,7500,3375,,,,,,,,outpatient,
NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,500062321,62321,CPT,450,,,,,,,VA,VA,,7500,3375,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,AETNA,AETNA,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,BCBS,BCBS,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,UHC,UHC,,1,0.45,,,,,,,,outpatient,
5-HTP 100 mg; PO,5000J84995HTP,J8499,CPT,250,,,,,,,VA,VA,,1,0.45,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,AETNA,AETNA,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,BCBS,BCBS,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,CIGNA,CIGNA,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,HUMANA,HUMANA,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,UHC,UHC,,700,315,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,50000351U,0351U,CPT,300,,,,,,,VA,VA,,700,315,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,AETNA,AETNA,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,BCBS,BCBS,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,UHC,UHC,,8,3.6,,,,,,,,outpatient,
Propylthiouracil (PTU) 50 mg; tab,5000J8499PROPYL,J8499,CPT,250,,,,,,,VA,VA,,8,3.6,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,AETNA,AETNA,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,BCBS,BCBS,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,CIGNA,CIGNA,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,HUMANA,HUMANA,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,UHC,UHC,,1141,499,,,,,,,,outpatient,
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,OPLAB72130,72130,CPT,352,,,,,,,VA,VA,,1141,499,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,AETNA,AETNA,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,BCBS,BCBS,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,CIGNA,CIGNA,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,HUMANA,HUMANA,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,UHC,UHC,,1054,474.3,,,,,,,,outpatient,
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,500046601,46601,CPT,450,,,,,,,VA,VA,,1054,474.3,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,AETNA,AETNA,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,BCBS,BCBS,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,CIGNA,CIGNA,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,HUMANA,HUMANA,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,UHC,UHC,,108,48.6,,,,,,,,outpatient,
"Capsaicin 0.025% topical cream, 60 gm",5000A6250CAPS,A6250,CPT,250,,,,,,,VA,VA,,108,48.6,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,AETNA,AETNA,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,BCBS,BCBS,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,CIGNA,CIGNA,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,HUMANA,HUMANA,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,UHC,UHC,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,500077049,77049,CPT,610,,,,,,,VA,VA,,9747,4386.15,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,AETNA,AETNA,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,BCBS,BCBS,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,CIGNA,CIGNA,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,HUMANA,HUMANA,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,UHC,UHC,,4061,599,,,,,,,,outpatient,
MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,OPLAB77049,77049,CPT,610,,,,,,,VA,VA,,4061,599,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,AETNA,AETNA,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,BCBS,BCBS,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,CIGNA,CIGNA,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,HUMANA,HUMANA,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,UHC,UHC,,115,51.75,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,500086364,86364,CPT,300,,,,,,,VA,VA,,115,51.75,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,AETNA,AETNA,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,BCBS,BCBS,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,UHC,UHC,,206,92.7,,,,,,,,outpatient,
MD-Gastroview 66%-10% 30 mL; oral solution,5000J8499GASTRO,J8499,CPT,250,,,,,,,VA,VA,,206,92.7,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,AETNA,AETNA,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,BCBS,BCBS,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,CIGNA,CIGNA,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,HUMANA,HUMANA,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,UHC,UHC,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,500099238,99238,CPT,760,,,,,,,VA,VA,,909,409.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,AETNA,AETNA,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,BCBS,BCBS,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,CIGNA,CIGNA,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,HUMANA,HUMANA,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,UHC,UHC,,1289,580.05,,,,,,,,outpatient,
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,500099239,99239,CPT,760,,,,,,,VA,VA,,1289,580.05,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,AETNA,AETNA,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,BCBS,BCBS,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,CIGNA,CIGNA,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,HUMANA,HUMANA,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,UHC,UHC,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,500099231,99231,CPT,760,,,,,,,VA,VA,,561,252.45,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,AETNA,AETNA,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,BCBS Federal,BCBS Federal,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,BCBS,BCBS,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,CIGNA,CIGNA,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,HUMANA,HUMANA,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,UHC,UHC,,1339,602.55,,,,,,,,outpatient,
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,500099233,99233,CPT,760,,,,,,,VA,VA,,1339,602.55,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,AETNA,AETNA,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,BCBS Federal,BCBS Federal,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,BCBS,BCBS,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,CIGNA,CIGNA,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,HUMANA,HUMANA,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,UHC,UHC,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,500099242,99242,CPT,509,,,,,,,VA,VA,,631,283.95,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,AETNA,AETNA,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,BCBS Federal,BCBS Federal,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,BCBS,BCBS,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,CIGNA,CIGNA,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,HUMANA,HUMANA,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,UHC,UHC,,2033,914.85,,,,,,,,outpatient,
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,500099245,99245,CPT,509,,,,,,,VA,VA,,2033,914.85,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,AETNA,AETNA,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,BCBS Federal,BCBS Federal,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,BCBS,BCBS,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,CIGNA,CIGNA,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,HUMANA,HUMANA,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,UHC,UHC,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,500099252,99252,CPT,769,,,,,,,VA,VA,,806,362.7,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,AETNA,AETNA,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,BCBS Federal,BCBS Federal,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,BCBS,BCBS,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,CIGNA,CIGNA,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,HUMANA,HUMANA,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,UHC,UHC,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,500099253,99253,CPT,769,,,,,,,VA,VA,,1125,506.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,AETNA,AETNA,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,BCBS Federal,BCBS Federal,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,BCBS,BCBS,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,CIGNA,CIGNA,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,HUMANA,HUMANA,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,UHC,UHC,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,500099254,99254,CPT,769,,,,,,,VA,VA,,1565,704.25,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,AETNA,AETNA,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,BCBS Federal,BCBS Federal,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,BCBS,BCBS,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,CIGNA,CIGNA,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,HUMANA,HUMANA,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,UHC,UHC,,2098,944.1,,,,,,,,outpatient,
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,500099255,99255,CPT,769,,,,,,,VA,VA,,2098,944.1,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,AETNA,AETNA,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,BCBS,BCBS,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,CIGNA,CIGNA,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,HUMANA,HUMANA,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,UHC,UHC,,63,28.35,,,,,,,,outpatient,
ASSAY OF HAPTOGLOBIN QUANTITATIVE,OPLAB83010,83010,CPT,300,,,,,,,VA,VA,,63,28.35,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,AETNA,AETNA,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,BCBS,BCBS,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,CIGNA,CIGNA,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,HUMANA,HUMANA,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,UHC,UHC,,242,108.9,,,,,,,,outpatient,
ASSAY OF ESTRIOL,500082677,82677,CPT,300,,,,,,,VA,VA,,242,108.9,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,AETNA,AETNA,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,BCBS,BCBS,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,CIGNA,CIGNA,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,HUMANA,HUMANA,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,UHC,UHC,,1694,762.3,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,500074240,74240,CPT,320,,,,,,,VA,VA,,1694,762.3,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,AETNA,AETNA,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,BCBS,BCBS,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,UHC,UHC,,405,182.25,,,,,,,,outpatient,
Cefpodoxime Proxetil 50 mg/5 mL; Oral Susp,5000J8499CEFPO,J8499,CPT,250,,,,,,,VA,VA,,405,182.25,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,AETNA,AETNA,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,BCBS,BCBS,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,CIGNA,CIGNA,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,HUMANA,HUMANA,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,UHC,UHC,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,OPLAB10005,10005,CPT,450,,,,,,,VA,VA,,833,374.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,AETNA,AETNA,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,BCBS,BCBS,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,CIGNA,CIGNA,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,HUMANA,HUMANA,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,UHC,UHC,,564,253.8,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,OPLAB10006,10006,CPT,450,,,,,,,VA,VA,,564,253.8,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,AETNA,AETNA,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,BCBS,BCBS,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,CIGNA,CIGNA,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,HUMANA,HUMANA,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,UHC,UHC,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,OPLAB19081,19081,CPT,314,,,,,,,VA,VA,,1839,827.55,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,AETNA,AETNA,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,BCBS,BCBS,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,CIGNA,CIGNA,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,HUMANA,HUMANA,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,UHC,UHC,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,OPLAB19082,19082,CPT,314,,,,,,,VA,VA,,928,417.6,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,AETNA,AETNA,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,BCBS,BCBS,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,CIGNA,CIGNA,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,HUMANA,HUMANA,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,UHC,UHC,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,OPLAB19083,19083,CPT,314,,,,,,,VA,VA,,1728,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,AETNA,AETNA,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,BCBS,BCBS,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,CIGNA,CIGNA,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,HUMANA,HUMANA,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,UHC,UHC,,874,399,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,OPLAB19084,19084,CPT,314,,,,,,,VA,VA,,874,399,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,AETNA,AETNA,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,BCBS,BCBS,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,CIGNA,CIGNA,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,HUMANA,HUMANA,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,UHC,UHC,,370,166.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,OPLAB70030,70030,CPT,320,,,,,,,VA,VA,,370,166.5,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,AETNA,AETNA,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,BCBS,BCBS,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,CIGNA,CIGNA,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,HUMANA,HUMANA,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,UHC,UHC,,710,100,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,OPLAB70130,70130,CPT,320,,,,,,,VA,VA,,710,100,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,AETNA,AETNA,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,BCBS Federal,BCBS Federal,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,BCBS,BCBS,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,CIGNA,CIGNA,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,HUMANA,HUMANA,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,UHC,UHC,,2121,499,,,,,,,,outpatient,
CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,OPLAB70481,70481,CPT,351,,,,,,,VA,VA,,2121,499,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,AETNA,AETNA,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,BCBS,BCBS,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,CIGNA,CIGNA,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,HUMANA,HUMANA,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,UHC,UHC,,2679,1205.55,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,OPLAB70545,70545,CPT,615,,,,,,,VA,VA,,2679,1205.55,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,AETNA,AETNA,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,BCBS,BCBS,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,CIGNA,CIGNA,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,HUMANA,HUMANA,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,UHC,UHC,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,500019081,19081,CPT,314,,,,,,,VA,VA,,2207,993.15,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,AETNA,AETNA,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,BCBS,BCBS,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,CIGNA,CIGNA,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,HUMANA,HUMANA,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,UHC,UHC,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,500019082,19082,CPT,314,,,,,,,VA,VA,,1113,500.85,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,AETNA,AETNA,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,BCBS Federal,BCBS Federal,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,BCBS,BCBS,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,CIGNA,CIGNA,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,HUMANA,HUMANA,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,UHC,UHC,,1049,472.05,,,,,,,,outpatient,
BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,500019084,19084,CPT,314,,,,,,,VA,VA,,1049,472.05,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,AETNA,AETNA,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,BCBS,BCBS,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,CIGNA,CIGNA,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,HUMANA,HUMANA,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,UHC,UHC,,852,383.4,,,,,,,,outpatient,
RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,500070130,70130,CPT,320,,,,,,,VA,VA,,852,383.4,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,AETNA,AETNA,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,BCBS,BCBS,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,CIGNA,CIGNA,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,HUMANA,HUMANA,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,UHC,UHC,,3215,1446.75,,,,,,,,outpatient,
MRA HEAD W/CONTRAST MATERIAL,500070545,70545,CPT,615,,,,,,,VA,VA,,3215,1446.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,AETNA,AETNA,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,BCBS,BCBS,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,CIGNA,CIGNA,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,HUMANA,HUMANA,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,UHC,UHC,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,500071551,71551,CPT,610,,,,,,,VA,VA,,10635,4785.75,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,AETNA,AETNA,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,BCBS,BCBS,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,CIGNA,CIGNA,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,HUMANA,HUMANA,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,UHC,UHC,,4431,599,,,,,,,,outpatient,
MRI CHEST W/CONTRAST MATERIAL,OPLAB71551,71551,CPT,610,,,,,,,VA,VA,,4431,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,AETNA,AETNA,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,BCBS,BCBS,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,CIGNA,CIGNA,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,HUMANA,HUMANA,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,UHC,UHC,,5596,599,,,,,,,,outpatient,
MRI CHEST W/O & W/CONTRAST MATERIAL,OPLAB71552,71552,CPT,610,,,,,,,VA,VA,,5596,599,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,AETNA,AETNA,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,BCBS,BCBS,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,CIGNA,CIGNA,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,HUMANA,HUMANA,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,UHC,UHC,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,OPLAB71555,71555,CPT,610,,,,,,,VA,VA,,3939,1772.55,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,AETNA,AETNA,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,BCBS,BCBS,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,CIGNA,CIGNA,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,HUMANA,HUMANA,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,UHC,UHC,,9453,4253.85,,,,,,,,outpatient,
MRA CHEST W/O & W/CONTRAST MATERIAL,500071555,71555,CPT,610,,,,,,,VA,VA,,9453,4253.85,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,AETNA,AETNA,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,BCBS,BCBS,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,CIGNA,CIGNA,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,HUMANA,HUMANA,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,UHC,UHC,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,OPLAB72142,72142,CPT,612,,,,,,,VA,VA,,3249,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,AETNA,AETNA,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,BCBS,BCBS,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,CIGNA,CIGNA,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,HUMANA,HUMANA,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,UHC,UHC,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,OPLAB72147,72147,CPT,610,,,,,,,VA,VA,,3223,599,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,AETNA,AETNA,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,BCBS,BCBS,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,CIGNA,CIGNA,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,HUMANA,HUMANA,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,UHC,UHC,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,500072142,72142,CPT,612,,,,,,,VA,VA,,7798,3509.1,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,AETNA,AETNA,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,BCBS,BCBS,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,CIGNA,CIGNA,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,HUMANA,HUMANA,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,UHC,UHC,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,500072147,72147,CPT,610,,,,,,,VA,VA,,7735,3480.75,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,AETNA,AETNA,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,BCBS,BCBS,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,CIGNA,CIGNA,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,HUMANA,HUMANA,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,UHC,UHC,,3193,599,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,OPLAB72149,72149,CPT,612,,,,,,,VA,VA,,3193,599,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,AETNA,AETNA,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,BCBS,BCBS,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,CIGNA,CIGNA,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,HUMANA,HUMANA,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,UHC,UHC,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,500072159,72159,CPT,612,,,,,,,VA,VA,,9805,4412.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,AETNA,AETNA,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,BCBS,BCBS,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,CIGNA,CIGNA,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,HUMANA,HUMANA,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,UHC,UHC,,4085,1838.25,,,,,,,,outpatient,
MRA SPINAL CANAL W/WO CONTRAST MATERIAL,OPLAB72159,72159,CPT,612,,,,,,,VA,VA,,4085,1838.25,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,AETNA,AETNA,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,BCBS,BCBS,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,CIGNA,CIGNA,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,HUMANA,HUMANA,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,UHC,UHC,,3589,549,,,,,,,,outpatient,
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,OPLAB72191,72191,CPT,359,,,,,,,VA,VA,,3589,549,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,AETNA,AETNA,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,BCBS,BCBS,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,CIGNA,CIGNA,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,HUMANA,HUMANA,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,UHC,UHC,,3178,599,,,,,,,,outpatient,
MRI PELVIS W/CONTRAST MATERIAL,OPLAB72196,72196,CPT,612,,,,,,,VA,VA,,3178,599,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,AETNA,AETNA,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,BCBS Federal,BCBS Federal,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,BCBS,BCBS,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,CIGNA,CIGNA,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,HUMANA,HUMANA,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,UHC,UHC,,3988,1794.6,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,OPLAB72198,72198,CPT,618,,,,,,,VA,VA,,3988,1794.6,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,AETNA,AETNA,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,BCBS,BCBS,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,CIGNA,CIGNA,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,HUMANA,HUMANA,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,UHC,UHC,,446,200.7,,,,,,,,outpatient,
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,OPLAB72202,72202,CPT,320,,,,,,,VA,VA,,446,200.7,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,AETNA,AETNA,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,BCBS,BCBS,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,CIGNA,CIGNA,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,HUMANA,HUMANA,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,UHC,UHC,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/CONTRAST MATERIAL,OPLAB73201,73201,CPT,352,,,,,,,VA,VA,,2369,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,AETNA,AETNA,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,BCBS,BCBS,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,CIGNA,CIGNA,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,HUMANA,HUMANA,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,UHC,UHC,,2937,499,,,,,,,,outpatient,
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,OPLAB73202,73202,CPT,359,,,,,,,VA,VA,,2937,499,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,AETNA,AETNA,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,BCBS,BCBS,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,CIGNA,CIGNA,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,HUMANA,HUMANA,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,UHC,UHC,,3499,549,,,,,,,,outpatient,
CT ANGIOGRAPHY UPPER EXTREMITY,OPLAB73206,73206,CPT,359,,,,,,,VA,VA,,3499,549,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,AETNA,AETNA,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,BCBS,BCBS,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,CIGNA,CIGNA,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,HUMANA,HUMANA,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,UHC,UHC,,3934,599,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,OPLAB73219,73219,CPT,610,,,,,,,VA,VA,,3934,599,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,AETNA,AETNA,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,BCBS,BCBS,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,CIGNA,CIGNA,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,HUMANA,HUMANA,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,UHC,UHC,,4048,1821.6,,,,,,,,outpatient,
MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,OPLAB73225,73225,CPT,610,,,,,,,VA,VA,,4048,1821.6,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,AETNA,AETNA,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,BCBS,BCBS,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,CIGNA,CIGNA,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,HUMANA,HUMANA,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,UHC,UHC,,702,315.9,,,,,,,,outpatient,
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,OPLAB73523,73523,CPT,320,,,,,,,VA,VA,,702,315.9,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,AETNA,AETNA,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,BCBS,BCBS,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,CIGNA,CIGNA,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,HUMANA,HUMANA,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,UHC,UHC,,3101,599,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,OPLAB73719,73719,CPT,616,,,,,,,VA,VA,,3101,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,AETNA,AETNA,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,BCBS,BCBS,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,CIGNA,CIGNA,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,HUMANA,HUMANA,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,UHC,UHC,,3711,599,,,,,,,,outpatient,
MRI ANY JT LXTR C+ MATRL,OPLAB73722,73722,CPT,610,,,,,,,VA,VA,,3711,599,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,AETNA,AETNA,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,BCBS,BCBS,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,CIGNA,CIGNA,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,HUMANA,HUMANA,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,UHC,UHC,,3958,1781.1,,,,,,,,outpatient,
MRA LXTR C+-MATRL,OPLAB73725,73725,CPT,616,,,,,,,VA,VA,,3958,1781.1,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,AETNA,AETNA,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,BCBS,BCBS,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,CIGNA,CIGNA,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,HUMANA,HUMANA,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,UHC,UHC,,3585,599,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,OPLAB74182,74182,CPT,610,,,,,,,VA,VA,,3585,599,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,AETNA,AETNA,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,BCBS Federal,BCBS Federal,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,BCBS,BCBS,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,CIGNA,CIGNA,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,HUMANA,HUMANA,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,UHC,UHC,,3980,1791,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,OPLAB74185,74185,CPT,618,,,,,,,VA,VA,,3980,1791,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,AETNA,AETNA,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,BCBS,BCBS,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,CIGNA,CIGNA,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,HUMANA,HUMANA,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,UHC,UHC,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,OPLAB74240,74240,CPT,320,,,,,,,VA,VA,,1411,634.95,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,AETNA,AETNA,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,BCBS,BCBS,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,CIGNA,CIGNA,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,HUMANA,HUMANA,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,UHC,UHC,,1600,720,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,OPLAB74246,74246,CPT,320,,,,,,,VA,VA,,1600,720,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,AETNA,AETNA,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,BCBS,BCBS,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,CIGNA,CIGNA,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,HUMANA,HUMANA,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,UHC,UHC,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,OPLAB74248,74248,CPT,320,,,,,,,VA,VA,,949,427.05,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,AETNA,AETNA,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,BCBS,BCBS,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,CIGNA,CIGNA,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,HUMANA,HUMANA,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,UHC,UHC,,1404,631.8,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,OPLAB74250,74250,CPT,320,,,,,,,VA,VA,,1404,631.8,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,AETNA,AETNA,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,BCBS,BCBS,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,CIGNA,CIGNA,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,HUMANA,HUMANA,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,UHC,UHC,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,OPLAB74261,74261,CPT,359,,,,,,,VA,VA,,4923,2215.35,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,AETNA,AETNA,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,BCBS,BCBS,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,CIGNA,CIGNA,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,HUMANA,HUMANA,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,UHC,UHC,,7744,3484.8,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,OPLAB74263,74263,CPT,359,,,,,,,VA,VA,,7744,3484.8,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,AETNA,AETNA,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,BCBS,BCBS,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,CIGNA,CIGNA,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,HUMANA,HUMANA,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,UHC,UHC,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,OPLAB74270,74270,CPT,320,,,,,,,VA,VA,,1762,792.9,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,AETNA,AETNA,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,BCBS,BCBS,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,CIGNA,CIGNA,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,HUMANA,HUMANA,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,UHC,UHC,,2539,1142.55,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,OPLAB74280,74280,CPT,320,,,,,,,VA,VA,,2539,1142.55,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,AETNA,AETNA,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,BCBS Federal,BCBS Federal,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,BCBS,BCBS,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,CIGNA,CIGNA,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,HUMANA,HUMANA,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,UHC,UHC,,4803,549,,,,,,,,outpatient,
CT ANGIO ABDOMINAL ARTERIES,OPLAB75635,75635,CPT,352,,,,,,,VA,VA,,4803,549,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,AETNA,AETNA,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,BCBS Federal,BCBS Federal,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,BCBS,BCBS,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,CIGNA,CIGNA,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,HUMANA,HUMANA,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,UHC,UHC,,2388,1074.6,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,OPLAB76391,76391,CPT,619,,,,,,,VA,VA,,2388,1074.6,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,AETNA,AETNA,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,BCBS,BCBS,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,CIGNA,CIGNA,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,HUMANA,HUMANA,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,UHC,UHC,,1683,399,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,OPLAB76776,76776,CPT,402,,,,,,,VA,VA,,1683,399,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,AETNA,AETNA,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,BCBS,BCBS,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,CIGNA,CIGNA,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,HUMANA,HUMANA,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,UHC,UHC,,2171,699,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,OPLAB76812,76812,CPT,402,,,,,,,VA,VA,,2171,699,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,AETNA,AETNA,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,BCBS,BCBS,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,CIGNA,CIGNA,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,HUMANA,HUMANA,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,UHC,UHC,,1181,399,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,OPLAB76981,76981,CPT,402,,,,,,,VA,VA,,1181,399,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,AETNA,AETNA,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,BCBS,BCBS,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,CIGNA,CIGNA,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,HUMANA,HUMANA,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,UHC,UHC,,2502,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,OPLAB77046,77046,CPT,610,,,,,,,VA,VA,,2502,529,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,AETNA,AETNA,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,BCBS,BCBS,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,CIGNA,CIGNA,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,HUMANA,HUMANA,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,UHC,UHC,,4846,2180.7,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,OPLAB77021,77021,CPT,610,,,,,,,VA,VA,,4846,2180.7,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,AETNA,AETNA,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,BCBS,BCBS,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,CIGNA,CIGNA,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,HUMANA,HUMANA,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,UHC,UHC,,2593,529,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,OPLAB77047,77047,CPT,610,,,,,,,VA,VA,,2593,529,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,AETNA,AETNA,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,BCBS,BCBS,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,CIGNA,CIGNA,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,HUMANA,HUMANA,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,UHC,UHC,,3978,599,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,OPLAB77048,77048,CPT,610,,,,,,,VA,VA,,3978,599,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,AETNA,AETNA,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,BCBS Federal,BCBS Federal,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,BCBS,BCBS,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,CIGNA,CIGNA,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,HUMANA,HUMANA,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,UHC,UHC,,598,269.1,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,OPLAB77063,77063,CPT,403,,,,,,,VA,VA,,598,269.1,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,AETNA,AETNA,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,BCBS Federal,BCBS Federal,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,BCBS,BCBS,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,CIGNA,CIGNA,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,HUMANA,HUMANA,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,UHC,UHC,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,OPLAB77065,77065,CPT,401,,,,,,,VA,VA,,1419,638.55,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,AETNA,AETNA,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,BCBS Federal,BCBS Federal,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,BCBS,BCBS,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,CIGNA,CIGNA,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,HUMANA,HUMANA,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,UHC,UHC,,1788,804.6,,,,,,,,outpatient,
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,OPLAB77066,77066,CPT,401,,,,,,,VA,VA,,1788,804.6,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,AETNA,AETNA,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,BCBS Federal,BCBS Federal,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,BCBS,BCBS,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,CIGNA,CIGNA,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,HUMANA,HUMANA,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,UHC,UHC,,1453,653.85,,,,,,,,outpatient,
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,OPLAB77067,77067,CPT,403,,,,,,,VA,VA,,1453,653.85,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,AETNA,AETNA,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,BCBS Federal,BCBS Federal,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,BCBS,BCBS,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,CIGNA,CIGNA,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,HUMANA,HUMANA,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,UHC,UHC,,510,229.5,,,,,,,,outpatient,
BONE LENGTH STUDIES,OPLAB77073,77073,CPT,329,,,,,,,VA,VA,,510,229.5,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,AETNA,AETNA,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,BCBS Federal,BCBS Federal,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,BCBS,BCBS,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,CIGNA,CIGNA,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,HUMANA,HUMANA,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,UHC,UHC,,1133,509.85,,,,,,,,outpatient,
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,OPLAB77075,77075,CPT,329,,,,,,,VA,VA,,1133,509.85,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,AETNA,AETNA,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,BCBS,BCBS,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,CIGNA,CIGNA,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,HUMANA,HUMANA,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,UHC,UHC,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,OPLAB77080,77080,CPT,320,,,,,,,VA,VA,,430,193.5,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,AETNA,AETNA,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,BCBS,BCBS,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,CIGNA,CIGNA,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,HUMANA,HUMANA,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,UHC,UHC,,585,263.25,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,OPLAB77085,77085,CPT,320,,,,,,,VA,VA,,585,263.25,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,AETNA,AETNA,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,BCBS,BCBS,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,CIGNA,CIGNA,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,HUMANA,HUMANA,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,UHC,UHC,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,OPLAB78012,78012,CPT,409,,,,,,,VA,VA,,913,410.85,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,AETNA,AETNA,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,BCBS,BCBS,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,CIGNA,CIGNA,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,HUMANA,HUMANA,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,UHC,UHC,,2510,1129.5,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,OPLAB78014,78014,CPT,409,,,,,,,VA,VA,,2510,1129.5,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,AETNA,AETNA,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,BCBS,BCBS,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,CIGNA,CIGNA,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,HUMANA,HUMANA,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,UHC,UHC,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,OPLAB78070,78070,CPT,409,,,,,,,VA,VA,,3087,1389.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,AETNA,AETNA,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,BCBS,BCBS,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,CIGNA,CIGNA,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,HUMANA,HUMANA,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,UHC,UHC,,3687,1659.15,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,OPLAB78071,78071,CPT,409,,,,,,,VA,VA,,3687,1659.15,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,AETNA,AETNA,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,BCBS,BCBS,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,CIGNA,CIGNA,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,HUMANA,HUMANA,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,UHC,UHC,,2081,936.45,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,OPLAB78215,78215,CPT,409,,,,,,,VA,VA,,2081,936.45,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,AETNA,AETNA,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,BCBS,BCBS,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,CIGNA,CIGNA,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,HUMANA,HUMANA,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,UHC,UHC,,3418,1538.1,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,OPLAB78226,78226,CPT,409,,,,,,,VA,VA,,3418,1538.1,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,AETNA,AETNA,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,BCBS,BCBS,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,CIGNA,CIGNA,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,HUMANA,HUMANA,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,UHC,UHC,,4593,2066.85,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,OPLAB78227,78227,CPT,409,,,,,,,VA,VA,,4593,2066.85,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,AETNA,AETNA,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,BCBS,BCBS,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,CIGNA,CIGNA,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,HUMANA,HUMANA,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,UHC,UHC,,3470,1561.5,,,,,,,,outpatient,
INTESTINE IMAGING,OPLAB78290,78290,CPT,409,,,,,,,VA,VA,,3470,1561.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,AETNA,AETNA,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,BCBS,BCBS,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,CIGNA,CIGNA,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,HUMANA,HUMANA,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,UHC,UHC,,3110,1399.5,,,,,,,,outpatient,
BONE &/JOINT IMAGING WHOLE BODY,OPLAB78306,78306,CPT,341,,,,,,,VA,VA,,3110,1399.5,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,AETNA,AETNA,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,BCBS,BCBS,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,CIGNA,CIGNA,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,HUMANA,HUMANA,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,UHC,UHC,,3640,1638,,,,,,,,outpatient,
B1&/JT IMG 3 PHASE STD,OPLAB78315,78315,CPT,341,,,,,,,VA,VA,,3640,1638,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,AETNA,AETNA,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,BCBS Federal,BCBS Federal,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,BCBS,BCBS,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,CIGNA,CIGNA,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,HUMANA,HUMANA,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,UHC,UHC,,4942,2223.9,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,OPLAB78452,78452,CPT,210,,,,,,,VA,VA,,4942,2223.9,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,AETNA,AETNA,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,BCBS Federal,BCBS Federal,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,BCBS,BCBS,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,CIGNA,CIGNA,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,HUMANA,HUMANA,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,UHC,UHC,,2403,1081.35,,,,,,,,outpatient,
CARD BPI GTD =BRM PLNR 1 STD REST/STRS,OPLAB78472,78472,CPT,341,,,,,,,VA,VA,,2403,1081.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,AETNA,AETNA,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,BCBS,BCBS,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,CIGNA,CIGNA,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,HUMANA,HUMANA,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,UHC,UHC,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,OPLAB78707,78707,CPT,409,,,,,,,VA,VA,,2467,1110.15,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,AETNA,AETNA,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,BCBS,BCBS,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,CIGNA,CIGNA,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,HUMANA,HUMANA,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,UHC,UHC,,1963,883.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,OPLAB78708,78708,CPT,409,,,,,,,VA,VA,,1963,883.35,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,AETNA,AETNA,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,BCBS,BCBS,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,CIGNA,CIGNA,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,HUMANA,HUMANA,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,UHC,UHC,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,OPLAB78800,78800,CPT,343,,,,,,,VA,VA,,2658,1196.1,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,AETNA,AETNA,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,BCBS,BCBS,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,CIGNA,CIGNA,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,HUMANA,HUMANA,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,UHC,UHC,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,OPLAB78803,78803,CPT,343,,,,,,,VA,VA,,4005,1802.25,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,AETNA,AETNA,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,BCBS,BCBS,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,CIGNA,CIGNA,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,HUMANA,HUMANA,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,UHC,UHC,,6791,3055.95,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,OPLAB78804,78804,CPT,343,,,,,,,VA,VA,,6791,3055.95,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,AETNA,AETNA,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,BCBS,BCBS,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,CIGNA,CIGNA,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,HUMANA,HUMANA,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,UHC,UHC,,344,154.8,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,OPLAB91200,91200,CPT,409,,,,,,,VA,VA,,344,154.8,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,AETNA,AETNA,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,BCBS Federal,BCBS Federal,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,BCBS,BCBS,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,CIGNA,CIGNA,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,HUMANA,HUMANA,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,UHC,UHC,,7663,3448.35,,,,,,,,outpatient,
MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,500072149,72149,CPT,612,,,,,,,VA,VA,,7663,3448.35,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,AETNA,AETNA,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,BCBS Federal,BCBS Federal,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,BCBS,BCBS,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,CIGNA,CIGNA,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,HUMANA,HUMANA,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,UHC,UHC,,9570,4306.5,,,,,,,,outpatient,
MRA PELVIS W/WO CONTRAST MATERIAL,500072198,72198,CPT,618,,,,,,,VA,VA,,9570,4306.5,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,AETNA,AETNA,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,BCBS,BCBS,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,CIGNA,CIGNA,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,HUMANA,HUMANA,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,UHC,UHC,,9440,4248,,,,,,,,outpatient,
MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,500073219,73219,CPT,610,,,,,,,VA,VA,,9440,4248,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,AETNA,AETNA,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,BCBS Federal,BCBS Federal,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,BCBS,BCBS,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,CIGNA,CIGNA,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,HUMANA,HUMANA,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,UHC,UHC,,7443,3349.35,,,,,,,,outpatient,
MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,500073719,73719,CPT,616,,,,,,,VA,VA,,7443,3349.35,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,AETNA,AETNA,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,BCBS,BCBS,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,CIGNA,CIGNA,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,HUMANA,HUMANA,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,UHC,UHC,,8604,3871.8,,,,,,,,outpatient,
MRI ABDOMEN W/CONTRAST MATERIAL,500074182,74182,CPT,610,,,,,,,VA,VA,,8604,3871.8,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,AETNA,AETNA,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,BCBS Federal,BCBS Federal,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,BCBS,BCBS,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,CIGNA,CIGNA,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,HUMANA,HUMANA,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,UHC,UHC,,9552,4298.4,,,,,,,,outpatient,
MRA ABDOMEN W/WO CONTRAST MATERIAL,500074185,74185,CPT,618,,,,,,,VA,VA,,9552,4298.4,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,AETNA,AETNA,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,BCBS,BCBS,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,CIGNA,CIGNA,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,HUMANA,HUMANA,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,UHC,UHC,,1920,864,,,,,,,,outpatient,
RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,500074246,74246,CPT,320,,,,,,,VA,VA,,1920,864,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,AETNA,AETNA,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,BCBS,BCBS,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,CIGNA,CIGNA,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,HUMANA,HUMANA,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,UHC,UHC,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,500074248,74248,CPT,320,,,,,,,VA,VA,,1138,512.1,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,AETNA,AETNA,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,BCBS,BCBS,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,CIGNA,CIGNA,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,HUMANA,HUMANA,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,UHC,UHC,,1685,758.25,,,,,,,,outpatient,
RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,500074250,74250,CPT,320,,,,,,,VA,VA,,1685,758.25,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,AETNA,AETNA,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,BCBS,BCBS,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,CIGNA,CIGNA,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,HUMANA,HUMANA,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,UHC,UHC,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,500074261,74261,CPT,359,,,,,,,VA,VA,,5908,2658.6,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,AETNA,AETNA,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,BCBS Federal,BCBS Federal,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,BCBS,BCBS,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,CIGNA,CIGNA,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,HUMANA,HUMANA,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,UHC,UHC,,9292,4181.4,,,,,,,,outpatient,
CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,500074263,74263,CPT,359,,,,,,,VA,VA,,9292,4181.4,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,AETNA,AETNA,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,BCBS,BCBS,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,CIGNA,CIGNA,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,HUMANA,HUMANA,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,UHC,UHC,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,500074270,74270,CPT,320,,,,,,,VA,VA,,2114,951.3,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,AETNA,AETNA,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,BCBS,BCBS,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,CIGNA,CIGNA,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,HUMANA,HUMANA,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,UHC,UHC,,3047,1371.15,,,,,,,,outpatient,
RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,500074280,74280,CPT,320,,,,,,,VA,VA,,3047,1371.15,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,AETNA,AETNA,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,BCBS Federal,BCBS Federal,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,BCBS,BCBS,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,CIGNA,CIGNA,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,HUMANA,HUMANA,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,UHC,UHC,,5731,2578.95,,,,,,,,outpatient,
MAGNETIC RESONANCE ELASTOGRAPHY,500076391,76391,CPT,619,,,,,,,VA,VA,,5731,2578.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,AETNA,AETNA,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,BCBS,BCBS,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,CIGNA,CIGNA,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,HUMANA,HUMANA,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,UHC,UHC,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,500036572,36572,CPT,450,,,,,,,VA,VA,,911,409.95,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,AETNA,AETNA,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,BCBS,BCBS,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,CIGNA,CIGNA,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,HUMANA,HUMANA,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,UHC,UHC,,456,205.2,,,,,,,,outpatient,
INSERTION PICC W/RS&I < 5 YR,OPLAB36572,36572,CPT,450,,,,,,,VA,VA,,456,205.2,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,AETNA,AETNA,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,BCBS,BCBS,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,CIGNA,CIGNA,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,HUMANA,HUMANA,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,UHC,UHC,,2019,908.55,,,,,,,,outpatient,
US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,500076776,76776,CPT,402,,,,,,,VA,VA,,2019,908.55,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,AETNA,AETNA,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,BCBS,BCBS,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,CIGNA,CIGNA,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,HUMANA,HUMANA,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,UHC,UHC,,2605,1172.25,,,,,,,,outpatient,
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,500076812,76812,CPT,402,,,,,,,VA,VA,,2605,1172.25,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,AETNA,AETNA,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,BCBS,BCBS,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,CIGNA,CIGNA,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,HUMANA,HUMANA,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,UHC,UHC,,1418,638.1,,,,,,,,outpatient,
ULTRASOUND ELASTOGRAPHY PARENCHYMA,500076981,76981,CPT,402,,,,,,,VA,VA,,1418,638.1,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,AETNA,AETNA,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,BCBS,BCBS,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,CIGNA,CIGNA,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,HUMANA,HUMANA,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,UHC,UHC,,11630,5233.5,,,,,,,,outpatient,
MRI GUIDANCE NEEDLE PLACEMENT RS&I,500077021,77021,CPT,610,,,,,,,VA,VA,,11630,5233.5,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,AETNA,AETNA,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,BCBS,BCBS,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,CIGNA,CIGNA,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,HUMANA,HUMANA,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,UHC,UHC,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,500077046,77046,CPT,610,,,,,,,VA,VA,,6005,2702.25,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,AETNA,AETNA,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,BCBS,BCBS,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,CIGNA,CIGNA,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,HUMANA,HUMANA,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,UHC,UHC,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,500077047,77047,CPT,610,,,,,,,VA,VA,,6224,2800.8,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,AETNA,AETNA,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,BCBS Federal,BCBS Federal,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,BCBS,BCBS,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,CIGNA,CIGNA,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,HUMANA,HUMANA,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,UHC,UHC,,9546,4295.7,,,,,,,,outpatient,
MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,500077048,77048,CPT,610,,,,,,,VA,VA,,9546,4295.7,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,AETNA,AETNA,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,BCBS Federal,BCBS Federal,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,BCBS,BCBS,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,CIGNA,CIGNA,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,HUMANA,HUMANA,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,UHC,UHC,,1435,645.75,,,,,,,,outpatient,
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,500077063,77063,CPT,403,,,,,,,VA,VA,,1435,645.75,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,AETNA,AETNA,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,BCBS Federal,BCBS Federal,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,BCBS,BCBS,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,CIGNA,CIGNA,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,HUMANA,HUMANA,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,UHC,UHC,,612,275.4,,,,,,,,outpatient,
BONE LENGTH STUDIES,500077073,77073,CPT,329,,,,,,,VA,VA,,612,275.4,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,AETNA,AETNA,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,BCBS,BCBS,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,CIGNA,CIGNA,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,HUMANA,HUMANA,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,UHC,UHC,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,500077080,77080,CPT,320,,,,,,,VA,VA,,516,232.2,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,AETNA,AETNA,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,BCBS,BCBS,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,CIGNA,CIGNA,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,HUMANA,HUMANA,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,UHC,UHC,,702,315.9,,,,,,,,outpatient,
DXA BONE DENSITY STUDY AXIAL SKELETON,500077085,77085,CPT,320,,,,,,,VA,VA,,702,315.9,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,AETNA,AETNA,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,BCBS,BCBS,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,CIGNA,CIGNA,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,HUMANA,HUMANA,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,UHC,UHC,,825,371.25,,,,,,,,outpatient,
LIVER ELASTOGRAPHY W/O IMAG W/I&R,500091200,91200,CPT,409,,,,,,,VA,VA,,825,371.25,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,AETNA,AETNA,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,BCBS,BCBS,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,CIGNA,CIGNA,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,HUMANA,HUMANA,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,UHC,UHC,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,500078804,78804,CPT,343,,,,,,,VA,VA,,8149,3667.05,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,AETNA,AETNA,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,BCBS,BCBS,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,CIGNA,CIGNA,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,HUMANA,HUMANA,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,UHC,UHC,,4806,2162.7,,,,,,,,outpatient,
RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,500078803,78803,CPT,343,,,,,,,VA,VA,,4806,2162.7,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,AETNA,AETNA,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,BCBS,BCBS,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,CIGNA,CIGNA,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,HUMANA,HUMANA,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,UHC,UHC,,2192,986.4,,,,,,,,outpatient,
THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,500078012,78012,CPT,409,,,,,,,VA,VA,,2192,986.4,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,AETNA,AETNA,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,BCBS Federal,BCBS Federal,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,BCBS,BCBS,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,CIGNA,CIGNA,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,HUMANA,HUMANA,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,UHC,UHC,,3189,1435.05,,,,,,,,outpatient,
RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,500078800,78800,CPT,343,,,,,,,VA,VA,,3189,1435.05,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,AETNA,AETNA,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,BCBS,BCBS,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,CIGNA,CIGNA,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,HUMANA,HUMANA,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,UHC,UHC,,5920,2664,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078708,78708,CPT,409,,,,,,,VA,VA,,5920,2664,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,AETNA,AETNA,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,BCBS,BCBS,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,CIGNA,CIGNA,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,HUMANA,HUMANA,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,UHC,UHC,,6023,2710.35,,,,,,,,outpatient,
THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,500078014,78014,CPT,409,,,,,,,VA,VA,,6023,2710.35,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,AETNA,AETNA,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,BCBS,BCBS,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,CIGNA,CIGNA,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,HUMANA,HUMANA,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,UHC,UHC,,2960,1332,,,,,,,,outpatient,
KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,500078707,78707,CPT,409,,,,,,,VA,VA,,2960,1332,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,AETNA,AETNA,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,BCBS Federal,BCBS Federal,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,BCBS,BCBS,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,CIGNA,CIGNA,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,HUMANA,HUMANA,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,UHC,UHC,,5931,2668.95,,,,,,,,outpatient,
MYOCARDIAL SPECT MULTIPLE STUDIES,500078452,78452,CPT,210,,,,,,,VA,VA,,5931,2668.95,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,AETNA,AETNA,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,BCBS,BCBS,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,CIGNA,CIGNA,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,HUMANA,HUMANA,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,UHC,UHC,,7408,3333.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING,500078070,78070,CPT,409,,,,,,,VA,VA,,7408,3333.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,AETNA,AETNA,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,BCBS,BCBS,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,CIGNA,CIGNA,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,HUMANA,HUMANA,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,UHC,UHC,,8328,3747.6,,,,,,,,outpatient,
INTESTINE IMAGING,500078290,78290,CPT,409,,,,,,,VA,VA,,8328,3747.6,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,AETNA,AETNA,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,BCBS,BCBS,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,CIGNA,CIGNA,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,HUMANA,HUMANA,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,UHC,UHC,,8849,3982.05,,,,,,,,outpatient,
PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,500078071,78071,CPT,409,,,,,,,VA,VA,,8849,3982.05,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,AETNA,AETNA,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,BCBS,BCBS,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,CIGNA,CIGNA,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,HUMANA,HUMANA,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,UHC,UHC,,11023,4960.35,,,,,,,,outpatient,
HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,500078227,78227,CPT,409,,,,,,,VA,VA,,11023,4960.35,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,AETNA,AETNA,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,BCBS,BCBS,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,CIGNA,CIGNA,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,HUMANA,HUMANA,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,UHC,UHC,,8202,3690.9,,,,,,,,outpatient,
HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,500078226,78226,CPT,409,,,,,,,VA,VA,,8202,3690.9,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,AETNA,AETNA,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,BCBS Federal,BCBS Federal,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,BCBS,BCBS,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,CIGNA,CIGNA,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,HUMANA,HUMANA,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,UHC,UHC,,4993,2246.85,,,,,,,,outpatient,
LIVER & SPLEEN IMAGING STATIC ONLY,500078215,78215,CPT,409,,,,,,,VA,VA,,4993,2246.85,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,AETNA,AETNA,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,BCBS,BCBS,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,CIGNA,CIGNA,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,HUMANA,HUMANA,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,UHC,UHC,,677,304.65,,,,,,,,outpatient,
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,500010006,10006,CPT,450,,,,,,,VA,VA,,677,304.65,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Traimterene + HCTZ (Dyazide) 37.5-25 mg; cap,5000J8499TRAIM,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Doxylamine 25 mg; PO,5000J8499DOXY,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,AETNA,AETNA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,BCBS,BCBS,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,CIGNA,CIGNA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,HUMANA,HUMANA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,UHC,UHC,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000202U,0202U,CPT,309,,,,,,,VA,VA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,AETNA,AETNA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,BCBS,BCBS,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,CIGNA,CIGNA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,HUMANA,HUMANA,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,UHC,UHC,,4168,1875.6,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,50000223U,0223U,CPT,309,,,,,,,VA,VA,,4168,1875.6,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,AETNA,AETNA,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,BCBS Federal,BCBS Federal,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,BCBS,BCBS,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,CIGNA,CIGNA,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,HUMANA,HUMANA,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,UHC,UHC,,1300,585,,,,,,,,outpatient,
Red blood cells unit,5000P9021,P9021,CPT,380,,,,,,,VA,VA,,1300,585,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
BENADRYL - DIPHENHYDRAMINE HCL INJECTION 50MG,OPLABJ1200,J1200,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,AETNA,AETNA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,BCBS,BCBS,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,CIGNA,CIGNA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,HUMANA,HUMANA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,UHC,UHC,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0202U,0202U,CPT,309,,,,,,,VA,VA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,AETNA,AETNA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,BCBS Federal,BCBS Federal,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,BCBS,BCBS,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,CIGNA,CIGNA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,HUMANA,HUMANA,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,UHC,UHC,,2084,937.8,,,,,,,,outpatient,
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,OPLAB0223U,0223U,CPT,309,,,,,,,VA,VA,,2084,937.8,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,AETNA,AETNA,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,BCBS,BCBS,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,UHC,UHC,,82,36.9,,,,,,,,outpatient,
Half Normal Saline (0.45% Sodium Chloride) Ivsol 0.45% 1000 mL ,5000J3490HALFNS,J3490,CPT,636,,,,,,,VA,VA,,82,36.9,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,AETNA,AETNA,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,BCBS,BCBS,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,UHC,UHC,,24,10.8,,,,,,,,outpatient,
Mirapex (Pramipexole Dihydrochloride) 0.5 mg; tab,5000J8499MIRAP,J8499,CPT,250,,,,,,,VA,VA,,24,10.8,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,AETNA,AETNA,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,BCBS,BCBS,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,CIGNA,CIGNA,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,HUMANA,HUMANA,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,UHC,UHC,,400,180,,,,,,,,outpatient,
NAD+ 250 mg; IV,5000J3490NAD,J3490,CPT,636,,,,,,,VA,VA,,400,180,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,AETNA,AETNA,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,BCBS,BCBS,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,UHC,UHC,,372,167.4,,,,,,,,outpatient,
Levocarnitine (Carnitor) 200 mg/5 mL; IV,5000J3490LEVO,J3490,CPT,250,,,,,,,VA,VA,,372,167.4,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,AETNA,AETNA,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,BCBS Federal,BCBS Federal,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,BCBS,BCBS,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,CIGNA,CIGNA,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,HUMANA,HUMANA,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,UHC,UHC,,153,68.85,,,,,,,,outpatient,
Female External Catheter for Vacuum Suction PureWick,5000K1006,K1006,CPT,270,,,,,,,VA,VA,,153,68.85,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,500087468,87468,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,OPLAB87468,87468,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,500087469,87469,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,OPLAB87469,87469,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,500087478,87478,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE,OPLAB87478,87478,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,AETNA,AETNA,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,BCBS,BCBS,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,CIGNA,CIGNA,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,HUMANA,HUMANA,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,UHC,UHC,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,500087484,87484,CPT,300,,,,,,,VA,VA,,351,157.95,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,AETNA,AETNA,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,BCBS,BCBS,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,CIGNA,CIGNA,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,HUMANA,HUMANA,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,UHC,UHC,,175,78.75,,,,,,,,outpatient,
IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ,OPLAB87484,87484,CPT,300,,,,,,,VA,VA,,175,78.75,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,AETNA,AETNA,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,BCBS,BCBS,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,CIGNA,CIGNA,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,HUMANA,HUMANA,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,UHC,UHC,,2729,1228.05,,,,,,,,outpatient,
DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,500093930,93930,CPT,402,,,,,,,VA,VA,,2729,1228.05,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,500086037,86037,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,OPLAB86037,86037,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,AETNA,AETNA,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,BCBS,BCBS,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,UHC,UHC,,2,0.9,,,,,,,,outpatient,
Excedrin Migraine 250 mg; tab,5000J8499EXCE,J8499,CPT,250,,,,,,,VA,VA,,2,0.9,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,AETNA,AETNA,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,BCBS,BCBS,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,CIGNA,CIGNA,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,HUMANA,HUMANA,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,UHC,UHC,,383,172.35,,,,,,,,outpatient,
INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,OPLAB64420,64420,CPT,450,,,,,,,VA,VA,,383,172.35,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,AETNA,AETNA,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,BCBS Federal,BCBS Federal,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,BCBS,BCBS,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,CIGNA,CIGNA,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,HUMANA,HUMANA,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,UHC,UHC,,213,95.85,,,,,,,,outpatient,
Iron Sucrose 100 mg/5 mL,OPLABJ1756,J1756,CPT,258,,,,,,,VA,VA,,213,95.85,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,AETNA,AETNA,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,BCBS,BCBS,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,CIGNA,CIGNA,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,HUMANA,HUMANA,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,UHC,UHC,,230,103.5,,,,,,,,outpatient,
"Elastase, pancreatic (EL-1), fecal; quantitative",500082653,82653,CPT,300,,,,,,,VA,VA,,230,103.5,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,AETNA,AETNA,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,BCBS,BCBS,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,UHC,UHC,,4,1.8,,,,,,,,outpatient,
Stomach Relief (Pepto Bismal) 262 mg; tab,5000J8499PEPTO,J8499,CPT,250,,,,,,,VA,VA,,4,1.8,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,AETNA,AETNA,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,BCBS,BCBS,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,CIGNA,CIGNA,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,HUMANA,HUMANA,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,UHC,UHC,,71,31.95,,,,,,,,outpatient,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",5000J0665,J0665,CPT,636,,,,,,,VA,VA,,71,31.95,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,AETNA,AETNA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,BCBS,BCBS,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,CIGNA,CIGNA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,HUMANA,HUMANA,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,UHC,UHC,,35,15.75,,,,,,,,outpatient,
"INJECTION, BUPIVICAINE HYDRO",OPLABJ0665,J0665,CPT,636,,,,,,,VA,VA,,35,15.75,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,AETNA,AETNA,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,BCBS,BCBS,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,CIGNA,CIGNA,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,HUMANA,HUMANA,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,UHC,UHC,,220,99,,,,,,,,outpatient,
"Calcium Gluconate (fresenius kabi), per 10 mg; Injection",5000J0612,J0612,CPT,636,,,,,,,VA,VA,,220,99,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,AETNA,AETNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,BCBS,BCBS,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,CIGNA,CIGNA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,HUMANA,HUMANA,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,UHC,UHC,,48,21.6,,,,,,,,outpatient,
CLEOCIN - CLINDAMYCIN PHOSP 300MG; Injection,5000J0736,J0736,CPT,636,,,,,,,VA,VA,,48,21.6,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,AETNA,AETNA,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,BCBS,BCBS,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,CIGNA,CIGNA,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,HUMANA,HUMANA,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,UHC,UHC,,16,7.2,,,,,,,,outpatient,
LASIX - FUROSEMIDE INJECTION,OPLABJ1940,J1940,CPT,636,,,,,,,VA,VA,,16,7.2,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
"Metronidazole/Flagyl, 10 mg; injection",5000J1836,J1836,CPT,636,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,OPLAB90746,90746,CPT,450,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
BETA 2 GLYCOPROTEIN I ANTIBODY EACH,OPLAB86146,86146,CPT,300,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,AETNA,AETNA,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,BCBS,BCBS,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,CIGNA,CIGNA,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,HUMANA,HUMANA,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,UHC,UHC,,181,81.45,,,,,,,,outpatient,
CARDIOLIPIN ANTIBODY EACH IG CLASS,OPLAB86147,86147,CPT,300,,,,,,,VA,VA,,181,81.45,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,AETNA,AETNA,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,BCBS,BCBS,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,CIGNA,CIGNA,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,HUMANA,HUMANA,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,UHC,UHC,,49,22.05,,,,,,,,outpatient,
ASSAY OF ALDOLASE,OPLAB82085,82085,CPT,300,,,,,,,VA,VA,,49,22.05,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,AETNA,AETNA,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,BCBS,BCBS,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,CIGNA,CIGNA,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,HUMANA,HUMANA,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,UHC,UHC,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",500086381,86381,CPT,300,,,,,,,VA,VA,,255,114.75,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,AETNA,AETNA,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,BCBS,BCBS,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,CIGNA,CIGNA,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,HUMANA,HUMANA,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,UHC,UHC,,127,57.15,,,,,,,,outpatient,
"Mitochondrial antibody (eg, M2), each",OPLAB86381,86381,CPT,300,,,,,,,VA,VA,,127,57.15,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,AETNA,AETNA,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,BCBS,BCBS,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,CIGNA,CIGNA,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,HUMANA,HUMANA,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,UHC,UHC,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",500086015,86015,CPT,300,,,,,,,VA,VA,,121,54.45,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,AETNA,AETNA,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,BCBS,BCBS,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,CIGNA,CIGNA,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,HUMANA,HUMANA,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,UHC,UHC,,60,27,,,,,,,,outpatient,
"Actin (smooth muscle) antibody (ASMA), each",OPLAB86015,86015,CPT,300,,,,,,,VA,VA,,60,27,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,AETNA,AETNA,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,BCBS,BCBS,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,CIGNA,CIGNA,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,HUMANA,HUMANA,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,UHC,UHC,,73,32.85,,,,,,,,outpatient,
Hemoglobin; plasma,500083051,83051,CPT,300,,,,,,,VA,VA,,73,32.85,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,AETNA,AETNA,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,BCBS,BCBS,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,CIGNA,CIGNA,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,HUMANA,HUMANA,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,UHC,UHC,,85,38.25,,,,,,,,outpatient,
Tetracaine 5 mg/mL drops,5000J3490TETRA,J3490,CPT,250,,,,,,,VA,VA,,85,38.25,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,AETNA,AETNA,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,BCBS,BCBS,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,CIGNA,CIGNA,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,HUMANA,HUMANA,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,UHC,UHC,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",500081455,81455,CPT,300,,,,,,,VA,VA,,5200,2340,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,AETNA,AETNA,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,BCBS,BCBS,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,CIGNA,CIGNA,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,HUMANA,HUMANA,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,UHC,UHC,,2600,1170,,,,,,,,outpatient,
"Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes",OPLAB81455,81455,CPT,300,,,,,,,VA,VA,,2600,1170,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,AETNA,AETNA,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,BCBS,BCBS,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,CIGNA,CIGNA,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,HUMANA,HUMANA,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,UHC,UHC,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",500073525,73525,CPT,300,,,,,,,VA,VA,,1332,599.4,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,AETNA,AETNA,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,BCBS,BCBS,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,CIGNA,CIGNA,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,HUMANA,HUMANA,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,UHC,UHC,,666,299.7,,,,,,,,outpatient,
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",OPLAB73525,73525,CPT,300,,,,,,,VA,VA,,666,299.7,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,AETNA,AETNA,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,BCBS,BCBS,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,CIGNA,CIGNA,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,HUMANA,HUMANA,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,UHC,UHC,,63,28.35,,,,,,,,outpatient,
Meropenem (Merrem) 1 GM; vial,OPLABJ2185,J2185,CPT,250,,,,,,,VA,VA,,63,28.35,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,AETNA,AETNA,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,BCBS,BCBS,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,CIGNA,CIGNA,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,HUMANA,HUMANA,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,UHC,UHC,,173,77.85,,,,,,,,outpatient,
"Platelet, aggregation (in vitro), each agent",500085576,85576,CPT,300,,,,,,,VA,VA,,173,77.85,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,AETNA,AETNA,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,BCBS,BCBS,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,CIGNA,CIGNA,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,HUMANA,HUMANA,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,UHC,UHC,,309,139.05,,,,,,,,outpatient,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",500085397,85397,CPT,300,,,,,,,VA,VA,,309,139.05,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,AETNA,AETNA,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,BCBS,BCBS,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,CIGNA,CIGNA,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,HUMANA,HUMANA,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,UHC,UHC,,103,46.35,,,,,,,,outpatient,
"Culture, fungi, definitive identification, each organism; mold",500087107,87107,CPT,300,,,,,,,VA,VA,,103,46.35,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,AETNA,AETNA,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,BCBS Federal,BCBS Federal,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,BCBS,BCBS,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,CIGNA,CIGNA,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,HUMANA,HUMANA,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,UHC,UHC,,124,55.8,,,,,,,,outpatient,
"Injection, phenylephrine hydrochloride, 20 micrograms",5000J2371,J2371,CPT,636,,,,,,,VA,VA,,124,55.8,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,AETNA,AETNA,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,BCBS,BCBS,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,UHC,UHC,,14,6.3,,,,,,,,outpatient,
Viibryd (Vilazodone) 10 mg; tab,5000J8499VII,J8499,CPT,250,,,,,,,VA,VA,,14,6.3,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,AETNA,AETNA,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,BCBS,BCBS,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,CIGNA,CIGNA,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,HUMANA,HUMANA,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,UHC,UHC,,350,157.5,,,,,,,,outpatient,
NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,OPLAB0351U,0351U,CPT,300,,,,,,,VA,VA,,350,157.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,AETNA,AETNA,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,BCBS Federal,BCBS Federal,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,BCBS,BCBS,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,CIGNA,CIGNA,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,HUMANA,HUMANA,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,UHC,UHC,,2490,1120.5,,,,,,,,outpatient,
"Magnetic resonance angiography, neck; with contrast material(s)",500070548,70548,CPT,615,,,,,,,VA,VA,,2490,1120.5,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,AETNA,AETNA,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,BCBS,BCBS,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,UHC,UHC,,6,2.7,,,,,,,,outpatient,
Norflex (Orphenadrine) 100 mg; PO,5000J8499NORF,J8499,CPT,250,,,,,,,VA,VA,,6,2.7,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
GLUC BLD RGNT STRIP,OPLAB82948,82948,CPT,301,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,AETNA,AETNA,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,BCBS,BCBS,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,CIGNA,CIGNA,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,HUMANA,HUMANA,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,UHC,UHC,,58,26.1,,,,,,,,outpatient,
TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,OPLAB86364,86364,CPT,300,,,,,,,VA,VA,,58,26.1,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,AETNA,AETNA,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,BCBS,BCBS,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,CIGNA,CIGNA,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,HUMANA,HUMANA,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,UHC,UHC,,133,59.85,,,,,,,,outpatient,
Zonisamide,500080203,80203,CPT,300,,,,,,,VA,VA,,133,59.85,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,AETNA,AETNA,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,BCBS,BCBS,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,UHC,UHC,,5,2.25,,,,,,,,outpatient,
Chlorpromazine 10 mg; tab,5000J8499CHLOR,J8499,CPT,250,,,,,,,VA,VA,,5,2.25,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,AETNA,AETNA,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,BCBS Federal,BCBS Federal,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,BCBS,BCBS,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,CIGNA,CIGNA,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,HUMANA,HUMANA,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,UHC,UHC,,708,318.6,,,,,,,,outpatient,
"Radiologic examination, mastoids; less than 3 views per side",500070120,70120,CPT,320,,,,,,,VA,VA,,708,318.6,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,AETNA,AETNA,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,BCBS,BCBS,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,CIGNA,CIGNA,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,HUMANA,HUMANA,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,UHC,UHC,,1367,615.15,,,,,,,,outpatient,
"US, preg uterus, real time w/ image doc, follow-up, transabd approach, per fetus",500076816,76816,CPT,402,,,,,,,VA,VA,,1367,615.15,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,AETNA,AETNA,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,BCBS Federal,BCBS Federal,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,BCBS,BCBS,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,CIGNA,CIGNA,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,HUMANA,HUMANA,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,UHC,UHC,,1925,866.25,,,,,,,,outpatient,
Unlisted US Procedure,500076999,76999,CPT,402,,,,,,,VA,VA,,1925,866.25,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,AETNA,AETNA,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,BCBS Federal,BCBS Federal,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,BCBS,BCBS,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,CIGNA,CIGNA,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,HUMANA,HUMANA,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,UHC,UHC,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,5000099291,99291,CPT,452,,,,,,,VA,VA,,4708,2118.6,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,AETNA,AETNA,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,BCBS Federal,BCBS Federal,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,BCBS,BCBS,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,CIGNA,CIGNA,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,HUMANA,HUMANA,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,UHC,UHC,,5313,2390.85,,,,,,,,outpatient,
CC E/M CRITICALLY ILL/INJURED EA 30 MIN,5000099292,99292,CPT,452,,,,,,,VA,VA,,5313,2390.85,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,AETNA,AETNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,BCBS,BCBS,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,CIGNA,CIGNA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,HUMANA,HUMANA,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,UHC,UHC,,148,66.6,,,,,,,,outpatient,
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,OPLAB86301,86301,CPT,300,,,,,,,VA,VA,,148,66.6,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,AETNA,AETNA,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,BCBS Federal,BCBS Federal,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,BCBS,BCBS,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,CIGNA,CIGNA,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,HUMANA,HUMANA,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,UHC,UHC,,178,80.1,,,,,,,,outpatient,
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",500088150,88150,CPT,300,,,,,,,VA,VA,,178,80.1,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,AETNA,AETNA,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,BCBS,BCBS,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,CIGNA,CIGNA,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,HUMANA,HUMANA,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,UHC,UHC,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 30 minutes w/patient when performed with an evaluation and management service",500090833,90833,CPT,961,,,,,,,VA,VA,,629,283.05,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,AETNA,AETNA,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,BCBS,BCBS,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,CIGNA,CIGNA,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,HUMANA,HUMANA,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,UHC,UHC,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",500090836,90836,CPT,961,,,,,,,VA,VA,,816,367.2,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,AETNA,AETNA,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,BCBS Federal,BCBS Federal,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,BCBS,BCBS,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,CIGNA,CIGNA,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,HUMANA,HUMANA,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,UHC,UHC,,1082,486.9,,,,,,,,outpatient,
"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",500090838,90838,CPT,961,,,,,,,VA,VA,,1082,486.9,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,AETNA,AETNA,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,BCBS Federal,BCBS Federal,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,BCBS,BCBS,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,CIGNA,CIGNA,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,HUMANA,HUMANA,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,UHC,UHC,,300,135,,,,,,,,outpatient,
"Urinalysis; bacteriuria screen, except by culture or dipstick",500081007,81007,CPT,307,,,,,,,VA,VA,,300,135,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,AETNA,AETNA,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,BCBS,BCBS,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,CIGNA,CIGNA,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,HUMANA,HUMANA,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,UHC,UHC,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. implant of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049591,49591,CPT,450,,,,,,,VA,VA,,3356,1510.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,AETNA,AETNA,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,BCBS,BCBS,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,CIGNA,CIGNA,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,HUMANA,HUMANA,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,UHC,UHC,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated/strangulated",500049592,49592,CPT,450,,,,,,,VA,VA,,4809,2164.05,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,AETNA,AETNA,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,BCBS,BCBS,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,CIGNA,CIGNA,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,HUMANA,HUMANA,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,UHC,UHC,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049593,49593,CPT,450,,,,,,,VA,VA,,5791,2605.95,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,AETNA,AETNA,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,BCBS,BCBS,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,CIGNA,CIGNA,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,HUMANA,HUMANA,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,UHC,UHC,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049594,49594,CPT,450,,,,,,,VA,VA,,7540,3393,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,AETNA,AETNA,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,BCBS,BCBS,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,CIGNA,CIGNA,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,HUMANA,HUMANA,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,UHC,UHC,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",500049595,49595,CPT,450,,,,,,,VA,VA,,7784,3502.8,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,AETNA,AETNA,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,BCBS,BCBS,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,CIGNA,CIGNA,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,HUMANA,HUMANA,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,UHC,UHC,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, initial, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049596,49596,CPT,450,,,,,,,VA,VA,,10336,4651.2,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,AETNA,AETNA,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,BCBS,BCBS,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,CIGNA,CIGNA,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,HUMANA,HUMANA,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,UHC,UHC,,4260,1917,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, reducible",500049613,49613,CPT,450,,,,,,,VA,VA,,4260,1917,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,AETNA,AETNA,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,BCBS,BCBS,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,CIGNA,CIGNA,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,HUMANA,HUMANA,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,UHC,UHC,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant. abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; less than 3 cm, incarcerated or strangulated",500049614,49614,CPT,450,,,,,,,VA,VA,,5778,2600.1,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,AETNA,AETNA,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,BCBS,BCBS,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,CIGNA,CIGNA,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,HUMANA,HUMANA,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,UHC,UHC,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, reducible",500049615,49615,CPT,450,,,,,,,VA,VA,,6462,2907.9,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,AETNA,AETNA,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,BCBS,BCBS,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,CIGNA,CIGNA,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,HUMANA,HUMANA,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,UHC,UHC,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; 3 cm to 10 cm, incarcerated or strangulated",500049616,49616,CPT,450,,,,,,,VA,VA,,8679,3905.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,AETNA,AETNA,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,BCBS,BCBS,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,CIGNA,CIGNA,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,HUMANA,HUMANA,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,UHC,UHC,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, reducible",500049617,49617,CPT,450,,,,,,,VA,VA,,8939,4022.55,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,AETNA,AETNA,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,BCBS Federal,BCBS Federal,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,BCBS,BCBS,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,CIGNA,CIGNA,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,HUMANA,HUMANA,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,UHC,UHC,,12525,5636.25,,,,,,,,outpatient,
"Repair of ant abd hernia(s), any approach, recurrent, incl. impl. of mesh/other prosthesis when performed, total length; greater than 10 cm, incarcerated or strangulated",500049618,49618,CPT,450,,,,,,,VA,VA,,12525,5636.25,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,AETNA,AETNA,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,BCBS Federal,BCBS Federal,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,BCBS,BCBS,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,CIGNA,CIGNA,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,HUMANA,HUMANA,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,UHC,UHC,,9,4.05,,,,,,,,outpatient,
"NP Thyroid, Porcine 60 mg; Tab",5000J8499THYR,J8499,CPT,250,,,,,,,VA,VA,,9,4.05,,,,,,,,outpatient,